New York regulations

Title 19 Part 192

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19 NYCRR 192.1 - Definitions

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(a)The General Business Law (GBL), article 37-A contains many specific requirements on the provision of hearing aids. Where appropriate, a regulation may contain a specific reference to a statutory provision. The regulation and the statute should be read together.
(b)The term

registrant or business registrant means any individual, corporation, partnership, trust, association or other organization maintaining an established New York State business address who engages in the business of dispensing hearing aids at retail.

(c)The term

binaural hearing aids means hearing aids as defined in General Business Law, section 789(7) involving both ears.

(d)The term

otolaryngologist shall include a physician who uses the designation otorhinolaryngologist or otologist to describe his medical specialty and is similarly entitled to practice such specialty.

(e)The term

consumer includes a purchaser, customer or user of a hearing aid, or the parent or guardian of a purchaser, customer or user.

(f)A professional corporation formed thereby shall be deemed equivalent to any otolaryngologist or audiologist referred to in this Part.

19 NYCRR 192.2 - Application form for a business registrant

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(a)Contents of application.

In addition to the information listed in General Business Law, section 790, the application shall set forth:

(1)the name and business address of each stockholder owning more than 10 percent of the issued and outstanding stock of a corporation;
(2)the name of the dispenser who is the manager or supervisor at each permanent business location;
(3)the principal office of the business entity, whether or not the dispensing of hearing aids is conducted at such principal office;
(4)whether the applicant, any partner or officer thereof has had a license or registration denied, suspended or revoked in any jurisdiction. If so, the details thereof shall be supplied;
(5)whether any administrative charges or complaints have been brought against the applicant, any partner or officer thereof in any jurisdiction. If so, details thereof shall be supplied;
(6)whether the applicant, any partner or officer thereof has been convicted of a crime or offense other than a minor traffic violation in any jurisdiction. If so, a certified copy of the conviction shall be attached to the application; and
(7)whether the applicant, any partner or officer thereof has ever been engaged in the business of fitting, renting or selling hearing aids in any jurisdiction. If so, the name under which and the address at which such business was conducted shall be supplied.
(b)Assumed name.

If the application is submitted by an individual or unincorporated association using an assumed name or by a partnership, the application shall include a certified copy of the certificate of doing business under the assumed or partnership name filed with the county clerk. If the application is submitted by a corporation, limited partnership or limited liability company using an assumed name, the application shall include a copy of the certificate of assumed name filed with the department.

(c)Signing of application.

The application shall be signed and affirmed by the applicant under penalty of perjury. An application made on behalf of a partnership or corporation shall be executed by the managing general partner or corporate officer who shall have been named in the application as the principal partner or officer.

(d)Restriction as to name.

A name may not contain any word or words which may imply that the applicant provides any medical treatment or audiometric examinations.

(e)A not-for-profit corporation, agency, association or entity which dispenses hearing aids shall register and comply with the provisions of this Part, where applicable.

19 NYCRR 192.3 - Certificate of registration

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(a)Posting of certificates.

The business certificate of registration and the individual certificate of each dispenser employed at a permanent business location shall be conspicuously posted in open view at such location.

(b)Changes in information.

If there is a change in any information set forth in the application after the issuance of a certificate of registration, a statement of amendment on a form prescribed by the department and executed in the manner required for an application shall be filed by the registrant within 10 days of such change. However, a change of address shall be reported within 30 days.

(c)Transfer of ownership.

No individual, partnership or corporation or other entity or group of persons shall operate under an existing certificate of registration, if there has been a transfer of ownership of the business. For the purpose of this subdivision, a transfer of ownership shall mean a transfer by an individual owner of any portion of his interest, or a transfer of 50 percent or more of the partnership interest or of the issued and outstanding stock of a corporation or other entity.

