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51559

Rules and Regulations Federal Register


Vol. 70, No. 168

Wednesday, August 31, 2005

This section of the FEDERAL REGISTER substantially affected organizations to amended by an interim final rule with
contains regulatory documents having general senior NIH employees, their spouses, a request for comments that was
applicability and legal effect, most of which and minor children only, permits published at 70 FR 5543 on February 3,
are keyed to and codified in the Code of investments in such organizations that 2005.
Federal Regulations, which is published under do not exceed $15,000, and allows
50 titles pursuant to 44 U.S.C. 1510. The interim final rule focused
holdings capped at $50,000 in sector
primarily on rules applicable to
The Code of Federal Regulations is sold by mutual funds that concentrate their
employees of the National Institutes of
the Superintendent of Documents. Prices of investments in the securities of
Health related to outside activities,
new books are listed in the first FEDERAL substantially affected organizations; and
financial holdings, and awards.
REGISTER issue of each week. Revises the outside award limitations
for senior NIH employees by applying Regulatory action was taken to address
an official responsibility test for matters significant concerns about employee
DEPARTMENT OF HEALTH AND potentially involving an award donor. In conduct in those areas which had been
HUMAN SERVICES addition, the financial disclosure the subject of media reports and
reporting requirements specified in new Congressional hearings. The resulting
5 CFR Parts 5501 and 5502 part 5502 that were added by the provisions generated considerable
RIN 3209–AA15 interim final rule of February 3, 2005, at comment and prompted press coverage
70 FR 5543, and amended by an interim of employee objections, possible adverse
Supplemental Standards of Ethical final rule that was published on June 28, effects on hiring and retention, and
Conduct and Financial Disclosure 2005, at 70 FR 37009, are adopted as public reaction across a broad spectrum
Requirements for Employees of the final, subject to certain amendments. of viewpoints. The comments have been
Department of Health and Human The requirement to file a supplemental carefully considered and will be
Services disclosure of financial interests in addressed more specifically below.
AGENCY: Department of Health and substantially affected organizations is In addition, the Executive Branch
Human Services (HHS). refocused to apply to NIH employees Financial Disclosure Regulation, 5 CFR
who file a public or confidential part 2634, specifies uniform rules
ACTION: Final rule.
financial disclosure report and other governing the public and confidential
SUMMARY: The Department of Health and NIH employees who are designated as financial disclosure systems established
Human Services, with the concurrence investigators in an NIH clinical research under the Ethics in Government Act.
of the Office of Government Ethics protocol approved by an institutional Pursuant to 5 CFR 2634.103, an agency
(OGE), is amending the HHS regulation review board. The due date for the may, subject to the prior written
that supplements the OGE Standards of initial report is also changed. approval of the Office of Government
Ethical Conduct. This final rule adopts, DATES: This final rule is effective August Ethics, issue supplemental financial
with certain revisions, the changes 31, 2005. disclosure regulations that are necessary
made to 5 CFR part 5501 in the interim FOR FURTHER INFORMATION CONTACT: to address special or unique
final rule that was published on Edgar M. Swindell, Associate General circumstances. The interim final rule
February 3, 2005, at 70 FR 5543. After Counsel, Office of the General Counsel, amended chapter XLV of title 5 by
considering comments to that Ethics Division, Department of Health adding new part 5502 to provide for an
rulemaking, this final rule: Clarifies the and Human Services, telephone (202) annual reporting by all employees of
definition of an ‘‘employee of a 690–7258, fax (202) 205–9752. financial and other information
component;’’ Amends the outside SUPPLEMENTARY INFORMATION: concerning outside activities and a
activity prior approval requirements supplemental disclosure by all FDA and
applicable to employees of the Food and I. Background
NIH employees with respect to
Drug Administration (FDA) and the The Standards of Ethical Conduct for prohibited financial interests. The latter
National Institutes of Health (NIH); Employees of the Executive Branch, 5
disclosure requirement for NIH
Revises prior approval information CFR part 2635, establish uniform rules
employees is being changed to correlate
collection requirements and the waiver of ethical conduct applicable to all
with revisions to the prohibited
provision applicable to the outside executive branch personnel. Pursuant to
holdings rule.
activities prohibitions; Removes 5 CFR 2635.105, an agency may, with
professional associations and other the approval of the Office of Although this rulemaking confirms as
science and health-related organizations Government Ethics, supplement those final, with significant revisions, the
from the list of entities with which NIH standards with additional rules that the amendments made by the interim final
employees are prohibited from engaging agency determines are necessary and rule, the regulation will be reviewed
in outside activities; Adds exceptions to appropriate, in view of its programs and within one year to evaluate its
the NIH outside activities prohibition operations, to fulfill the purposes of part continued adequacy and effectiveness in
for delivering a class lecture as part of 2635. On July 30, 1996, with the relation to current agency
a regularly scheduled university course, concurrence and co-signature of the responsibilities. As indicated in the
serving on data and safety monitoring OGE Director, HHS published at 61 FR preamble to the interim final rule at 70
boards and grant and scientific review 39755 a final rule codified at 5 CFR part FR 5543, those aspects of the rule
committees, and presenting in Grand 5501 establishing supplemental governing outside activities continue to
Rounds; Limits the prohibition on standards of ethical conduct for its be under review for the remainder of the
holding financial interests in employees. The 1996 final rule was year indicated in that discussion.

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51560 Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations

II. Summary of Comments not wholly accept these proposals, a III. Analysis of the Amendments
Approximately 1200 of the more than number of revisions are being made in
A. Supplemental Standards of Ethical
1400 comments timely submitted were recognition of the differences between Conduct
from NIH employees, and about 70 employees as to rank, duties, and their
comments were submitted by spouses level of responsibility for matters Section 5501.101 General
and other family members of NIH affecting public health and clinical Paragraph (c) is amended to provide
employees. The remaining comments research protocols involving human that the terms used in part 5501, unless
were submitted by health care subjects. otherwise defined, have the same
professionals and scientific investigators Comments, either of style or meaning as those defined in parts 2635
at various universities and health care substance, that were generally and 2640. The paragraph previously
facilities, and a number of private sector supportive or generally critical of the referred only to part 2635. The change
entities, such as professional interim final rule are not discussed in reflects the use within § 5501.110 of
associations, other non-profit detail. The latter category of comments several terms defined in part 2640, such
organizations, and corporations. The far exceeded the former, but a few as holdings, pension plan, and sector
Department of Health and Human mutual fund.
commenters expressed support for the
Services has considered each of the
rule asserting that the provisions would Section 5501.102 Designation of HHS
comments received. Those determined
reduce or eliminate financial motives Components as Separate Agencies
to be significant are discussed in further
detail below in the context of the that might be perceived as influencing The change to this section clarifies an
sections to which they pertain. scientific and medical research. Those ambiguity in § 5501.102(b)(1). The
Many commenters submitted their submissions that offered no constructive definition of ‘‘employee of a
views on more than one provision, and comments, but simply inquired about component’’ can be interpreted to apply
some provided multiple observations the application of the interim final rule the supplemental ethics rules applicable
about a single provision. About 365 to the commenter’s own situation, such to a designated agency component to all
comments specifically addressed the as whether a particular company was a employees of a division or region of the
outside activity limitations, and slightly significantly affected organization or Office of the General Counsel if the
more, about 385, focused on the whether an aspect of the rule applied to division or region is principally
prohibited holdings rule. The awards the commenter, are not addressed. responsible for advising or representing
provision generated no specific reaction. Those comments that discussed topics that component. This formulation does
With respect to outside activities, unrelated to government ethics, pointed not comport with the current
some commenters objected to the to implementation issues that have been assignment of responsibilities within
increased paperwork and administrative resolved, or were without substantive OGC. For example, regional offices have
burden that would be generated by the merit are also not discussed. Nor does generalist, rather than component-
expanded prior approval requirement. this discourse specifically refer to specific responsibilities. Some divisions
They also expressed a more generalized comments that demonstrated a clear have multiple branches, and then only
concern that the restrictions would stifle misunderstanding of the purpose or one branch within a division can be said
the ability of government scientists to language of the interim final rule or of to focus primarily on a particular
interact with their private sector other applicable government ethics laws component. Accordingly,
counterparts, thus depriving them of § 5501.102(b)(1) is amended to focus on
or regulations, except when such
personal and professional development the regularly assigned duties and
comments highlighted the need for NIH-
opportunities and slowing the responsibilities of an individual
translation of scientific discoveries into specific standards. Among such
employee rather than that person’s
tangible benefits for the public. comments were those suggesting that location within the organization.
Regarding the prohibited holdings the Government must compensate
provision, many commenters employees for the costs of complying Section 5501.106 Outside Employment
questioned the relative fairness of the with regulations intended to prevent and Other Outside Activities
regulatory approach and its application financial conflicts of interest, statements Section 5501.106(c)(3)(ii)(B) originally
to all NIH employees as well as their that new laws could not legally change provided for an exception to the FDA
spouses and minor children. Some the rules for current NIH employees, prohibited outside activities rule to
commenters who understood the need comments suggesting that it would not allow clerical or similar services (such
to divest holdings in substantially be appropriate for the Department to as cashier or janitorial services) for retail
affected organizations urged a longer hold NIH employees to any standard stores, such as supermarkets, drug
grace period within which to comply. that exceeds the standards applicable to stores, or department stores, that might
A number of intramural NIH employees of non-governmental entities, otherwise be significantly regulated
employees, collectively known as the and comments indicating an organizations due to their sales of FDA-
Assembly of Scientists, and others unawareness of the exceptions to the regulated products. As drafted, the
recommended as an alternative to the outside activity and awards provisions exception applied only where clerical or
interim final rule that conduct applicable to NIH employees and to the similar services were performed for
provisions be established for each of financial holdings provision applicable retail stores. An employee who worked
several groups or categories of to NIH employees and their spouses and on the weekends as a plumber could not
employees. The five or other number of minor children. Finally, comments respond to an emergency repair call to
categories recommended were intended regarding the administration of the fix a leaky pipe at a bottling plant or a
to represent large groups of employees pharmaceutical manufacturing facility.
ethics program at the NIH that are
with relatively similar duties and Although seemingly innocuous business
unrelated to substance or procedures in
authorities. Applicable rules would be relationships can raise conflicts and
tailored to each category in an effort to the interim final rule are not addressed. impartiality concerns, subjecting such
respond to the issues of greatest risk for activities to an absolute prohibition
each group. While the Department did with only a narrow exception tied to

