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Federal Register / Vol. 70, No.

194 / Friday, October 7, 2005 / Notices 58709

and Human Services, is publishing the January 1, 2006. Failure to make system Dated: September 30, 2005.
following summary of proposed changes may result in the delay in the Michelle Shortt,
collections for public comment. implementation of the program and may Director, Regulations Development Group,
Interested persons are invited to send result in a direct harm to beneficiaries Office of Strategic Operations and Regulatory
comments regarding this burden since delays or mistakes in claims Affairs.
estimate or any other aspect of this processing may result in beneficiaries [FR Doc. 05–20229 Filed 10–6–05; 8:45 am]
collection of information, including any not receiving their medications, or being BILLING CODE 4120–03–P
of the following subjects: (1) The unable to pay for medications out-of-
necessity and utility of the proposed pocket until the system issue is
information collection for the proper DEPARTMENT OF HEALTH AND
resolved.
performance of the agency’s functions; HUMAN SERVICES
(2) the accuracy of the estimated CMS is requesting OMB review and
burden; (3) ways to enhance the quality, approval of this collection by November Food and Drug Administration
utility, and clarity of the information to 8, 2005, with a 180-day approval period. [Docket No. 2005N–0178]
be collected; and (4) the use of Written comments and
automated collection techniques or recommendations will be accepted from Agency Information Collection
other forms of information technology to the public if received by the individuals Activities; Submission for Office of
minimize the information collection designated below by November 7, 2005. Management and Budget Review;
burden. Type of Information Collection Regulations Under the Federal Import
We are, however, requesting an Milk Act
emergency review of the information Request: New Collection; Title of
collection referenced below. In Information Collection: Coordination of AGENCY: Food and Drug Administration,
compliance with the requirement of Benefits between Part D Plans and Other HHS.
section 3506(c)(2)(A) of the Paperwork Prescription Coverage Providers; Use: ACTION: Notice.
Reduction Act of 1995, we have This information is necessary to assist
submitted to the Office of Management with coordination of prescription drug SUMMARY: The Food and Drug
and Budget (OMB) the following benefits provided to the Medicare Administration (FDA) is announcing
requirements for emergency review. We beneficiary at the pharmacy; Form that a proposed collection of
are requesting an emergency review Number: CMS–10171 (OMB#: 0938– information has been submitted to the
because the collection of this NEW); Frequency: On occasion and Office of Management and Budget
information is needed before the monthly; Affected Public: Business or (OMB) for review and clearance under
expiration of the normal time limits other for-profit, Federal, State, Local the Paperwork Reduction Act of 1995.
under OMB’s regulations at 5 CFR part and Tribal Government; Number of DATES: Fax written comments on the
1320. This is necessary to ensure Respondents: 56,320; Total Annual collection of information by November
compliance with an initiative of the Responses: 2,153,767,270; Total Annual 7, 2005.