19 NYCRR 192.4 - Education

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19 NYCRR 192.5 - Training program

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(a)A trainee who receives up to three months' credit for completing the theory portion of a course of instruction pursuant to section 192.4(k) of this Part may not perform any activity directly related to the dispensing of a particular hearing aid or hearing aids unless such activity is conducted under the direct supervision of a registered dispenser for a period of three months. For the next three months, such trainee may not perform any activity directly related to the dispensing of a particular hearing aid or hearing aids unless such activity is conducted with the immediate consent, review and approval of a registered dispenser.
(b)For the purpose of applying to take the written examination, up to three months' course credit may be counted toward satisfying the six months' training program. However, no trainee may apply to take the written examination or practical test until the conclusion of the three-month period of direct supervision.

19 NYCRR 192.6 - Examinations

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(a)The fee for the initial taking of the written exam and/or practical test, administered at the same time, is $50. There is an additional fee of $50 for the re-taking of either the written exam or the practical test, or the taking of the exam and practical at different times.
(b)An applicant may review the score of a failed examination by making such request in writing to the department. Such review will be made available within a reasonable time at an office of the department. The applicant may not copy the exam or the scoring thereof.

19 NYCRR 192.7 - Continuing education

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(a)General requirements.

No offering of a course of study shall be acceptable for credit unless such course of study shall have been approved by the department.

(b)Proof of compliance.

A registrant shall maintain and, upon request, provide to the department proof of satisfactory completion of the continuing education requirements for the registrant's current and immediately preceding term of registration.

(c)Approved entity.

Dispenser continuing education courses and offerings may be presented by: any college or university accredited by the Commissioner of Education of the State of New York; public and private vocational schools; audiology, hearing and/or hearing aid professional societies and organizations; medical facilities; or hearing instrument manufacturers.

(d)Application for approval of a continuing education course of study.
(1)An application for approval to conduct a course of study by an educational provider shall be submitted 60 days before the proposed course is to begin.
(2)The application shall include the following:
(i)name and business address of the proposed school;
(ii)if applicant is a partnership, the names and addresses of all the partners of the entity;
(iii)if applicant is a corporation, the names and addresses of persons who own five percent or more of the stock of the entity;
(iv)the name, home and business address and telephone number of the education coordinator who will be responsible for administering the regulations contained in this Part;
(v)locations where classes will be conducted;
(vi)title of each course or program to be conducted;
(vii)a detailed outline of the subject matter, together with time sequence of each segment; and
(viii)a description of materials that will be distributed.
(e)Basic course or program requirements.

Approval for continuing education courses may be granted for courses which cover hearing aid dispenser-related topics. No credit will be granted for sales or sales-related courses or components thereof.

(f)Length of programs.

A program must contain a minimum of one contact hour and may contain a maximum of 20 contact hours of instruction.

(g)Program approval.

A sponsor of a course which is conducted on one day may file an application for approval within 30 days of the completion of the course. The sponsor must advise registrants that approval has not been granted.

(h)Facilities.

Each course shall be conducted in such premises and facilities as necessary to properly present the course.

(i)Change of approved course of study.

There shall be no change or alteration in any approved course of study of any subject without prior written notice to and approval by the department.

(j)Attendance.

In order to obtain a certificate of completion for continuing education, a dispenser must complete at least 90 percent of the outlined course of instruction. A student may complete hours that are missed at the discretion of the approved entity. Within 30 days of the completion of the course, the approved entity must submit to the department a list of the names and registration numbers of all individuals who successfully complete the approved course.

(k)Certificate of completion.

An educational provider shall issue a certificate of successful completion of a course approved by the Department of State to a person who has attended the required aggregate number of hours of such a course.

(l)Availability.

An approved course shall be open to any registrant.

(m)Retention of records.

An approved entity shall retain the records of all students for a period of five years after the completion of a course, and such papers shall be available for inspection by duly authorized representatives of the department at all times during such period.

(n)Auditing.

A duly authorized representative of the department may audit any course, verify attendance and inspect the records of attendance of a course, at any time during its presentation or for a period of five years after completion thereof, without prior notice to the sponsor.