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Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations 51561

employment at retail stores does not operations such as lawn mowing, team, for example, was warranted. The
appear to be warranted. teaching music, or selling real estate. Department concurs that such activities
With respect to the parallel provision Prior to the interim final rule, NIH generally are unlikely to pose conflicts
governing NIH employees at § 5501.109, employees were required only to obtain or other ethics concerns. Consideration
several commenters urged that prior approval to engage in an outside was given to excluding these examples
appropriate exceptions be adopted to activity that involved providing and a list of similar activities from the
accommodate activities that pose a professional or consultative services; prior approval requirement using the
diminished risk for potential conflicts or teaching, speaking, writing, or editing existing authority in § 5501.106(d)(6),
other ethics concerns, such as that related to an employee’s official now codified as paragraph (d)(7). Upon
performing plumbing or electrical work, duties under the government-wide further evaluation, the Department has
providing protective or security standard, 5 CFR 2635.807, or that decided to remove entirely the
services, and rendering other types of resulted from an invitation from a requirement that FDA and NIH
personal services that are unrelated to prohibited source; or serving as an employees must obtain prior approval
the substantive programmatic functions officer, director, or board member. The for all outside activities.
of their employing agency. The interim final rule widened the scope of In its place, paragraph (d)(2) has been
Department concurs in those comments activities subject to prior approval for revised to require an FDA or NIH
and will apply the changes urged for several reasons. Prior approval at the employee to obtain prior approval for
NIH employees to FDA employees as NIH was expanded primarily as a means any outside employment, as defined in
well. Accordingly, this final rule revises to implement the prohibition in 5 CFR 2635.603(a), with, or any self-
the exception to the FDA prohibited § 5501.109 on outside activities with employed business activity involving
outside activity rule at § 5501.106(c)(3) substantially affected organizations the sale or promotion of products or
to permit employment that primarily (SAO), supported research institutions services of, any person or organization
involves manual or unskilled labor or (SRI), health care providers or insurers that is a prohibited source of the
utilizes talents, skills, or interests in (HCPI), or related trade, professional, or employee’s agency component. The
areas unrelated to the substantive similar associations (RTPSA). An term ‘‘prohibited source’’ is defined in
programmatic activities of the FDA, approval process that focused only on 5 CFR 2635.203(d) as any entity that
such as clerical work, retail sales, professional or consultative services, seeks official action from, does business
service industry jobs, building trades, teaching, speaking, writing, editing, or or seeks to do business with, or
board service would not screen for conducts activities regulated by the
maintenance, or similar services. For
prohibited activities with SAOs, SRIs, employee’s agency; has interests that
example, assuming the activity would
HCPIs, or RTPSAs that fell outside those may be substantially affected by the
not otherwise violate a Federal statute
enumerated categories. Moreover, performance or nonperformance of the
or regulation or result in recusals that
activities considered less problematic, employee’s official duties; or is an
would materially impair the employee’s
such as clerical work, protective organization the majority of whose
ability to do his government job, an FDA
services, or building maintenance, even members are such entities. The
employee covered by the rule would be
when performed for organizations other Department has designated separate
permitted to work as a cashier at a retail
than SAOs, SRIs, HCPIs, or RTPSAs, agency components in § 5501.102 that
drug store and ring up consumer
potentially could violate other define an ‘‘employee’s agency’’ for
purchases of soft drinks and supplemental provisions. For example, purposes of outside activity prior
prescription drugs, or as a truck driver an NIH employee cannot work as a child approval. The FDA and the NIH have
who delivers such products to the care provider at a local Head Start been so designated.
retailer. However, § 5501.106(c)(3) will agency if the employee’s salary is As a result of the revised prior
continue to prohibit a public or funded by an Administration for approval requirement, if an outside
confidential filer at FDA from serving as Children and Families (ACF) grant, or activity does not involve professional or
a salesman for a beverage distributor or moonlight as a guard for a protective consultative services; teaching,
as a pharmaceutical company services contractor providing security speaking, writing, or editing that relates
representative engaged in wholesale for an FDA facility because to official duties; or board service; an
transactions. § 5501.106(c)(2) bars compensated FDA or NIH employee no longer needs
Section 5501.106(d)(2)(i) as amended employment in an HHS-funded activity. prior approval, unless the activity
by the interim final rule required FDA Thus, absent an expanded prior involves employment undertaken at the
and NIH employees to obtain prior approval requirement, an employee invitation of or performed for a
approval for any outside employment or might engage unintentionally in prohibited source of the FDA or the NIH
self-employed business activity. Prior to proscribed conduct. Prior approval also respectively.
the interim final rule, this requirement provided additional opportunities for a For FDA or NIH employees who
applied only to the FDA. A number of ‘‘teaching point’’ where an individual previously were subject to a prior
commenters objected to extending the employee could receive guidance about approval requirement for all outside
requirement to the NIH, citing the conflicts under 18 U.S.C. 208, activities, this distinction aligns the
increased paperwork and administrative appearance concerns under 5 CFR prior approval requirement more closely
burden. They claimed that the expanded 2635.502, and the use of public office with those types of external entities that
prior approval requirement would for private gain addressed in 5 CFR are most likely to pose conflicts or raise
discourage participation in outside 2635.702. The restrictions on appearance concerns. By tailoring the
activities and lead to a decrease in civic representing outside entities before the prior approval requirement in this
engagement in community groups, Government under 18 U.S.C. 203 and manner, however, not all potential
volunteer efforts, and non-profit 205 also could be stressed. violations will be detected, as was
organizations that allegedly pose no Despite the benefits of requiring prior previously discussed. An NIH employee
conflict of interest for NIH employees. approval for all outside activities, many who seeks to moonlight as a guard at a
Other commenters questioned the need commenters questioned whether Head Start grantee agency or for the
to approve outside activities with no requiring advance permission to paint contractor that provides protective
apparent connection to agency houses, teach piano, or coach a sports services for FDA at the Parklawn

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51562 Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations

Building will not have to file an HHS compensation and non-travel related or similar group that is significantly
520 prior approval form because the cash or in-kind items. involved in advancing the interests of
grantee and contractor are prohibited Paragraph (e) is amended to clarify persons or entities engaged in activities
sources of ACF and FDA respectively, that the designated agency ethics official related to or affected by the health,
rather than NIH. This omission may grant a written waiver of the scientific, or health care research
necessitates extensive training regarding prohibited outside activity rules to conducted or funded by the NIH.
the existing prohibitions in either an individual or a class of The prohibited outside activities rules
§§ 5501.106(c)(1) and (2) which bar similarly situated persons. applicable to all NIH employees were
employees from receiving compensation intended to focus on those types of
Section 5501.109 Prohibited Outside
for assisting in the preparation of activities and external entities that may
Activities Applicable to Employees of
documents to be submitted to HHS or pose the most significant risk of
the National Institutes of Health
working in an HHS-funded activity. potential conflicts. The need for
Nevertheless, this change in the prior Under § 5501.109(c)(1) of the interim prophylactic rules barring certain types
approval requirement from that final rule, subject to certain exceptions, of outside activities derived in part from
all NIH employees were prohibited from the significant administrative burden
specified in the interim final rule
engaging in employment (which inherent in case-by-case determinations
considerably reduces the paperwork and
includes serving as an officer, director, and the difficulties encountered by non-
administrative burden for FDA and NIH
or other fiduciary board member, scientific staff at NIH tasked with
employees and their respective
serving on a scientific advisory board or administering the ethics program. In
agencies, without unduly diminishing
committee, and consulting or providing order to advise whether an outside
the ability of each agency to ensure
professional services) and compensated activity was related to an employee’s
compliance with applicable ethics laws
teaching, speaking, writing, or editing official duties, the ethics staff often had
and regulations. A prior approval
with a substantially affected to differentiate scientific work
requirement for FDA or NIH employees
organization (SAO), a supported performed as an official duty
that focused on whether the proposed research institution (SRI), a health care
employment is to be conducted with a assignment from that proposed as an
provider or insurer (HCPI), or a related outside activity, a technical task for
prohibited source of HHS, as opposed to trade, professional, or similar
the employee’s own component, would which they lacked the requisite
association (RTPSA). Employees were expertise. See the discussion in the
be unnecessarily broad, given the also prohibited from engaging in any
extensive reach of the Department’s preamble to the interim final rule at 70
self-employed business activity that FR 5548.
operations in many sectors of the involves the sale or promotion of A number of commenters asserted
economy. Accordingly, this final rule products or services of an SAO or HCPI. that the translation of NIH discoveries
correlates prior approval with those A ‘‘substantially affected into viable and available medical
activities and sources of outside organization’’ was defined to include advances to improve the public health
employment that have a more clearly those entities, irrespective of corporate would be hampered by the restriction
demonstrable nexus to the employee’s form, that are engaged in the research, on outside consulting and other
work and that of the employing agency development, or manufacture of collaborations with industry. Given that
and hence the potential for ethics biotechnological, biostatistical, the interim final rule contained no
concerns. pharmaceutical, or medical devices, provisions limiting the ability of NIH
The prior approval exceptions for equipment, preparations, treatments, or employees to engage officially in efforts
activities with political, religious, products. The term includes those to advance NIH discoveries, or to travel
social, fraternal, or recreational organizations a majority of whose in their official capacities to present and
organizations formerly contained in members are engaged in such activities, discuss research findings (at the
paragraphs (d)(1)(iii) and (d)(2)(ii) are such as industry trade associations, and expense of others where appropriate
now combined, placed in new any other entity classified by the under NIH policy), and contained a
paragraph (d)(3)(i), and made applicable designated agency ethics official as a specific exception permitting employees
to all categories within the general substantially affected organization. to engage in outside activities involving
approval requirement in paragraph A ‘‘supported research institution’’ efforts to commercialize invention rights
(d)(1), as well as to paragraph (d)(2). The was defined as an educational waived to them by the agency, the basis
addition of new paragraph (d)(3) institution or a non-profit independent for those comments is unclear. No
necessitated the renumbering of the research institute that within the last changes have been made in response to
succeeding paragraphs. year or currently has applied for, such comments.
The amended paragraphs (d)(4)(ii)(D) proposed, or received an NIH grant, Nevertheless, the Department has
through (d)(4)(ii)(O) specify information cooperative agreement, research and revised § 5501.109 to accommodate a
to be supplied by an employee who development contract, or cooperative significant number of comments from
requests prior approval to engage in an research and development agreement professional associations, constituent
outside activity. These paragraphs were (CRADA). groups, university observers, employees
edited without substantive change, with A ‘‘health care provider or insurer’’ and their families regarding the new
the exception of a new paragraph was defined comprehensively to include restriction on employment, including
(d)(4)(ii)(F), which caused the the types of entities that are eligible to consultation and board service, with
subsequent subparagraphs to be receive payments under the Medicare ‘‘related trade, professional or similar
redesignated. The new subparagraph (F) program for the provision of health care associations.’’ Specifically, the
elicits travel reimbursement information items or services and those risk-bearing comments expressed concern that
separately from compensation because entities that offer health insurance or restrictions imposed on the ability of
travel reimbursement is treated health benefits coverage. NIH employees to participate fully as
differently under various ethics rules A ‘‘related trade, professional, or members of the greater scientific
depending upon the employee’s status similar association’’ referred to a trade, community would negatively affect the
and other circumstances. Subparagraph professional, consumer, advocacy, or public health because NIH scientists
(I) is amended to focus solely on other organization, association, society, would become isolated from their