Administration. We cannot reasonably Hours: 1,017,914. ADDRESSES: OMB is still experiencing
comply with the normal clearance significant delays in the regular mail,
procedures because the normal To obtain copies of the supporting
statement and any related forms for the including first class and express mail,
procedures are likely to cause a and messenger deliveries are not being
statutory deadline to be missed which proposed paperwork collections
accepted. To ensure that comments on
may result in public harm. referenced above, access CMS’ Web site
the information collection are received,
Section 1860D–23 and 1860D–24 of address at http://www.cms.hhs.gov/
OMB recommends that comments be
the Social Security Act, added by the regulations/pra or e-mail your request, faxed to the Office of Information and
Medicare Prescription Drug, including your address, phone number, Regulatory Affairs, OMB, Attn: Fumie
Improvement and Modernization Act of OMB number, and CMS document Yokota, Desk Officer for FDA, FAX:
2003 (MMA), requires the Secretary to identifier, to paperwork@cms.hhs.gov, 202–395–6974.
establish requirements for prescription or call the Reports Clearance Office at
drug plans to ensure the effective FOR FURTHER INFORMATION CONTACT:
(410) 786–1326. Peggy Robbins, Office of Management
coordination between Part D plans,
State pharmaceutical assistance Interested persons are invited to send Programs (HFA 250), Food and Drug
programs and other payers. These comments regarding the burden or any Administration, 5600 Fishers Lane,
requirements have been codified into other aspect of these collections of Rockville, MD 20857, 301–827–1223.
the Code of Federal Regulations at 42 information requirements. However, as SUPPLEMENTARY INFORMATION: In
CFR 423.464. noted above, comments on these compliance with 44 U.S.C. 3507, FDA
Part D sponsors will be responsible information collection and has submitted the following proposed
for making system changes related to recordkeeping requirements must be collection of information to OMB for
enrollment file sharing, claims received by the designees referenced review and clearance.
processing and payment, reconciliation below by November 7, 2005: Centers for Under the regulations implementing
and tracking of the true out-of-pocket Medicare & Medicaid Services, Office of the Federal Import Milk Act (FIMA) (21
expenditures of beneficiaries prior to Strategic Operations and Regulatory U.S.C. 141–149), milk or cream may be
the implementation of Part D (January 1, Affairs, Room C4–26–05, 7500 Security imported into the United States only by
2006). System changes must also be Boulevard, Baltimore, MD 21244–1850, the holder of a valid import milk permit.
implemented by State pharmaceutical Attn: Melissa Musotto, CMS–10171. Before such permit is issued: (1) All
assistance programs so that they may and, OMB Human Resources and cows from which import milk or cream
provide additional drug benefits at the Housing Branch, Attention: CMS Desk is produced must be physically
pharmacy to Part D beneficiaries. In Officer, New Executive Office Building, examined and found healthy; (2) if the
addition to making system changes, Room 10235, Washington, DC 20503. milk or cream is imported raw, all such
these changes must be tested, which cows must pass a tuberculin test; (3) the
will require additional time prior to dairy farm and each plant in which the