(o)Suspensions and denials of course approval.
(1)Within 60 days after the receipt of the application for approval of an offering, the department shall inform the sponsor as to whether the course has been approved, denied, or whether additional information is needed to determine the acceptability of the offering.
(2)The department may deny, suspend or revoke the approval of a dispenser course, instructor or location, if it is determined not to be in compliance with law and regulations, or if the offering does not adequately reflect and present current hearing aid dispenser knowledge. If disciplinary action is taken, a written order of suspension, revocation or denial of approval shall be issued. Anyone who objects to such denial, suspension or revocation shall have the opportunity to appeal to the Secretary of State or designee within 30 days.
(p)Faculty approval and qualifications.
(1)Each instructor who is a registered hearing aid dispenser with three years of full-time experience in the dispensing of hearing aids and each instructor of an approved educational provider who has three years of experience in the field directly related to hearing aid dispensing must submit a one-time application to the Division of Licensing Services, Bureau of Educational Standards, on an application form as promulgated by the division, along with a resume.
(2)An instructor in technical subjects, closely related to hearing aid dispensing, but not classified as specific subject matter pertaining to hearing aid dispensing theory, who does not satisfy the three-year experience qualification under paragraph (1) of this subdivision must submit a technical instructor application certifying to the claimed expertise along with a resume.
(q)Policy on course cancellation and tuition refund.

An educational provider must submit to the department its written policy relating to course cancellation and tuition refunds. Such policy must be provided in writing to prospective students prior to the acceptance of any fees.

(r)Registration period.

Each registration or renewal period for approved courses shall be for 12 months or a part thereof. The period shall commence on each January 1st or a date thereafter and continue until December 31st of each year.

(s)Equivalency credit.
(1)A registrant who completes a course of study offered outside of the State of New York, which course has not been approved by the department, may file a request to the department for review and evaluation of such course. An application for such consideration may be submitted along with official documentation of satisfactory completion, and the official description of the course.
(2)An instructor of an approved qualifying or continuing education course may be awarded one hour of continuing education credit for each direct hour of instruction during the registration cycle. Credit shall not be awarded for teaching the same course more than once in a registration cycle.

Instructors must submit evidence of such experience with an equivalency application.

(3)An application for and evidence of equivalency credit must be submitted to the department for consideration at least 30 days prior to the expiration of the registration.
(t)Individual credit for continuing education.

Any course approved under this section cannot be taken more than once during the same registration cycle.

(u)Continuing education extension.

A registrant who is unable to complete continuing education requirements due to an extreme ongoing illness or other catastrophe may request an extension from the department. Medical documentation or other evidence of the claimed problem must be submitted along with the request for the extension.

(v)Infection control and New York State and Federal law, regulation and professional conduct for hearing aid dispensers.

As a condition of renewing a hearing aid dispenser registration, each hearing aid dispenser shall successfully complete a total of 20 continuing education credits per registration period as set forth in section 794 of the General Business Law. At least one of the required credit hours shall be devoted to the subject of infection control as prescribed by the Secretary of State, at least one of the required credit hours shall be devoted to the subject of telecoil (t-coil) and other assistive listening devices, and at least one of the required credit hours shall be devoted to the subject of New York State and Federal law, regulations and professional conduct as prescribed by the Secretary of State.

(w)Infection control and New York State and Federal law, regulation and professional conduct for audiologists.

As a condition of renewing a hearing aid dispenser registration, each audiologist who is registered as a hearing aid dispenser under General Business Law section 790(1)(b), shall successfully complete four continuing education credits relating to the dispensing of hearing aids as set forth in section 794 of the General Business Law. At least one of the required credit hours shall be devoted to the subject of infection control, at least one of the required credit hours shall be devoted to the subject of telecoil (t-coil) and other assistive listening devices, and at least one of the required credit hours shall be devoted to the subject of New York State and Federal law, regulations and professional conduct.

19 NYCRR 192.8 - Employment of dispensers

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Prior to the dispensing of a hearing aid, a dispenser must present a certificate of registration, either permanent or temporary, to a prospective employer (business registrant).