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counterparts in the private and and the substantive provisions on accepting compensated teaching and
academic sectors and ultimately a governing outside activities under prior speaking invitations extended primarily
reduction in recruitment and retention existing law, participation in pursuits because of official position and the
at NIH would result. As noted in the that are critical to maintaining technical subject matter restrictions of 5 CFR
preamble to the interim final rule at 70 proficiency, professional licenses, and 2635.807(a)(2)(i)(E). The latter provision
FR 5549, the Department fully academic credentials and disseminating refers to activities the subject matter of
appreciates that scientific exchange scientific information, such as teaching which deals in significant part with the
between professionals is a cornerstone involving multiple presentations at employee’s current or recent (within the
of the scientific process, and that academic institutions, providing last year) work assignments or any
science is a collaborative endeavor that individual patient care, moderating or ongoing or announced policy, program,
necessitates interaction between experts presenting at continuing professional or operation of the agency. Similarly,
in their respective fields. education programs, and writing or the new exception for single lectures
Therefore, upon further consideration, editing scientific articles, textbooks, and will not permit compensation for
outside activities with RTPSAs do not treatises that are subjected to scientific activity related to the employee’s
appear to raise the same concerns that peer review or a substantially equivalent official duties within the meaning of
underlie the prohibition on outside editorial review process. The rule also any other provisions in 5 CFR
activities with SAOs, SRIs, and HCPIs. contained exceptions for employment 2635.807(a)(2)(i). Class lectures that
Although activities with health-related with, providing professional or would be prohibited as outside
trade associations, such as those that consultative services to, or teaching, activities for these reasons may, in
represent health care providers or speaking, writing, or editing for, a appropriate circumstances, be given as
insurers, may present potential political, religious, social, fraternal, or part of an employee’s official duties
conflicts, the trade associations most recreational organization. The rule also with supervisory approval. Class
directly interested in NIH research recognized that individuals may be lectures permissible as compensated
activities are those that represent the employed in less problematic roles with outside activities would be those that
pharmaceutical, biotechnology, and outside entities such as providing result from invitations extended
medical device industries. Such trade clerical assistance, janitorial services, or primarily because of the employee’s
associations are already covered by the unskilled labor. expertise, that occur at universities
prohibition on outside activities with The exception to the outside activity lacking interests affected substantially
SAOs due to the composition of their prohibition in § 5501.109(c)(3)(iii) for by the employee’s discharge of official
membership. In addition, serving as an clerical or similar services is amended duties, and that convey broad
officer or board member of, or to correspond with the changes to the knowledge about a particular scientific
consulting for, a professional FDA counterpart to this provision at or clinical area, and not those that focus
association, an advocacy group, or a § 5501.106(c)(3)(ii)(B). on the employee’s own work or other
consumer organization, although not This final rule identifies four cutting-edge research conducted at the
devoid of potential conflicts, presents additional activities as exceptions to the NIH.
financial interests and covered outside activity prohibition in order to Second, the current continuing
relationship issues distinct from those promote important educational professional education exception
presented by employment or consulting objectives and advance public health addresses only one aspect of the
with SAOs, SRIs, and HCPIs, the and safety. As with the existing instructional continuum in the medical
commercial interests of which are more exceptions, any outside activity profession, i.e., those seminars that are
directly affected by NIH research and excepted from the prohibition in open to practicing physicians.
funding activities. Consequently, in § 5501.109(c)(1) may be prohibited Presentations geared to an audience
order to tailor more narrowly the scope nonetheless if the activity would composed of medical students and
of the outside activity prohibition, otherwise violate Federal law or resident physicians-in-training,
RTPSAs are deleted. Outside activities regulations, including 5 CFR parts 2635, commonly known as Grand Rounds, are
with RTPSAs that involve professional 2636, and 5501. With this caveat not covered, yet the educational
or consultative services, teaching, understood, two changes refine the interaction of NIH employees with this
speaking, writing, editing, or board existing exceptions for teaching and population is as critically important as
service or that are performed for a continuing professional education. Two participation in continuing medical
prohibited source of the employee’s other changes permit employees to education (CME) instruction,
agency nevertheless require prior serve, under certain circumstances, on particularly given the potential to
approval and are subject to the data and safety monitoring boards recruit attendees to work at the NIH.
substantive provisions governing associated with clinical research Accordingly, new paragraph (c)(3)(vii)
outside activities under prior existing protocols and to lend their expertise on incorporates a Grand Rounds exception
law. grant and scientific review committees with appropriate limitations to preclude
Section 5501.109(c)(3) of the interim for external funding institutions. participation in such activities if an
final rule contained several exceptions First, new § 5501.109(c)(3)(i)(B) SAO or speakers’ bureau affiliated with
designed to facilitate professional permits compensation for a single class an SAO sponsors the program or the
obligations and certain academic lecture delivered by the employee as employee’s presentation other than
endeavors. These exceptions partially part of a regularly scheduled course through an unrestricted educational
lifted the absolute bar on outside taught by an individual other than the grant.
activities with the list of organizations employee at an accredited academic As with other exceptions in paragraph
described in § 5501.109(c)(1), but they institution. Unlike the exception in (c)(3), the exception for compensated
did not affirmatively permit an activity paragraph (c)(3)(i)(A) for teaching a Grand Rounds presentations is subject
that would otherwise violate Federal course involving multiple presentations, to the limitations in 5 CFR 2635.807.
law or regulations, including 5 CFR a compensated guest lecture delivered Accordingly, the invitation to deliver a
parts 2635, 2636, and 5501. Specifically, on a single occasion within the context Grand Rounds presentation cannot have
exceptions were provided to allow, of a college course is subject to the been tendered to the employee
subject to the prior approval standard prohibition in 5 CFR 2635.807(a)(2)(i)(B) primarily because of the employee’s

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51564 Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations

official position or extended by an submission to HHS and working for pay member selection and payment, this
entity that has interests that may be on an HHS-funded activity. caveat is not intended to preclude such
substantially affected by the Fourth, NIH employees also have service if a substantially affected
performance or nonperformance of the served on grant and scientific review organization provides an unrestricted
employee’s official duties. The subject committees for private foundations and grant to the funding institution.
matter of the Grand Rounds other grant-making entities to assist Paragraphs (c)(4) and (c)(5), which
presentation must not deal in significant those institutions in awarding their own provided a transitional grace period
part with the employee’s recent (within funds to qualified applicants. NIH with an opportunity for an extension of
the last year) or current assignments or employees lend their considerable time for terminating outside activities
any ongoing or announced policy, expertise in judging scientific merit, prohibited by paragraph (c)(1), are
program, or operation of the NIH. The project feasibility, and other factors. As removed. The time periods calculated
information conveyed may not draw a result of the interim final rule, private from the date of publication of the
substantially on ideas or official data foundations that funded scientific interim final rule, February 3, 2005,
that are nonpublic information. research activities would have been have passed, and such activities should
Third, NIH employees often have considered an RTPSA inasmuch as they now have ceased.
played a critical role in serving on data are organizations that are ‘‘significantly
Section 5501.110 Prohibited Financial
and safety monitoring boards (DSMB) involved in advancing the interests of
Interests Applicable to Employees of the
for clinical trials conducted at persons or entities engaged in activities
National Institutes of Health
universities and medical research related to or affected by the health,
scientific, or health care research Section 5501.110 of the interim final
institutes. These boards monitor
conducted or funded by the NIH.’’ 70 FR rule prohibited employees of the NIH
incoming statistical and other data on who file either a public or confidential
patient outcomes and adverse events 5560. Serving on grant and scientific
review committees for private financial disclosure report, and their
that may be associated with a drug, spouses and minor children, from
biologic, or an intervention under foundations and other grant-making
entities is in the public interest, even owning stock and having other financial
review in a clinical trial. The DSMB interests in substantially affected
members are experts in relevant where done in a personal capacity.
Accordingly, the rule is amended to organizations, subject to certain
disciplines, such as trial design, exceptions. All other NIH employees (as
biostatistics, and bioethics, who are not provide an appropriate exception.
For the most part, permitting this well as those confidential filers
directly involved in conducting the excluded from coverage by the rule)
activity has been accomplished by
study. Although the DSMB members were subject to a $15,000 limit on the
removing RTPSAs from the list of
generally are considered a group organizations described in holding or acquisition of such interests
separate from the sponsor (entity that § 5501.109(c)(1); however, because an and certain other restrictions. All NIH
funds the trial), the organizer (entity SRI or an HCPI can also make grant employees were permitted to invest
that selects the members), or the awards, an exception in new paragraph freely in widely diversified, publicly
investigators (lead scientific staff that (c)(3)(viii) is added. For example, a traded mutual funds, even if those funds
conducts the clinical research), DSMBs private foundation that makes research owned shares in substantially affected
follow various models with respect to grants might itself receive a training or organizations. The rule also allowed
the degree of independence from the conference grant from the NIH and thus spouses, and employees who came from
sponsor. See Arthur S. Slutsky et al., may be considered an SRI. Absent the industry, to retain financial interests
Data Safety and Monitoring Boards, 350 exception, an employee might be derived from industry employment,
N. Eng. J. Med. 1143 (2004); Food and precluded from serving on a body that such as stock options distributed as
Drug Administration, Guidance for assists the private foundation in compensation, provided any resulting
Clinical Trial Sponsors on the awarding research grants. Similarly, a conflicts were managed appropriately.
Establishment and Operation of Clinical university or hospital within the SRI Although these provisions were no
Trial Data Monitoring Committees and HCPI categories might receive a more onerous than existing financial
(2001), draft guidance available at donation or bequest intended for the holdings restrictions that have applied
http://www.fda.gov/cber/gdlns/ purpose of making research grants. to FDA employees since 1972, the
clindatmon.pdf; National Institutes of Those entities also may convene groups commenters urged the Department to
Health, Further Guidance on Data and to advise on the selection of grantees. treat NIH employees differently than
Safety Monitoring for Phase I and Phase The exception does not permit an their counterparts at FDA because the
II Trials (2000), available at http:// employee to serve on a grant or NIH is not primarily a regulatory
grants.nih.gov/grants/guide/notice-files/ scientific review committee for a grant agency. They also criticized the
NOT-OD-00-038.html; and National award or program funded by the NIH. In application of the prohibited holdings
Institutes of Health, NIH Policy for Data addition, if the employee is paid to rule to all NIH employees regardless of
and Safety Monitoring (1998), available serve on a grant or scientific review their relative seniority within the
at http://grants.nih.gov/grants/guide/ committee, such service cannot involve organization or the nature of their
notice-files/not98-084.html. the preparation of documents intended official duties. Some commented on the
The exception is intended to facilitate for submission to HHS within the focus on substantially affected
DSMB service, while maintaining the meaning of § 5501.106(c)(1), and the organizations for all employees rather
restrictions if a substantially affected grant award or program about which the than on office supplies, computer
organization selects the members of the committee provides input cannot be an equipment, and travel-related
DSMB or pays for their service, or if the HHS-funded activity as described in businesses with which certain
protocol is funded by the NIH. The § 5501.106(c)(2). A further caveat is that employees may have conflicts under
exception is also unavailable if the a substantially affected organization pre-existing government-wide rules. A
activity would violate the HHS-wide cannot select the members of the grant number of commenters asked why the
prohibitions in 5 CFR 5501.106(c)(1) or scientific review committee or pay rules applied to spouses and minor
and (2) relating to the compensated them for their service. Provided that the children who have no impact on the
preparation of documents intended for funding institution retains control of pharmaceutical and biotechnology

