; and (bb) all pertinent factual information developed by the Secretary or the Secretary of Health and Human Services, including any applicable information provided under subparagraph (B) or otherwise available. (ii) Submission of recommendations (I) In general Subject to subclause (II), the Advisory Committee shall submit to the Secretary its recommendations relating to an existing or proposed order not later than 90 days after the date of the Committee’s receipt of such request from the Secretary relating to such order. (II) Exceptions The Secretary may prescribe a period for the submission of recommendations by the Advisory Committee under subclause (I) relating to an existing or proposed order that is longer or shorter than the 90-day period referred to in subclause (I), except that such period may not exceed 180 days after the date of the Committee’s receipt of the request for recommendations relating to such order. (iii) Receipt of recommendations In the case in which the Advisory Committee recommends the promulgation of a new order (or an update to an existing order), the Secretary shall, not later than 90 days after submission of such recommendation by the Advisory Committee or the expiration of the period prescribed by the Secretary for such submission— (I) promulgate pursuant to paragraph (4) such order (or update) in a manner consistent with such recommendations