19 NYCRR 192.10 - Decontamination and infection control

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19 NYCRR 192.11 - Environmental standards for testing

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(a)Office.

Audiometric testing shall take place in a test environment meeting the criteria for background noise in accordance with prevailing hearing related industry standards.

(b)Residential.

When a customer is home-bound and not able physically or psychologically to receive services in an office setting or it is geographically inconvenient to do so, the dispenser must arrive at the customer's residence with the proper calibrated equipment and a sound level meter to measure ambient noise in the room and be able to perform the test where the ambient sound is not so loud as to interfere with the testing. If the prevailing hearing related industry standards can not be met, such fact must be noted on the audiogram.

(c)Other nonoffice setting.

In such settings as a nursing home, the dispenser must have the proper equipment and the ambient sound in the site of testing must be such that it does not interfere with the testing. If the prevailing hearing related industry standards can not be met, such fact must be noted on the audiogram.

19 NYCRR 192.12 - Nondiagnostic testing procedures

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(a)Prior to audiometric testing, the hearing aid dispenser shall:
(1)conduct a direct otoscopic observation of the client's ear canals;
(2)inquire and/or make general observations regarding any of the following conditions:
(i)visible congenital or traumatic deformity of the ear;
(ii)history of or presence of active drainage from the ear within the previous 90 days;
(iii)history of sudden or rapidly progressive hearing loss within the previous 90 days;
(iv)acute or chronic dizziness;
(v)unilateral hearing loss of sudden or recent onset within the previous 90 days;
(vi)visible evidence of bleeding, significant cerumen accumulation, or presence of a foreign body in the ear canal;
(vii)pain or discomfort in the ear; and
(3)inquire as to any additional medical conditions, physical considerations or surgical history with reference to the client's hearing and potential hearing aid use.
(b)Appropriate testing procedures shall include:
(1)determination of pure-tone thresholds for each ear, in accordance with prevailing hearing related industry standards, including:
(i)pure-tone air conduction thresholds for each ear;
(ii)masked pure-tone air conduction thresholds if there is a difference of 40dB or more between the air conduction thresholds of the two ears or the air conduction threshold of the poorer ear and the bone conduction threshold of the better ear;
(iii)pure-tone bone conduction thresholds for each ear; and
(iv)masked pure-tone bone conduction thresholds if there is a difference of 15dB or greater between the bone conduction threshold of the better ear and the air conduction threshold of the poorer ear;
(2)determination of speech audiometry for each ear including:
(i)the speech recognition threshold (SRT) for each ear (or, if undeterminable, the speech awareness threshold) utilizing appropriate spondaic word lists or other acceptable methods;
(ii)the most comfortable loudness (MCL) for speech for each ear;
(iii)the threshold of discomfort (TD) or uncomfortable level (UCL) for speech for each ear; and
(iv)speech recognition scores for each ear and/or binaurally (as appropriate) utilizing appropriate phonetically balanced word lists or other acceptable methods.
(c)Where it is not appropriate or possible to conduct any or all tests listed in subdivision (b) of this section, a dispenser may conduct such tests as appropriate. The dispenser must record in the patient's file those tests which are not conducted and the reasons therefor, in accordance with the clinical judgment of the dispenser.