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Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations 51565

industries, and questioned more or strategic relationships or plans that Federal Railroad Administration
generally the exclusion of an entire impact companies in those fields. Any employees cannot invest in railroads,
economic sector from family investment agency that has this power must hold and Federal Aviation Administration
and retirement portfolios. itself and its employees to an employees are barred from owning stock
Many comments demonstrated that appropriate standard. Given the in an airline or aircraft manufacturing
the existing law governing conflicts of complexity of the financial interests in company, or in their suppliers of
interest is not well understood. In those industries, monitoring and components or parts. 5 CFR 6001.104.
arguing for elimination of the prohibited identifying conflict of interest situations Against this background, retaining a
holdings rule, a number of commenters on a case-by-case basis was no longer prohibited holdings regulation at the
assumed incorrectly that a return to the considered feasible for the NIH. NIH is amply justified, and comments
status quo existing prior to the interim The interim final rule recognized no urging the elimination of the provision
final rule invariably would preserve difference between ‘‘regulatory’’ and have not been adopted. Some
their ability to hold financial interests in ‘‘non-regulatory’’ agencies because the commenters recommended retargeting
substantially affected organizations, legal standards applicable to employee the prohibition toward various subsets
without realizing that each employee’s conduct do not make such distinctions. of the employee population. These
situation would still be subject to a case- Government agencies, without regard to suggestions have received serious
by-case analysis that could result in a how their functions may be consideration, although a number of
directed divestiture. Others believed characterized, exercise significant concerns remain. Retargeting the
incorrectly that potential conflicts can influence over the activities of non- financial holdings prohibition will
be managed with full disclosure or that Federal entities. A core mission of the require most employees to acquire a
no violation can occur as long as the NIH is to provide the basic science that more detailed understanding of the law
employee’s actions do not actually move forms the foundation upon which non- and assume a greater degree of personal
stock prices. Apparently unaware that Federal research and development may responsibility for their actions.
those who give advice, conduct proceed. Moreover, the potential to Under the criminal conflict of interest
research, or recommend action in a affect the financial interests of statute, 18 U.S.C. 208, and OGE
government matter can be fully pharmaceutical and biotechnology regulations in 5 CFR parts 2635 and
culpable, others saw no need to limit companies through clinical trials can be 2640, employees, as well as their
stock holding because they believed significant. Most importantly, the rule spouses and minor children, generally
erroneously that only decision makers was intended to assure the public in are not able to own stock valued above
would have financial conflicts. Other general, and human subjects enrolled in certain limits if the employees’ official
commenters criticized a mechanistic or NIH trials in particular, that public duties require them to be involved in
legalistic approach to conflicts without health decisions would be made particular matters that either involve a
fully comprehending that Federal law without even the appearance of company in which they, their spouse, or
prescribes very specific standards. influence from extraneous financial minor children own stock or that would
In implementing those standards, the interests. affect the financial interests of such a
interim final rule imposed a Prohibited holdings regulations company or industry. Absent a waiver
significantly changed environment for similar to those applicable to the NIH under § 208(b), conflicting assets worth
handling potential conflicts of interest have been considered an appropriate more than these limits can be retained
arising from financial interests in means to manage potential conflicts and only if the employee, without materially
substantially affected organizations. address appearance concerns at various impairing his ability to perform the
Congressional oversight and media government agencies or agency duties of his position, can recuse from
reports included references to situations subcomponents. The prohibitions at working on a matter that would affect
in which the connection to industry those agencies also apply to the the company, and provided that the
derived from financial holdings, and not financial interests of the employee, arrangement does not adversely affect
solely from outside consulting. The new spouse, and minor children, and are the agency’s ability to accomplish its
rule replaced a case-by-case evaluation enforced without regard to the nature of mission.
of an employee’s duties and financial the individual employee’s duties. For The task of monitoring investments
interests with a bright-line rule designed example, the Department of Housing and recusing appropriately is
to eliminate financial conflicts and Urban Development (HUD) particularly challenging in an era where
altogether. The rule encompassed the prohibits employee ownership of mergers, acquisitions, joint ventures,
holdings of a spouse and minor children financial interests in housing and other licensing agreements, and corporate
because their interests are imputed to real estate projects that HUD subsidizes name changes are common in the
the employee under the criminal and bars investments in Fannie Mae biomedical industry. One of the goals of
conflict of interest statute, 18 U.S.C. stock or the securities of other the prohibited holdings rule was to
208. The changes wrought by the companies that are collateralized by avoid putting employees into a position
interim final rule were intended to Fannie Mae securities. 5 CFR 7501.104. where, in a fast paced work
protect both the employee and the At the Department of the Treasury, the environment, they might participate in
agency more effectively. Office of the Comptroller of the a government matter at their peril.
Regulations governing the conduct of Currency bans investments in the Further, it had become increasingly
the employees of any agency must banking industry. 5 CFR 3101.108. difficult to sort through, on a case-by-
reflect the agency’s effect on its Various components of the case basis, these individual
constituents and stakeholders. The Environmental Protection Agency (EPA) circumstances and police such
pharmaceutical, biotechnology, and preclude investments in the automotive, situations to the degree required to
health care industries have changed pesticide, and mining industries, and maintain public confidence. These
substantially over the past two decades, EPA information resources management concerns remain, but there are other
and continue to evolve at a rapid pace. employees cannot own stock in data means to attain the desired objective,
The NIH does not exist or work in a management, computer, or information including increased staffing and
vacuum. Every day, the NIH announces processing firms. 5 CFR 6401.102. At resources to address the problem, a
findings or results, scientific priorities, the Department of Transportation, massive and continuous effort at

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51566 Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations

training employees, and holding thresholds, and subject to certain of the interim final rule and now
employees personally accountable for limitations, senior employees, their codified in the final rule as paragraph
knowing their holdings and recognizing spouses, and minor children will be (d)(4), is amended to clarify that an
the financial consequences of agency permitted to retain investments in SAOs exception may be granted to a class of
actions in which they may participate. capped at $15,000 in any one company. individuals. Although the prohibition in
The majority of commenters encouraged Although they may own multiple § 5501.110(c) has been significantly
the agency to retarget the prohibited $15,000 holdings in SAOs, provided narrowed in its application only to
holdings rule. Many expressed their their cumulative interests in SAOs and senior employees, their spouses and
belief that stricter enforcement of prior SAO sector funds are less than 50 minor children, class exceptions may be
rules would have avoided the problems. percent of their total investments, senior appropriate where the identified class
They observed that the public employees will be required, through shares a common factual pattern and the
perception of the NIH is dependent broker instructions or otherwise, to requisite reasons for an exception are
largely upon the actions of its monitor capital appreciation and divest similarly evident. An example might be
leadership and of those who are most any portion that exceeds $15,000. an exception for financial interests held
directly involved in making key Similarly, total investments in sector by minor children of new entrant senior
decisions that affect human subjects funds that state in a prospectus the employees where the minors are within
enrolled in clinical trials. A regulatory objective or practice of concentrating a certain number of months of attaining
scheme that insulated senior employees their investments in the securities of the age of majority, and the conflict
from financial ties to industry was urged substantially affected organizations will arising from the retention of the
as a more measured response to the be capped at $50,000. In calculating the financial interests can be managed
ethics concerns at the NIH. fair market value of any holdings, through appropriate recusals for a time-
The NIH has committed additional including stock options, that are subject limited period. Another example might
staff and resources to ethics program to these exemption limits, guidance address the inheritance by a senior
administration. Detailed training issued by OGE for reporting asset values employee of a prohibited financial
development is underway, and a for financial disclosure purposes will interest a few months before retirement.
renewed commitment to enforce the apply. Other generally accepted
rules and to pursue appropriate Section 5501.111 Awards Tendered to
valuation principles, not inconsistent
corrective actions is evident. In this Employees of the National Institutes of
with OGE guidance, also may be
context, the Department has decided to Health
utilized.
adopt the recommendation that the The $15,000 cap will adjust Section 5501.111, as added by the
prohibited holdings rule be limited to automatically to any change in the interim final rule, mandated that a
senior employees. exemption limit for matters involving senior NIH employee would not be
For this purpose, ‘‘senior employee’’ parties at 5 CFR 2640.202(a), and the permitted to accept a gift with an
will include the NIH Director and the $50,000 cap will change in tandem with aggregate market value of more than
NIH Deputy Director; members of the the sector fund monetary limit at 5 CFR $200, or cash or an investment interest,
senior staff within the Office of the 2640.201(b). As was the case in the that constituted an award or incident to
Director who report directly to the NIH interim final rule, although the dollar an award given because of the
Director; the Directors, the Deputy amounts are linked, an NIH exception employee’s official position or from a
Directors, Scientific Directors, and and an OGE exemption may not be prohibited source. (Although often
Clinical Directors of each NIH institute identical. For example, not all financial referred to as an award, an honor or
and center (IC); extramural program interests valued at $15,000 or less will other recognition that entailed only the
officials who report directly to an IC be covered by the OGE regulatory receipt of a plaque or other item of little
Director; and any employee of exemption. Although the NIH exception intrinsic value presented at a gathering
equivalent levels of decision-making permits a senior employee to hold a of interested persons could be accepted
responsibility who is designated as a financial interest in a non-publicly if the presentation item satisfied the
senior employee by the designated traded company (assuming all the other criteria for exclusion from the gift
agency ethics official or the NIH criteria in the section are also satisfied), definition in 5 CFR 2635.203(b), and the
Director, in consultation with the the OGE regulatory exemption only free attendance, including food,
designated agency ethics official. applies to securities in publicly traded refreshments, and entertainment, at the
Senior employees, their spouses, and companies or long-term Federal event met the exception requirements
minor children will be barred from Government or municipal securities. for widely attended gatherings and other
having financial interests in Similarly, the NIH exception would events in 5 CFR 2635.204(g)).
substantially affected organizations, permit ownership of stock options Section 5501.111 prohibited non-
subject to the exceptions for pensions valued at $15,000 or less, but the OGE senior employees from accepting awards
and other employee benefits, diversified regulatory exemption for interests in from a person, organization, or other
mutual funds, and exceptional securities would not apply. donor that: is seeking official action
circumstances that existed under the Accordingly, senior employees are from the employee, any subordinate of
interim final rule. In addition, because reminded that even though § 5501.110 the employee, or any agency component
the OGE regulatory exemptions in 5 CFR may allow retention of certain assets or subcomponent under the employee’s
2640.201 and 2640.202 allow an that would otherwise be prohibited, the official responsibility; does business or
employee to participate in certain types financial interest may nevertheless be seeks to do business with any agency
of matters depending upon the value of problematic under 18 U.S.C. 208. component or subcomponent under the
sector mutual fund interests and Absent a regulatory exemption that employee’s official responsibility;
publicly traded securities within the specifically addresses the financial conducts activities substantially affected
investment portfolio of the employee, interest, a recusal, a divestiture, or an by any agency component or
spouse, and minor children, § 5501.110 individual waiver may be required. subcomponent under the employee’s
has been amended to allow senior The exceptional circumstances official responsibility; or is an
employees to take advantage of the OGE exception to the prohibited holdings organization a majority of whose
exemptions. Under current de minimis rule, formerly found in paragraph (d)(3) members fall into one of the above