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58710 Federal Register / Vol. 70, No. 194 / Friday, October 7, 2005 / Notices

milk or cream is processed or handled suggested that that Form FDA 1815 and Another comment stated that Form
must be inspected and found to meet Form FDA 1995 include a requirement FDA 1996 and Form FDA 1997 do not
certain sanitary requirements; (4) that the submitter certify that the dairy provide practical information and
bacterial counts of the milk at the time cows are free from brucellosis and that should be made consistent with Form
of importation must not exceed the certification of brucellosis-free FDA 2359a, which, the comment states,
specified limits; and (5) the temperature status should be done in a manner is ‘‘utilized to ensure milk sanitation
of the milk or cream at time of consistent with the APHIS guidelines standards are met at the farm level.’’
importation must not exceed 50° F. In published in the document entitled
FDA disagrees that Form FDA 1996,
addition, the regulations in part 1210 ‘‘Brucellosis Eradication: Uniform
‘‘Dairy Farm Sanitation Report,’’ and
(21 CFR part 1210) require that dairy Methods and Rules’’ (APHIS 91–45–
farmers and plants maintain 013). Form FDA 1997, ‘‘Score Card for
pasteurization records (§ 1210.15) and FDA agrees that, where possible, Sanitary Inspection of Milk Plants,’’ do
that each container of milk or cream Federal agencies should act in a not provide practical information. The
imported into the United States bear a consistent manner. However, FDA information collected on these two
tag with the product type, permit declines to make the suggested changes forms is used by the agency in
number, and shipper’s name and to its forms because such changes are determining whether the imported milk
address (§ 1210.22). not necessary. The two referenced or cream offered for import meet FIMA’s
In the Federal Register of May 31, documents are published by APHIS as requirements for sanitary inspections of
2005 (70 FR 30951), FDA published a part of its national animal disease dairy farms and plants (21 U.S.C. 142).
60-day notice requesting public eradication efforts undertaken by the FDA also disagrees that the two forms
comment on the information collection National Center for Animal Health should be made consistent with Form
provisions. Programs under the statutory authority FDA 2359a because that form is used
FDA received one letter in response, provided by the Animal Health domestically for inspection of facilities
which contained several comments and Protection Act (7 U.S.C. 8301–8320). producing Grade ‘‘A’’ milk products.
suggestions. These suggestions and These are domestic programs in the FDA does not use it for inspections of
FDA’s responses follow. United States which are designed to facilities producing manufacturing-
The comment stated that the address the general health status of U.S. grade milk domestically. Thus, it would
collection of information in forms FDA domestic cattle. Under the statutory be inappropriate for FDA to use it for
1815, FDA 1993, FDA 1994, FDA 1995, authority provided by FIMA, FDA inspection of foreign facilities
FDA 1996, and FDA 1997 is necessary regulates all foreign-produced milk and manufacturing non-Grade ‘‘A’’ milk
and that most of these forms provide cream imported into the United States. products.
practical information. However, the FIMA requires certification of the
comment requested a number of The comment also opposed electronic
general health of the animal, which
changes to the forms. First, the comment submission of the forms and suggested
certification is obtained by FDA on
suggested that certification of Form FDA 1995. Although the two that several changes should be made to
tuberculosis-free status in Form FDA statutory authorities may differ, the the requirements of FIMA and the
1815 and Form FDA 1994 should be practices presented in the APHIS agency’s related Compliance Policy
done in a manner consistent with the documents already are being followed Guide. These comments are outside the
U.S. Department of Agriculture’s by FDA. FDA considers the status of the scope of the four collection of
Animal Plant Health and Inspection brucellosis and tuberculosis control information topics on which the notice
Service (APHIS) guidelines entitled programs in the country offering milk solicits comments and, thus, will not be
‘‘Bovine Tuberculosis Eradication for importation into the United States addressed here.
Uniform Methods and Rules’’ (APHIS and bases its acceptance decision on FDA estimates the burden of this
91–45–011). Another comment that status. collection of information as follows:

TABLE 1.— ESTIMATED ANNUAL REPORTING BURDEN1


No. of Annual Frequency Total Annual Hours per
Form No. 21 CFR Section Total Hours
Respondents per Response Responses Response

FDA 1815/Per-
mits granted
on certificates 1210.23 8 1 8 0.5 4.0

FDA 1993/Appli-
cation of
permit 1210.20 8 1 8 0.5 4.0

FDA 1994/Tu-
berculin test 1210.13 1 1 1 0.5 0.5

FDA 1995/Phys-
ical
examination of
cows 1210.12 1 1 1 0.5 0.5

FDA 1996/Sani-
tary inspec-
tion of dairy
farms 1210.11 8 200 1,600 1.5 2,400

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Federal Register / Vol. 70, No. 194 / Friday, October 7, 2005 / Notices 58711

TABLE 1.— ESTIMATED ANNUAL REPORTING BURDEN1—Continued


No. of Annual Frequency Total Annual Hours per
Form No. 21 CFR Section Total Hours
Respondents per Response Responses Response

FDA 1997/Sani-
tary
inspections of
plants 1210.14 8 1 8 2.0 16.0

Totals 2,425.0
1There are no capital costs or operating and maintenance costs associated with this collection of information.

TABLE 2.—ESTIMATED ANNUAL RECORDKEEPING BURDEN1


No. of Annual Frequency Total Annual Hours per
21 CFR Section Total Hours
Recordkeepers per Record Records Recordkeeper

1210.15 8 1 8 .05 0.40


1There are no capital costs or operating and maintenance costs associated with this collection of information.

