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It is important to control acoustic noise aboard the International Space Station (ISS) to provide a satisfactory environment for voice communications, alarm audibility, and restful sleep, and to minimize the risk for hearing loss. Acoustic monitoring is an important part of the noise control process on ISS, providing critical data for trend analysis, noise exposure analysis, validation of acoustic analyses and predictions, and to provide strong evidence for ensuring crew health and safety, thus allowing Flight Certification. And since the primary noise sources on ISS include the environmental control and life support system’s air revitalization system (fans and airflow) and active thermal control system (pumps and water flow), acoustic monitoring will indicate changes in hardware noise emissions that may indicate system degradation or performance issues. This paper provides the current acoustic levels in the ISS modules and sleep stations, and is an update to the status presented in 2018. Since this last status report, noise levels have remained consistent, but issues with stalled fan noise and unexplained low frequency spectral peaks have caused some exceedances to requirements. Noise levels in the Russian Segment have either remained consistent or have been reduced slightly, except for the new Multipurpose Laboratory Module, which has some significant noise exceedances.