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Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations 51567

categories. In other words, such NIH 5502.107 Supplemental Disclosure of the report is filed. Under the prior
employees could not accept a cash Financial Interests in Substantially regulation, the initial report presented a
award or one valued at more than $200 Affected Organizations Applicable to snapshot of an employee’s holdings as
that was tendered by a donor that had Employees of the National Institutes of of the effective date of the rule. As a
matters pending under the employee’s Health result of filing extensions, a
official responsibility, either New § 5502.107 carries forward the considerable gap in time could make the
individually or before subordinates in same reporting obligations previously information on the filed report out-of-
the employee’s chain of command, contained in § 5502.106, and clarifies date. Accordingly, under new
irrespective of whether the matter that the value of the reported interests § 5502.107, the initial disclosure report
would ever reach the employee for must be disclosed, but revises the class must be current as of the date of filing.
advice or decision. of NIH employees subject to the
Upon further consideration, given that reporting requirement. With the changes IV. Matters of Regulatory Procedure
the official position and prohibited made to 5 CFR 5501.110, subjecting Regulatory Flexibility Act
source criteria for precluding awards to every employee to an extensive and
senior employees added little to the burdensome disclosure obligation is no The Department of Health and Human
official responsibility test applicable to longer required. Although only senior Services has determined under the
every other employee, section 5501.111 NIH employees are now subject to a Regulatory Flexibility Act, 5 U.S.C.
is amended to apply one uniform rule prohibited holdings rule, § 5502.107 chapter 6, that this rule will not have a
for all employees based on whether the will require disclosure of financial significant economic impact on a
award donor has matters pending under interests in substantially affected substantial number of small entities
the employee’s official responsibility. organizations by filers of public and because the rule prescribes personnel
The section incorporates the definition confidential financial disclosure reports provisions that primarily affect HHS
of ‘‘official responsibility’’ contained in and those employees who are not filers employees.
18 U.S.C. 202(b): ‘‘the direct but who serve as clinical investigators
administrative or operating authority, designated in an NIH clinical research Paperwork Reduction Act
whether intermediate or final, and protocol approved by an institutional
either exercisable alone or with others, review board. The term ‘‘clinical The Paperwork Reduction Act, 44
and either personally or through investigator’’ means the principal U.S.C. chapter 35, does not apply to
subordinates, to approve, disapprove, or investigator, accountable investigator, these final rule amendments because
otherwise direct Government action.’’ lead associate investigator, medical they do not contain information
advisory investigator, associate collection requirements that are subject
B. Supplemental Financial Disclosure to approval by the Office of
investigators, and other subinvestigators
Regulations Management and Budget.
who make direct and significant
5502.105 Agency Procedures contributions to the NIH clinical study, Congressional Review Act
and may include registered nurses and
The provision governing reporting allied health professionals so The Department of Health and Human
procedures is amended to codify the designated. Those employees who file Services has determined that this
authority of the designated agency public or confidential financial rulemaking is not a rule as defined in 5
ethics official or separate agency disclosure reports or who serve as U.S.C. 804, and, thus, does not require
components, with the concurrence of clinical investigators possess budgetary,
the designated agency ethics official, to review by Congress.
grant-making, or research authority,
prescribe standard forms for the exercise discretion at higher levels Executive Orders 12866 and 12988
collection of information deemed within the agency, or are in positions
necessary or appropriate to implement with the potential to affect significantly Because this rule relates to HHS
part 5502. the life and safety of human subjects. personnel, it is exempt from the
Because holdings in substantially provisions of Executive Orders 12866
5502.106 Supplemental Disclosure of
affected organizations may continue to and 12988.
Prohibited Financial Interests
Applicable to Employees of the Food pose conflicts for this cohort of List of Subjects
and Drug Administration employees, and divestiture on a case-by-
case basis may be required, disclosure 5 CFR Part 5501
Section 5502.106, as added by the continues to play a critical role in ethics
interim final rule, required FDA and program administration. Accordingly, Conflict of interests, Ethics, Executive
NIH employees to report prohibited depending on the number of clinical branch standards of conduct, Financial
financial interests, including those research protocols approved each year, interests, Government employees,
interests that are covered by an approximately one-third to one-half of Outside activities.
applicable exception, within 30 days of the NIH employee population will 5 CFR Part 5502
joining the agency, being reassigned remain subject to the disclosure
from another part of HHS, or acquiring requirement specified in § 5502.107. Conflict of interests, Ethics,
such interests, for example, through New § 5502.107 also restarts the Government employees, Outside
marriage, gift, or inheritance. This final initial reporting date for on-duty activities, Reporting and recordkeeping
rule specifies that the value of such employees subject to the revised requirements.
interests must be reported. It also disclosure rule. Public filers,
removes from § 5502.106 those confidential filers, and clinical
provisions applicable to NIH employees investigators on duty at the NIH on the
and places them in a new § 5502.107 in effective date of this final rule must
order to correlate with the changes report in writing on or before October
made to the NIH prohibited holdings 31, 2005, their holdings in substantially
regulation. affected organizations held on the date

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51568 Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations

Dated: August 25, 2005. the provision of legal services to the (B) Would be undertaken as a result
Edgar M. Swindell, relevant component with respect to of an invitation to engage in the activity
Designated Agency Ethics Official, substantive programmatic issues. that was extended to the employee by a
Department of Health and Human Services. * * * * * person or organization that is a
Dated: August 25, 2005. ■ 4. Amend § 5501.106 as follows:
prohibited source within the meaning of
Michael O. Leavitt, ■ a. Revise paragraph (c)(3)(ii)(B) to read
5 CFR 2635.203(d), as modified by the
as set forth below; separate HHS component agency
Secretary, Department of Health and Human
Services. ■ b. Revise paragraphs (d)(1) and (d)(2)
designations in § 5501.102; or
(iii) Provide services to a non-Federal
Approved: August 26, 2005. to read as set forth below;
■ c. Redesignate paragraphs (d)(3)
entity as an officer, director, or board
Marilyn L. Glynn, member, or as a member of a group,
through (d)(6) as (d)(4) through (d)(7);
General Counsel, Office of Government
■ d. Add new paragraph (d)(3) to read
such as a planning commission,
Ethics. advisory council, editorial board, or
as set forth below;
■ For the reasons discussed in the ■ e. Revise redesignated paragraphs
scientific or technical advisory board or
preamble, the Department of Health and (d)(4)(ii)(D) and (d)(4)(ii)(E) to read as panel, which requires the provision of
Human Services, with the concurrence set forth below; advice, counsel, or consultation.
of the Office of Government Ethics, (2) Additional approval requirement
■ f. Redesignate paragraphs (d)(4)(ii)(F)
adopts as a final rule the interim final for employees of the Food and Drug
through (d)(4)(ii)(N) as (d)(4)(ii)(G)
rule that amended 5 CFR part 5501 and Administration and the National
through (d)(4)(ii)(O);
added 5 CFR part 5502, which was Institutes of Health. In addition to the
■ g. Revise redesignated paragraphs
published at 70 FR 5543 on February 3, general approval requirements set forth
(d)(4)(ii)(I) through (d)(4)(ii)(K) to read
2005, and which was amended by the in paragraph (d)(1) of this section, an
as set forth below;
interim final rule published at 70 FR employee of the Food and Drug
■ h. Add new paragraph (d)(4)(ii)(F) to
37009 on June 28, 2005, with the Administration or the National
read as set forth below;
following changes: Institutes of Health shall obtain written
■ i. Remove the words ‘‘paragraph
approval prior to engaging, with or
Title 5—[Amended] (d)(3)’’ in the second sentence of
without compensation, in any outside
redesignated paragraph (d)(6) and add,
Chapter XLV—Department of Health and employment, as defined in 5 CFR
in their place, the words ‘‘paragraph
Human Services 2635.603(a), with, or any self-employed
(d)(4)’’;
business activity involving the sale or
■ j. Revise paragraph (e) to read as set
PART 5501—SUPPLEMENTAL promotion of products or services of,
STANDARDS OF ETHICAL CONDUCT forth below.
any person or organization that is a
FOR EMPLOYEES OF THE The additions and revisions read as
prohibited source of the employee’s
DEPARTMENT OF HEALTH AND follows:
component agency.
HUMAN SERVICES § 5501.106 Outside employment and other (3) Exceptions to prior approval
■ 1. The authority citation for part 5501 outside activities. requirements. (i) Notwithstanding the
continues to read as follows: * * * * * requirements of paragraphs (d)(1) and
(c) * * * (d)(2) of this section, prior approval is
Authority: 5 U.S.C. 301, 7301, 7353; 5 not required for participation in the
U.S.C. App. (Ethics in Government Act of
(3) * * *
(ii) * * * activities of a political, religious, social,
1978); 25 U.S.C. 450i(f); 42 U.S.C. 216; E.O.
12674, 54 FR 15159, 3 CFR, 1989 Comp., p. (B) The employment primarily fraternal, or recreational organization
215, as modified by E.O. 12731, 55 FR 42547, involves manual or unskilled labor or unless:
3 CFR, 1990 Comp., p. 306; 5 CFR 2635.105, utilizes talents, skills, or interests in (A) The activity or the position held
2635.203, 2635.403, 2635.802, 2635.803. areas unrelated to the substantive in the organization requires the
programmatic activities of the FDA, provision of professional services
■ 2. Amend § 5501.101 by revising the within the meaning of paragraph (b)(3)
such as clerical work, retail sales,
first sentence of the introductory text in of this section; or
service industry jobs, building trades,
paragraph (c) to read as follows: (B) The activity is performed for
maintenance, or similar services.
compensation other than the
§ 5501.101 General. * * * * * reimbursement of expenses.
* * * * * (d) Prior approval for outside (ii) Notwithstanding the requirements
(c) Definitions. Unless a term is employment and other outside of paragraphs (d)(1) and (d)(2) of this
otherwise defined in this part, the activities-(1) General approval section, prior approval is not required
definitions set forth in 5 CFR parts 2635 requirement. Except as provided in for participation in an employment or
and 2640 apply to terms in this part. paragraph (d)(3) of this section, an other outside activity that has been
* * * employee shall obtain written approval exempted under paragraph (d)(7) of this
* * * * * prior to engaging, with or without section.
■ 3. Amend § 5501.102 by revising
compensation, in outside employment, (4) * * *
paragraph (b)(1) to read as follows: including self-employed business (ii) * * *
activities, or other outside activities in (D) A description of how the
§ 5501.102 Designation of HHS which the employee seeks to: employee’s official duties will affect the
components as separate agencies. (i) Provide consultative or interests of the person for whom or
* * * * * professional services, including service organization with which the proposed
(b) Definitions—(1) Employee of a as an expert witness; activity will be performed;
component includes, in addition to (ii) Engage in teaching, speaking, (E) The name and address of the
employees actually within a component, writing, or editing that: person for whom or organization with
an employee of the Office of the General (A) Relates to the employee’s official which the work or activity will be done,
Counsel whose regularly assigned duties duties within the meaning of 5 CFR including the location where the
and responsibilities principally involve 2635.807(a)(2)(i)(B) through (E); or services will be performed;

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Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations 51569