These estimates are based on the DEPARTMENT OF HEALTH AND comments should be submitted to
number of current permit holders and HUMAN SERVICES Division of Dockets Management (HFA–
the number of inquiries that FDA has 305), Food and Drug Administration,
received regarding requests for Food and Drug Administration 5630 Fishers Lane, rm. 1061, Rockville,
applications in the past 3 years. No [Docket No. 2005N–0404] MD 20852. Please submit comments by
burden has been estimated for the 4:30 p.m. on November 1, 2005.
tagging requirement in § 1210.22 Pediatric Ethics Subcommittee of the Received comments may be viewed on
because the information on the tag is Pediatric Advisory Committee; Notice the FDA Web site at: http://
either supplied by FDA (permit number) of Meeting www.fda.gov/ohrms/dockets, or may be
or is disclosed to third parties as a usual seen in the Division of Dockets
AGENCY: Food and Drug Administration, Management between 9 a.m. and 4 p.m.,
and customary part of the shipper’s HHS.
normal business activities (type of Monday through Friday.
ACTION: Notice. Location: Washington DC North/
product, shipper’s name and address).
This notice announces a forthcoming Gaithersburg Hilton, 620 Perry Pkwy.,
Under 5 CFR 1320.3(c)(2), the public
meeting of the Pediatric Ethics Gaithersburg, MD.
disclosure of information originally
Subcommittee of the Pediatric Advisory Contact Person: Jan N. Johannessen,
supplied by the Federal Government to Office of the Commissioner (HF–33),
the recipient for the purpose of Committee of the Food and Drug
Administration (FDA). The meeting will Food and Drug Administration, 5600
disclosure to the public is not a Fishers Lane (for express delivery, rm.
collection of information. Under 5 CFR be open to the public.
Name of Committee: Pediatric Ethics 14C–06), Rockville, MD 20857, 301–
1320.3(b)(2)), the time, effort, and 827–6687, or by e-mail:
financial resources necessary to comply Subcommittee of the Pediatric Advisory
Committee. jjohannessen@fda.gov. Please call the
with a collection of information are General Function of the Committee: FDA Advisory Information Line, 1–800–
excluded from the burden estimate if To provide advice and 741–8138 (301–443–0572 in the
the reporting, recordkeeping, or recommendations to the Pediatric Washington, DC area), code
disclosure activities needed to comply Advisory Committee on FDA, and 8732310001, for up-to-date information
are usual and customary because they certain Department of Health and on this meeting.
would occur in the normal course of Human Services (HHS), regulatory Agenda: The Pediatric Ethics
activities. Low burden has been issues. Subcommittee of the Pediatric Advisory
estimated for Forms FDA 1994 and 1995 Committee will meet to discuss a
because they are not are not used often. Date and Time: The meeting will be referral by an Institutional Review
The Secretary of Health and Human held on November 15, 2005, from 8:30 Board (IRB) of a proposed clinical
Services has the discretion to allow a.m. to 4 p.m. investigation involving children as
Form FDA 1815, a duly certified Addresses: Electronic copies of the subjects, that is regulated by FDA and
statement signed by an accredited documents for public review can be may be supported by HHS. The
official of a foreign government, to be viewed at the Pediatric Advisory proposed clinical investigation is
submitted in lieu of Forms FDA 1994 Committee (PAC) Docket site at http:// entitled ‘‘Gonadotropin Releasing
and 1995. To date, Form FDA 1815 has www.fda.gov/ohrms/dockets/ac/ Hormone (GnRH) Agonist Test in
been submitted in lieu of these forms. acmenu.htm. (Click on the year 2005 Disorders of Puberty.’’ Because the
and scroll down to Pediatric Ethics proposed clinical investigation would
Dated: October 3, 2005. Subcommittee meeting for 11–15–05.) be regulated by FDA, and conducted or
Jeffrey Shuren, Electronic comments should be supported by HHS, both FDA and the
Assistant Commissioner for Policy. submitted to http://www.fda.gov/ Office for Human Research Protections,
[FR Doc. 05–20148 Filed 10–6–05; 8:45 am] dockets/ecomments. Select Docket No. HHS, will participate in the meeting.
BILLING CODE 4160–01–S
2005N–0404 entitled ‘‘Leuprolide IRB After presentation of an overview of
Referral’’ and follow the prompts to the IRB referral process, background
submit your statement. Written information on disorders of puberty and

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