19 NYCRR 192.13 - Forty-five day guarantee

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(a)A registrant may make a guarantee which grants rights to the consumer in addition to those contained in General Business Law, section 798(12).
(b)In a rental of a hearing aid or sale thereof under an installment contact or other non-sale transaction covered under General Business Law, section 789(11), the cancellation fee shall be measured by the charge the registrant would make for a similar hearing aid and accessories sold outright to a customer. The cancellation fee shall be payable out of such sum the customer may have paid on account of the rental or purchase price and any security the customer may have deposited with the registrant. If the amount paid or deposited is insufficient to pay for the cancellation fee the registrant may be entitled to, the customer shall be required to pay the difference due in order to effect cancellation of the agreement. If such payments exceed the amount so due, the registrant shall return the difference to the customer forthwith.
(c)A contract of sale or rental may be utilized as the receipt and contain any guarantee.
(d)The registrant shall deliver to the purchaser a written statement setting forth the amount returned to the purchaser.
(e)A registrant may refuse to accept the return of a hearing aid within the 45-day guarantee period if the wear and tear on the hearing aid exceeds that which is reasonable. A registrant may not refuse to accept the return of a hearing aid for such reason unless the registrant provides a written statement to the customer which shall specifically describe the condition of the hearing aid upon which the registrant bases such refusal. A copy of such statement shall be placed in the customer's file. Within the 45-day guarantee period a registrant may not demand or receive from a customer the payment of any special or additional fee or charge for accepting the return of a hearing aid on the ground that the registrant has the right to refuse to accept the return by reason of unreasonable wear and tear on the instrument.

19 NYCRR 192.14 - Repair and service

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(a)A registrant shall accept for repair and other necessary service any hearing aid or accessory thereof, sold or rented by the registrant to the customer, for a period of five years from the date of sale or rental. The repair or service may be made by the registrant or referred by the registrant to the manufacturer or supplier of the hearing aid or accessories or to any other person.
(b)The charge for any necessary repair or service shall be reasonable and no more than that which is provided in any outstanding sale or rental agreement. The registrant shall deliver an itemized receipt showing the repair and service provided and the charge therefor. If the charge for the repair or service shall exceed $50, no work may be performed unless the customer shall have been first advised of the work to be performed, the charge therefor, and shall have approved same.
(c)If the registrant or the manufacturer or other person making the repair shall charge a non- refundable fee for an estimate of the cost of such repair, the customer shall be advised thereof in writing prior to the acceptance of the instrument. The registrant is entitled to retain such fee if the customer determines not to proceed with the repair after receiving the estimate.
(d)In addition to the provision for payment for the specific repair of a damaged or otherwise defective instrument, the registrant may offer to repair such instrument on a flat-rate basis, with at least a 30-day written guarantee that the instrument shall operate properly, except for subsequent damage caused by the customer. If the customer accepts repair on a flat-rate basis, the itemized statement as to the repairs made need not set forth the specific charges therefor.
(e)When a hearing aid is brought in for repair or service, the registrant may supply a suitable loan of an instrument to the consumer for the period the instrument is being repaired or serviced. If such a loaner is available and there is a charge therefor, the customer shall not be required to accept any such loaner as a condition to the repair or service.

19 NYCRR 192.15 - Records to be maintained

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(a)A registrant shall maintain a file for each customer which shall contain the information listed in General Business Law, section 798(14) and:
(1)a copy of the written guarantee;
(2)a copy of the invoice or other record of purchase by the registrant of the hearing aid and custom ear mold, if any;
(3)copy of any correspondence from and to the customer; and
(4)a copy of the statement given to the customer upon the exercise of the right of cancellation under a 45-day guarantee.
(b)A registrant shall maintain a file which shall contain a copy of all advertisements placed in any media or sent to a customer or prospective customer.
(c)A registrant shall maintain a file containing the invoices on the purchases of batteries, and the records of rebates, discounts and allowances on the purchases of batteries and custom ear molds. The invoice shall specify the particular ear mold to which the rebate, discount or other allowance applies.
(d)A registrant shall maintain a file containing customer requests for home visits for the purpose of soliciting the sale or rental of hearing aids, showing the name of the customer, date and manner of the request and date of the home visit.
(e)All records required to be maintained at each business location shall, upon request, be open to inspection by duly authorized employees of the department during regular business hours.