(F) A statement as to whether travel matter involved in the course, speech, ■ i. Revise paragraphs (c)(3)(i), (c)(3)(iii)
is involved and, if so, whether the or written product (including, if and (c)(3)(v) to read as set forth below;
transportation, lodging, meals, or per available, a copy of the text of any ■ j. Add new paragraphs (c)(3)(vi)
diem will be at the employee’s expense speech) and the proposed text of any through (c)(3)(viii) to read as set forth
or provided by the person for whom or disclaimer required by 5 CFR below;
organization with which the work or 2635.807(b)(2) or by the instructions or ■ k. Remove paragraphs (c)(4) and (c)(5).
activity will be done, and a description manual issuances authorized under The additions and revisions read as
of the arrangements and an estimate of paragraph (d)(7) of this section; and follows:
the costs of items to be furnished or (O) Such other relevant information
that the designated agency ethics official § 5501.109 Prohibited outside activities
reimbursed by the outside entity; applicable to employees of the National
(G) The estimated total time that will or, with the concurrence of the Institutes of Health.
be devoted to the activity. If the designated agency ethics official, each
proposed outside activity is to be of the separate agency components of * * * * *
performed on a continuing basis, a HHS listed in § 5501.102(a) determines (b) * * *
statement of the estimated number of is necessary or appropriate in order to (3) Data and safety monitoring board
hours per year; for other employment, a evaluate whether a proposed activity is (DSMB) means a board, committee, or
statement of the anticipated beginning likely to involve conduct prohibited by panel constituted in connection with an
and ending date; statute or Federal regulations, including ongoing clinical study and comprised of
(H) A statement as to whether the 5 CFR part 2635 and this part. individuals, other than the study
work can be performed entirely outside sponsors, organizers, and investigators,
* * * * * who possess expertise in relevant
of the employee’s regular duty hours (6) Duration of approval. Approval
and, if not, the estimated number of specialties and disciplines, such as trial
shall be effective for a period not to
hours and type of leave that will be design, biostatistics, and bioethics, and
exceed one year from the date of
required; who review accumulating safety and
approval. Upon a significant change in
(I) The method or basis of any outcome data in order to ensure the
the nature of the outside activity or in
compensation to be received (e.g., fee, the employee’s official position or continuing safety of the participating
honorarium, retainer, salary, advance, duties, the employee shall submit a human subjects and of those yet to be
royalty, stock, stock options, non-travel revised request for approval using the recruited, and to assess the continuing
related expenses, or other form of procedure in paragraph (d)(4) of this validity and scientific merit of the
remuneration tendered in cash or in- section. * * * investigation.
kind in connection with the proposed (4) Educational activity provider
* * * * * means a supported research institution
activity) from the person for whom or (e) Waivers. The designated agency
organization with which the work or or a health care provider or insurer that
ethics official may grant a written
activity will be done; presents Grand Rounds or offers
waiver, for an individual or class of
(J) The amount of any compensation accredited continuing professional
similarly situated individuals, from any
to be received from the person for whom education (or, in the case of a profession
prohibited outside activity provision in
or organization with which the work or or academic discipline whose members
this section or in § 5501.109 based on a
activity will be done; are not subject to licensure and which
determination that the waiver is not
(K) The amount and date of any does not have program accreditation
inconsistent with part 2635 of this title
compensation received, or due for requirements, an education program
or otherwise prohibited by law and that,
services performed, within the current determined by the designated agency
under the particular circumstances,
and previous six calendar years ethics official or his designee or, in
application of the prohibition is not
immediately preceding the submission necessary to avoid the appearance of consultation with the designated agency
of the request for approval from the misuse of position or loss of impartiality ethics official or his designee, the NIH
person for whom or organization with or otherwise to ensure confidence in the Director or the NIH Director’s designee
which the work or activity will be done impartiality and objectivity with which to be substantially equivalent to an
(including any amount received or due agency programs are administered. An accredited continuing professional
from an agent, affiliate, parent, individual or class waiver under this education program), but does not
subsidiary, or predecessor of the paragraph may impose appropriate include a substantially affected
proposed payor); conditions, such as requiring execution organization.
(L) A statement as to whether the (5) Employment has the meaning
of a written disqualification.
compensation is derived from an HHS specified in 5 CFR 2635.603(a).
■ 5. Amend § 5501.109 as follows:
grant, contract, cooperative agreement, (6) Grand Rounds means a regularly
■ a. Remove paragraph (b)(6);
or other source of HHS funding or scheduled, interactive presentation or
■ b. Redesignate paragraphs (b)(7)
attributed to services related to an series of educational seminars that focus
through (b)(11) as (b)(9) through (b)(13);
activity funded by HHS, regardless of ■ c. Redesignate paragraph (b)(5) as
on clinical cases, recent biomedical or
the specific source of the compensation; (b)(8); behavioral research results, or a review
(M) For activities involving the ■ d. Add new paragraphs (b)(6) and of scientific research methods and
provision of consultative or professional (b)(7) to read as set forth below; findings in a specific field, with
services, a statement indicating whether ■ e. Redesignate paragraphs (b)(3) and supporting basic and clinical science
the client, employer, or other person on (b)(4) as (b)(4) and (b)(5); information, that are conducted in an
whose behalf the services are performed ■ f. Add new paragraph (b)(3) to read as accredited medical school or an
is receiving, or intends to seek, an HHS set forth below; affiliated teaching hospital setting that
grant, contract, cooperative agreement, ■ g. Revise redesignated paragraphs provides practicing physicians, faculty,
or other funding relationship; (b)(4), (b)(8), (b)(10), (b)(11), and (b)(13) fellows, resident physician trainees,
(N) For activities involving teaching, introductory text to read as set forth medical students, graduate students,
speaking, or writing, a syllabus, outline, below; and post-doctoral fellows, as well as
summary, synopsis, draft or similar ■ h. Revise paragraph (c)(1) to read as allied and associated health
description of the content and subject set forth below; professionals, and other staff, an

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51570 Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations

opportunity to evaluate outcomes of (ii) Any organization a majority of provider or insurer from another source
patient treatment decisions, a forum to whose members are described in that are provided without stipulated
discuss clinical decision making, and a paragraph (b)(10)(i) of this section; and conditions for their use other than the
means to impart updates in diagnosis, (iii) Any other organization limitation that the funds shall be used
treatment, therapy, and research as determined by the designated agency to advance peer-reviewed writing or
indicated by the context of the cases ethics official or, in consultation with editing by the funds recipient. For
presented. the designated agency ethics official, by purposes of this section, a financial
(7) Grant or scientific review the NIH Director or the NIH Director’s contribution shall not be considered
committee means a board, committee, or designee that is substantially affected by unrestricted if the funding source for
panel of qualified experts assembled by the programs, policies, or operations of peer-reviewed writing or editing
an external grant-making entity or other the NIH. directly or indirectly: * * *
funding institution for the purpose of (11) Supported research institution * * * * *
making a funding decision, the members means any educational institution or (c) Prohibitions—(1) Prohibited
of which review, evaluate, rate, rank, or non-profit independent research outside activities with substantially
otherwise assess a proposed or ongoing institute that: affected organizations, supported
project or program for which grant (i) Is, or within the last year has been,
research institutions, and health care
support is sought on the basis of various an applicant for or recipient of an NIH
providers or insurers. Except as
factors, such as scientific merit, grant, cooperative agreement, or
permitted by paragraph (c)(3) of this
feasibility, significance, approach, and research and development contract;
section, an employee of the NIH shall
originality (and scientific progress in (ii) Is, or within the last year has been,
not:
any previous period of funding), and a proposer of or party to a cooperative
research and development agreement (i) Engage in employment with a
gauge the ability of the applicant(s), substantially affected organization, a
principal and associate investigators, (CRADA) with the NIH; or
(iii) Any organization a majority of supported research institution, or a
and scientific team members to health care provider or insurer;
complete successfully the project or whose members are described in
paragraphs (b)(11)(i) or (ii) of this (ii) Teach, speak, write, or edit for
program, and then recommend to the compensation for any substantially
grantor whether to fund or continue to section.
(12) Unrestricted educational grant affected organization, supported
fund a particular proposal or ongoing research institution, or health care
means funds received by or available to
program. provider or insurer; or
an educational activity provider from
(8) Health care provider or insurer (iii) Engage in any employment or
another source that are granted without
means a hospital, clinic, skilled nursing self-employed business activity that
stipulated conditions for their use other
facility, rehabilitation facility, durable involves the sale or promotion of
than the limitation that the funds shall
medical equipment supplier, home products or services of a substantially
be used to advance an educational
health agency, hospice program, health affected organization or a health care
program of the grant recipient. For
maintenance organization, managed provider or insurer, except for the
purposes of this section, an educational
care organization, or other provider of purpose of commercializing invention
grant shall not be considered
health care items and services as rights obtained by the employee
unrestricted if the funding source for a
defined in sections 1877(h)(6) or pursuant to Executive Order 10096, 15
Grand Rounds or a continuing
1903(w)(7) of the Social Security Act (42 U.S.C. 3710d, or implementing
professional education program directly
U.S.C. 1395nn(h)(6) or 1396b(w)(7)) and regulations.
or indirectly:
any entity organized and licensed as a (i) Selects or recommends the
risk-bearing entity eligible to offer * * * * *
moderators, speakers, or presenters at (3) * * *
health insurance or health benefits the sponsored event;
coverage. (i) Teaching. An employee may
(ii) Independently provides additional engage in and accept compensation for:
(9) Scientific peer review is the funding to the moderators, speakers, or
evaluation of scientific research findings (A) Teaching a course requiring
presenters in connection with the multiple presentations as permitted
for competence, significance, and educational activity;
originality by qualified experts who under 5 CFR 2635.807(a)(3); or
(iii) Determines or recommends the
research and submit work for audience composition; (B) Delivering a class lecture that is
publication in the same field and which (iv) Specifies or recommends the unrelated to the employee’s official
provides systematized accountability for topics to be addressed, or duties within the meaning of 5 CFR
adherence to ethical guidelines (v) Controls or recommends the 2635.807 if the activity is performed as
commonly accepted within the relevant planning, content, or implementation of part of a regularly scheduled course
research community for disseminating the program in a manner inconsistent offered under the established
scientific information. with guidelines established by a curriculum of an institution of higher
(10) Substantially affected relevant professional association or education as defined at 20 U.S.C. 1001.
organization means: accrediting organization that are * * * * *
(i) A biotechnology or pharmaceutical designed to ensure that such activities (iii) Clerical, retail, service industry,
company; a medical device are accurate, balanced, educational, free building trades, maintenance, or similar
manufacturer; or a corporation, from commercial bias, nonpromotional, services. An employee may engage in
partnership, or other enterprise or entity and independent of the influence of the and accept compensation for any
significantly involved, directly or funding source. outside employment or self-employed
through subsidiaries, in the research, (13) Unrestricted financial business activity that primarily involves
development, or manufacture of contribution means funds received by or manual or unskilled labor or utilizes
biotechnological, biostatistical, available to a publisher, academic press, talents, skills, or interests in areas
pharmaceutical, or medical devices, editorial board, or other entity affiliated unrelated to the health and scientific
equipment, preparations, treatments, or with or operated by a supported research activities of the NIH, such as
products; research institution or a health care clerical work, retail sales, service

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industry jobs, building trades, (A) The employee’s presentation ■ h. Add new paragraphs (c) and (d) and
maintenance, or similar services. includes an interactive component, such notes to paragraphs (d)(1) and (d) to
* * * * * as visiting patients or discussing read as set forth below.
(v) Authorship of writings subjected to individual clinical cases, or interacting The additions and revisions read as
scientific peer review or a substantially for educational purposes with follows:
equivalent editorial review process. An undergraduates, graduates, or post-
§ 5501.110 Prohibited financial interests
employee may engage in and accept graduate students and fellows, in applicable to senior employees of the
compensation for a writing or editing addition to any lecture; National Institutes of Health.
activity that is unrelated to the (B) The audience is composed
* * * * *
employee’s official duties within the primarily of faculty and students or (b) * * *
meaning of 5 CFR 2635.807 if the trainees registered in a biomedical or (1) Senior employee means the
resulting article, chapter, essay, report, health-related program of studies; and Director and the Deputy Director of the
text, or other writing is submitted to a (C) A substantially affected National Institutes of Health; members
publisher, academic press, editorial organization or a speakers’ bureau of the senior staff within the Office of
board, or other entity affiliated with or affiliated with a substantially affected the Director who report directly to the
operated by a supported research organization does not sponsor or NIH Director; the Directors, the Deputy
institution or a health care provider or underwrite the costs of the Grand Directors, Scientific Directors, and
insurer for publication in a scientific Rounds program or the employee’s Clinical Directors of each Institute and
journal, textbook, or similar publication presentation, except pursuant to an Center within NIH; Extramural Program
that subjects manuscripts to scientific unrestricted educational grant. Officials who report directly to an
peer review or a substantially equivalent (viii) Grant or scientific review Institute or Center Director; and any
editorial review process. If a committee. An employee may serve on employee of equivalent levels of
substantially affected organization funds a grant or scientific review committee decision-making responsibility who is
the publishing activities of a supported for a supported research institution or a designated as a senior employee by the
research institution or a health care health care provider or insurer, designated agency ethics official or the
provider or insurer, this exception is provided that: NIH Director, in consultation with the
inapplicable unless the substantially (A) The members of the grant or
designated agency ethics official.
affected organization is involved only as scientific review committee are not (2) Substantially affected organization
an unrestricted financial contributor selected or paid for their service by a has the meaning set forth in
and exercises no editorial control. substantially affected organization; § 5501.109(b)(10).
(vi) Data and safety monitoring (B) The grant award or program in (c) Prohibition applicable to senior
boards. An employee may serve as a relation to which the recommendation employees. Except as permitted by
member of a data and safety monitoring of the grant or scientific review paragraph (d) of this section, a senior
board for a clinical study conducted by committee is sought is not funded under employee or the spouse or minor child
a supported research institution or a grant, cooperative agreement, or of such senior employee shall not have
health care provider or insurer, research and development contract a financial interest in a substantially
provided that: from, conducted pursuant to a affected organization.
(A) The members of the DSMB are not cooperative research and development (d) Exceptions for certain financial
selected or paid for their service by a agreement (CRADA) with, or aided interests. Notwithstanding the
substantially affected organization; under another funding mechanism by, prohibition in paragraph (c) of this
(B) The clinical study is not funded the NIH; and section:
under a grant, cooperative agreement, or (C) If the service is performed for (1) Pension or other employee benefit.
research and development contract compensation, the service does not A senior employee or spouse or minor
from, or conducted pursuant to a entail prohibited assistance in the child of a senior employee may have a
cooperative research and development preparation of documents intended for financial interest, such as a pension or
agreement (CRADA) with, or aided submission to HHS within the meaning other employee benefit, arising from
under another funding mechanism by, of § 5501.106(c)(1), and the grant award employment with a substantially
the NIH; and or program in relation to which the affected organization.
(C) If the service is performed for recommendation of the grant or
compensation, the service does not scientific review committee is sought is Note to Paragraph (d)(1): NIH employees,
entail prohibited assistance in the not an HHS-funded activity described in as opposed to spouses and minor children of
preparation of documents intended for employees, are generally prohibited under
§ 5501.106(c)(2). § 5501.109 from engaging in current
submission to HHS within the meaning ■ 6. Amend § 5501.110 as follows: employment with a substantially affected
of § 5501.106(c)(1), and the clinical ■ a. Revise the section heading to read organization.
study is not an HHS-funded activity as set forth below;
described in § 5501.106(c)(2). ■ b. Remove paragraphs (b)(1), (b)(2), (2) De minimis holdings. A senior
(vii) Grand Rounds. An employee and (b)(4); employee or spouse or minor child of a
may engage in and accept compensation ■ c. Redesignate paragraph (b)(3) as senior employee may have a financial
for a teaching, speaking, writing, or (b)(2); interest in a substantially affected
editing activity that is unrelated to the ■ d. Revise redesignated paragraph organization if:
employee’s official duties within the (b)(2) to read as set forth below; (i) The aggregate market value of the
meaning of 5 CFR 2635.807 if the ■ e. Add new paragraph (b)(1) to read as combined interests of the senior
activity is performed as part of a Grand set forth below; employee and the senior employee’s
Rounds program conducted by an ■ f. Remove paragraphs (c), (d), (e), and spouse and minor children in any one
accredited educational institution (f) and the notes to paragraphs (e)(1) and substantially affected organization is
offering instruction in the life sciences, (e); equal to or less than the de minimis
such as a medical school or school of ■ g. Redesignate paragraph (g) as (e) and exemption limit for matters involving
public health, or by an affiliated revise redesignated paragraph (e) to read parties established by 5 CFR 2640.202(a)
teaching hospital, provided that: as set forth below; or $15,000, whichever is greater;

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(ii) The holding, if it represents an indicate the objective or practice of required by § 5502.107(c) of this chapter
equity interest, constitutes less than 1 concentrating its investments in the is due.
percent of the total outstanding equity biomedical science, pharmaceutical, ■ 7. Amend § 5501.111 as follows:
of the organization; and medical device, biotechnology, or health ■ a. Redesignate paragraphs (b), (c), and
(iii) The total holdings in industry sectors. (d) as (c), (d) and (e);
substantially affected organizations and (ii) A senior employee or spouse or ■ b. Redesignate the note to paragraph
sector mutual funds that, in the minor child of a senior employee may (b) as the note to paragraph (c);
literature they distribute to prospective have an interest in a substantially ■ c. Add new paragraph (b) to read as
and current investors or participants, affected organization that constitutes set forth below;
state the objective or practice of any interest in a sector mutual fund ■ d. Remove redesignated paragraph
concentrating their investments in the that, in the literature it distributes to (c)(1) and redesignate paragraphs (c)(2)
securities of substantially affected prospective and current investors or and (c)(3) as (c)(1) and (c)(2);
organizations account for less than 50 participants, states the objective or ■ e. In the introductory text of
percent of the total value of the practice of concentrating its investments redesignated paragraph (c)(1), remove
combined investment portfolios of the in the securities of substantially affected the phrase ‘‘other than a senior
senior employee and the senior organizations provided that: employee’’;
employee’s spouse and minor children. (A) The aggregate market value of the ■ f. Revise redesignated paragraph
(3) Diversified mutual funds. A senior combined ownership interests of the (c)(1)(iv) to read as set forth below;
employee or spouse or minor child of a senior employee and the senior ■ g. Revise the introductory text of
senior employee may have an interest in employee’s spouse and minor children redesignated paragraph (d) to read as set
a substantially affected organization that in such sector funds is equal to or less forth below;
constitutes any interest in a publicly than the de minimis exemption limit for ■ h. Revise redesignated paragraphs
traded or publicly available investment sector mutual funds established by 5 (d)(2) and (d)(3) to read as set forth
fund (e.g., a mutual fund), or a widely CFR 2640.201(b)(2)(i) or $50,000, below;
held pension or similar fund, which, in whichever is greater; and ■ i. Revise redesignated paragraph (e)(1)
the literature it distributes to and the introductory text of
(B) The total holdings in substantially
prospective and current investors or redesignated paragraph (e)(2) to read as
affected organizations and in sector
participants, does not indicate the set forth below.
mutual funds that, in the literature they
objective or practice of concentrating its The additions and revisions read as
distribute to prospective and current
investments in substantially affected follows:
investors or participants, state the
organizations, if the employee neither
objective or practice of concentrating § 5501.111 Awards tendered to employees
exercises control nor has the ability to
their investments in the securities of of the National Institutes of Health.
exercise control over the financial
substantially affected organizations * * * * *
interests held in the fund.
(4) Exceptional circumstances. In account for less than 50 percent of the (b) Definitions. For purposes of this
cases involving exceptional total value of the combined investment section, official responsibility has the
circumstances, the NIH Director or the portfolios of the senior employee and meaning set forth in 18 U.S.C. 202(b).
NIH Director’s designee, with the the senior employee’s spouse and minor (c) Additional limitations on awards
approval of the designated agency ethics children. to employees of the National Institutes
official or his designee, may grant a Note to Paragraph (d): With respect to any of Health. The following limitations
written exception to permit a senior excepted financial interest, employees are shall apply to the acceptance by an
employee, or the spouse or minor child reminded of their obligations under 5 CFR employee of an award pursuant to 5
of a senior employee, or a class of such part 2635, and specifically their obligation CFR 2635.204(d):
individuals, to hold a financial interest under subpart D to disqualify themselves (1) Limitations applicable to
in a substantially affected organization from participating in any particular matter in employees with official responsibility for
based upon a determination that the which they, their spouses or minor children matters affecting an award donor. An
have a financial interest arising from publicly employee shall not accept a gift with an
application of the prohibition in traded securities that exceeds the de minimis
paragraph (c) of this section is not aggregate market value of more than
thresholds specified in the regulatory
necessary to ensure public confidence exemption at 5 CFR 2640.202 or from non-
$200, or that is cash or an investment
in the impartiality or objectivity with publicly traded securities that are not interest, that is an award or incident to
which HHS programs are administered covered by the regulatory exemption. an award from a person, organization, or
or to avoid a violation of part 2635 of Furthermore, the agency may prohibit or other donor that:
this title. restrict an individual employee from * * * * *
(5) Technology transfer. A senior acquiring or holding any financial interest or (iv) Is an organization a majority of
employee may have a financial interest a class of financial interests based on the whose members are described in
in connection with the development agency’s determination that the interest
paragraphs (c)(1)(i) through (iii) of this
creates a substantial conflict with the
and commercialization of invention employee’s duties, within the meaning of 5 section.
rights obtained by the employee CFR 2635.403. (2) Prior approval of awards. (i) No
pursuant to Executive Order 10096, 15 employee shall accept an award under
U.S.C. 3710d, or implementing (e) Reporting and divestiture. For 5 CFR 2635.204(d) or this section unless
regulations. purposes of determining the divestiture the receipt thereof has been approved in
(6) Sector mutual funds. (i) A senior period specified in 5 CFR 2635.403(d), writing in advance in accordance with
employee or spouse or minor child of a as applied to financial interests procedures specified by the designated
senior employee may have an interest in prohibited under paragraph (c) of this agency ethics official, or with the
a substantially affected organization that section, the ‘‘date divestiture is first concurrence of the designated agency
constitutes any interest in a sector directed’’ means the date on which the ethics official, the NIH Director or the
mutual fund that, in the literature it new entrant public or confidential NIH Director’s designee.
distributes to prospective and current financial disclosure report required by (ii) Approval shall be granted only
investors or participants, does not part 2634 of this title or any report upon a determination that acceptance of