19 NYCRR 192.16 - Advertisements

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(a)A registrant shall comply with General Business Law, section 798(15).
(b)A registrant shall maintain an advertising file at its principal office.
(c)The advertising file shall contain the materials supporting a claim that a hearing aid, device, part or accessory is a new invention or involves a new mechanical or scientific principle. The filing of any such materials shall not relieve the registrant of any liability under the provisions of any law and this Part, if it is determined such advertising claim is not true. In order to comply with these filing requirements, the registrant may place in the advertising file a written statement signed by the manufacturer of the instrument, part or accessory, setting forth the nature of the claim, the basic principle underlying the claim, and that further detailed material supporting such claim is on file at the manufacturer's listed office and available to the department upon request.
(d)A registrant shall place in its advertising file the original of a testimonial used in advertising hearing aids or accessories. The testimonial must be in writing duly signed and acknowledged by the person and indicate the residence address of the person making same.
(e)A registrant may not advertise the availability of the services of an otolaryngologist or authorized physician or the approval or recommendation of the registrant's services by any otolaryngologist, audiologist or authorized physician. A registrant may not advertise the availability of the services of an audiologist unless such advertisement shall indicate: that the audiologist provides services at the business location of, and as part of the overall service provided by, the registrant; and whether there shall be an extra charge therefor.
(f)A registrant may not publish, promulgate or disseminate, in any communications form, any false or misleading advertising relating to the scope of hearing aid dispensing practices, the credentials of an individual dispenser, or the function, use or reliability of a particular hearing instrument.

19 NYCRR 192.17 - Canvassing

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A registrant shall comply with General Business Law, section 798(16). A bona fide visit by a registrant in the ordinary course of business for the purpose of determining whether a hearing aid sold or rented is properly functioning shall not require the prior request or assent of the customer.

19 NYCRR 192.18 - Consumers

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July 8, 2026/Vol. XLVIII, Issue 27 (2026-07-08)
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Jun 6, 2026
(a)Complaints.

A consumer may register a complaint with any office of the department in person, in writing or by telephone.

(b)Printed educational information.

Printed educational materials should include:

(1)Procedures by which a consumer may file a complaint.
(2)General information about the general use of hearing aids and the advantages and disadvantages of monaural and binaural hearing aid use, including: information of the value of hearing aid use for a prospective purchaser; consumer protection piece - what to be aware of in sales pitches and “hard sell” techniques, such as “giveaways” and sales pitches that minimize the need for medical and audiological exams; basic “how to” use a hearing aid for a new consumer; and information about the advantages of purchasing and using the telecoil switch (t- switch).
(3)General information on assistive listening devices (ALDs), including a basic overview of the types of ALDs currently available and how ALDs may be used with hearing aids.
(4)A statement regarding the availability of support groups for people who are deaf and hard of hearing.
(c)Training of consumers.
(1)The dispenser shall instruct new users of hearing aids on basic information about how to use the aid. This training should include, at a minimum, the following:
(i)basic care and use of the hearing aid;
(ii)communication strategies to adjust to a new hearing aid;
(iii)information on support groups;
(iv)storage of the hearing aid when not being used;
(v)protection of the hearing aid from perspiration and moisture;
(vi)installation of a battery;
(vii)frequency of necessity to purchase batteries;
(viii)use of the telecoil-switch;
(ix)telephone usage;
(x)reasonable longevity of the hearing aid;
(xi)information about purchasing insurance to cover loss or damage;
(xii)review of 45-day return policy; and
(xiii)review of complaint policy.
(2)Such training may be offered in a group setting provided provisions are made to allow all participants to hear the presentation (

e.g.,

provide ALDs compatible with their hearing aids) and/or to provide written materials, and shall be offered to all new purchasers of hearing aids and those who need to review the hearing aid orientation materials.

19 NYCRR 192.19 - [Repealed]

Repealed or removed in compiled source

The compiled source records this section as repealed. We hold the witnessed tombstone record; see the source for details.

What LawEngine checked
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Source-only entry
Compiled source current through
Apr 15, 2022
Register checked through
July 8, 2026/Vol. XLVIII, Issue 27 (2026-07-08)
Register activity status
no later Register activity found
LawEngine source snapshot
Jun 6, 2026

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