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the award is not prohibited by statute or § 5502.102 [Amended] § 5502.107 Supplemental disclosure of
Federal regulation, including 5 CFR part financial interests in substantially affected
■ 9. Amend § 5502.102 by removing organizations applicable to employees of
2635 and this part.
from the second sentence the citation to the National Institutes of Health.
Note to Paragraph (c): In some ‘‘§ 5501.106(d)(4)’’ and add in its place (a) Applicability. This section does
circumstances cash and other things of value the citation ‘‘§ 5501.106(d)(5)’’. not apply to special Government
provided in connection with the provision of
■ 10. Amend § 5502.105 by revising employees.
personal services, including speaking or
writing, may be compensation, not a gift. paragraph (a) to read as follows: (b) Definitions. For purposes of this
Other ethics rules governing outside section:
§ 5502.105 Agency procedures. (1) Clinical investigator means an
activities may restrict receipt of such
compensation. See, for example, 5 CFR (a) The designated agency ethics employee identified as a principal
2635.807. official or, with the concurrence of the investigator, accountable investigator,
designated agency ethics official, each lead associate investigator, medical
(d) Exception. Notwithstanding the advisory investigator, associate
of the separate agency components of
prohibition in paragraph (c)(1) of this investigator, or other subinvestigator in
HHS listed in § 5501.102(a) of this
section, the NIH Director (or the an NIH clinical study involving human
chapter may prescribe forms for the
Secretary, with respect to awards subjects under a clinical research
collection of information under this part
tendered to the NIH Director), with the protocol approved by an institutional
and establish procedures for the
approval of the designated agency ethics review board.
submission and review of each report
official, may grant a written exception to (2) Clinical research has the meaning
filed. These procedures may provide for
permit an employee to accept an award set forth in 42 U.S.C. 284d(b).
filing extensions, for good cause shown,
otherwise prohibited by this section (3) Institutional review board (IRB)
totaling not more than 90 days.
under the following conditions: means any board, committee, or other
* * * * *
* * * * * group formally designated by an
(2) Absent the prohibition in ■ 11. Amend § 5502.106 by revising the institution to review a clinical research
paragraph (c)(1) of this section, the gift section heading and paragraphs (b)(2) protocol and approve the initiation of
would be permitted under part 2635 of and (c) to read as follows: biomedical research involving human
this title; and § 5502.106 Supplemental disclosure of subjects and to assess periodically the
(3) The designated agency ethics prohibited financial interests applicable to progress of the investigation to protect
official shall have determined that the employees of the Food and Drug the rights and welfare of the trial
application of the prohibition in Administration. participants.
paragraph (c)(1) of this section is not * * * * * (4) Confidential filer means an
necessary to ensure public confidence employee who meets the criteria in 5
(b) * * *
in the impartiality or objectivity with CFR 2634.904 and who has not been
which NIH programs are administered (2) Prohibited financial interest means excluded from the requirement of filing
or to avoid a violation of part 2635 of a financial interest prohibited by a confidential financial disclosure
this title. § 5501.104(a), including those financial report under the procedures in 5 CFR
(e) Disposition of improperly accepted interests that are excepted under 2634.905.
awards.—(1) Failure to obtain prior § 5501.104(b) of this chapter. (5) Public filer means an employee
approval. If an employee accepts an * * * * * who meets the criteria in 5 CFR
award for which approval is required (c) Report of prohibited financial 2634.202 and who has not been
under paragraph (c)(2) of this section interests.—(1) New entrant employees. excluded from the requirement of filing
without obtaining such approval, the A new entrant employee, other than a a public financial disclosure report
employee may be required, in addition public filer or a confidential filer, shall under the procedures in 5 CFR
to any penalty provided by law and report in writing within 30 days after 2634.203.
applicable regulations, to forfeit the entering on duty with the FDA any (6) Remainder of HHS has the
award by returning it to the donor. prohibited financial interest and the meaning set forth in § 5501.102(b)(2) of
(2) Receipt of prohibited award. If an value thereof held upon commencement this chapter.
employee accepts an award prohibited of employment with the agency. (7) Separate agency component has
by paragraph (c)(1) of this section, the (2) Reassigned employees. An the meaning set forth in § 5501.102(a) of
employee shall be required, in addition employee of a separate agency this chapter.
to any penalty provided by law and component other than the FDA or of the (8) Substantially affected organization
applicable regulations, to: remainder of HHS who is reassigned to has the meaning set forth in
a position at the FDA shall report in § 5501.109(b)(10) of this chapter.
* * * * *
writing within 30 days of entering on (c) Report of financial interests in
PART 5502—SUPPLEMENTAL duty with the FDA any prohibited substantially affected organizations.—
FINANCIAL DISCLOSURE financial interest and the value thereof (1) New entrant employees. A new
REQUIREMENTS FOR EMPLOYEES OF held on the effective date of the entrant employee, other than a public
THE DEPARTMENT OF HEALTH AND reassignment to the agency. filer or a confidential filer, who is
HUMAN SERVICES designated to serve as a clinical
(3) Incumbent employees. An investigator shall report in writing
incumbent employee of the FDA who within 30 days after entering on duty
■ 8. The authority citation for part 5502 acquires any prohibited financial
continues to read as follows: with the NIH any financial interest in a
interest shall report such interest and substantially affected organization and
Authority: 5 U.S.C. 301, 7301; 5 U.S.C. the value thereof in writing within 30
App. (Ethics in Government Act of 1978); the value thereof held upon
days after acquiring the financial commencement of employment with the
E.O. 12674, 54 FR 15159, 3 CFR, 1989 Comp., interest.
p. 215, as modified by E.O. 12731, 55 FR agency.
42547, 3 CFR, 1990 Comp., p. 306; 5 CFR ■ 12. Add new § 5502.107 to read as (2) Reassigned employees. An
2634.103. follows: employee of a separate agency

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51574 Federal Register / Vol. 70, No. 168 / Wednesday, August 31, 2005 / Rules and Regulations

component, other than the NIH, or of administered locally by the Texas and Order No. 906, as amended (7 CFR
the remainder of HHS who is either a Valley Citrus Committee (Committee). part 906), regulating the handling of
public filer, a confidential filer, or a This rule revises the orange and oranges and grapefruit grown in the
clinical investigator who is reassigned grapefruit rules and regulations and Lower Rio Grande Valley in Texas,
to a position at the NIH shall report in container requirements by adding eight hereinafter referred to as the ‘‘order.’’
writing within 30 days of entering on new containers to the list of authorized The marketing agreement and order are
duty with the NIH any financial interest containers for use by Texas citrus effective under the Agricultural
in a substantially affected organization handlers, removing one obsolete Marketing Agreement Act of 1937, as
and the value thereof held on the container, and by combining all the amended (7 U.S.C. 601–674), hereinafter
effective date of the reassignment to the requirements on authorized bags into referred to as the ‘‘Act.’’
agency. one grouping for easier reference. Other The Department of Agriculture
(3) Incumbent employees. An changes would revise incorrect (USDA) is issuing this rule in
incumbent employee of the NIH who is references to the U.S. grade standards conformance with Executive Order
either a public filer, a confidential filer, for oranges and grapefruit grown in 12866.
or a clinical investigator who acquires Texas. These changes are expected to This rule has been reviewed under
any financial interest in a substantially help handlers compete more effectively Executive Order 12988, Civil Justice
affected organization shall report such in the marketplace, better meet the Reform. This rule is not intended to
interest and the value thereof in writing needs of buyers, and to improve have retroactive effect. This rule will
within 30 days after acquiring the producer returns. not preempt any State or local laws,
financial interest. Any incumbent DATES: Effective September 1, 2005; regulations, or policies, unless they
employee, irrespective of financial comments received by October 31, 2005 present an irreconcilable conflict with
disclosure filing status, who is will be considered prior to issuance of this rule.
designated a clinical investigator shall a final rule. The Act provides that administrative
report in writing within 30 days of the proceedings must be exhausted before
ADDRESSES: Interested persons are
approval of the clinical research parties may file suit in court. Under
invited to submit written comments
section 608c(15)(A) of the Act, any
protocol by the relevant institutional concerning this rule. Comments must be
handler subject to an order may file
review board any financial interest in a sent to the Docket Clerk, Marketing
with USDA a petition stating that the
substantially affected organization and Order Administration Branch, Fruit and
order, any provision of the order, or any
the value thereof held on the date of the Vegetable Programs, AMS, USDA, 1400
obligation imposed in connection with
IRB approval. Independence Avenue SW., STOP 0237,
the order is not in accordance with law
(4) Initial report by on duty Washington, DC 20250–0237; Fax: (202)
and request a modification of the order
employees. An employee on duty at the 720–8938; E-mail:
or to be exempted therefrom. A handler
NIH on August 31, 2005, who is either moab.docketclerk@usda.gov; or Internet:
is afforded the opportunity for a hearing
a public filer, a confidential filer, or a http://www.regulations.gov. All
on the petition. After the hearing USDA
clinical investigator shall report in comments should reference the docket
would rule on the petition. The Act
writing on or before October 31, 2005, number and the date and page number
provides that the district court of the
any financial interest in a substantially of this issue of the Federal Register and
United States in any district in which
affected organization and the value will be made available for public
the handler is an inhabitant, or has his
thereof held on the date the report is inspection in the Office of the Docket
or her principal place of business, has
filed. Clerk during regular business hours, or
jurisdiction to review USDA’s ruling on
can be viewed at: http://
[FR Doc. 05–17352 Filed 8–26–05; 4:12 pm] the petition, provided an action is filed
www.ams.usda.gov/fv/moab.html.
BILLING CODE 4150–03–P not later than 20 days after the date of
FOR FURTHER INFORMATION CONTACT:
the entry of the ruling.
Belinda G. Garza, Regional Manager, This rule revises container and pack
Texas Marketing Field Office, Marketing requirements currently prescribed under
DEPARTMENT OF AGRICULTURE Order Administration Branch, Fruit and the Texas orange and grapefruit order
Vegetable Programs, AMS, USDA; and makes several conforming and
Agricultural Marketing Service
Telephone: (956) 682–2833, Fax: (956) formatting changes. The rule revises the
682–5942; or George Kelhart, Technical rules and regulations and container
7 CFR Part 906
Advisor, Marketing Order requirements by adding eight new
[Docket No. FV05–906–1 IFR] Administration Branch, Fruit and containers to the list of authorized
Vegetable Programs, AMS, USDA, 1400 containers for use by Texas citrus
Oranges and Grapefruit Grown in Independence Avenue SW., STOP 0237, handlers, removing one obsolete
Lower Rio Grande Valley in Texas; Washington, DC 20250–0237; container, combining all of the
Changes to Container and Pack Telephone: (202) 720–2491, Fax: (202) requirements on authorized bags into
Requirements 720–8938. one grouping for easier reference. Other
AGENCY: Agricultural Marketing Service, Small businesses may request changes include revising incorrect
USDA. information on complying with this references to the U.S. grade standards
regulation by contacting Jay Guerber, for oranges and grapefruit grown in
ACTION: Interim final rule with request
Marketing Order Administration Texas and States other than Florida,
for comments. Branch, Fruit and Vegetable Programs, California, and Arizona (7 CFR 51.680
SUMMARY: This rule revises the container AMS, USDA, 1400 Independence through 51.714 for oranges, and 7 CFR
and pack requirements currently Avenue SW., STOP 0237, Washington, 51.620 through 51.653 for grapefruit).
prescribed under the marketing order DC 20250–0237; Telephone: (202) 720– See 68 FR 46433, August 6, 2003; and
(order) covering oranges and grapefruit 2491, Fax: (202) 720–8938, or E-mail: 66 FR 48785, September 24, 2001, for
grown in the Lower Rio Grande Valley Jay.Guerber@usda.gov. information on changes in the grade
in Texas. The order regulates the SUPPLEMENTARY INFORMATION: This rule standards that necessitate changes to the
handling of such fruit and is is issued under Marketing Agreement Texas citrus handling regulations.

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