80_FR_30565 80 FR 30463 - NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings: Proposed Additions to the NIOSH Hazardous Drug List 2016; Request for Comment

80 FR 30463 - NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings: Proposed Additions to the NIOSH Hazardous Drug List 2016; Request for Comment

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 102 (May 28, 2015)

Page Range30463-30464
FR Document2015-12857

The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) announces the availability of the following draft document for public comment entitled ``NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings: Proposed Additions to the NIOSH Hazardous Drug List 2016.'' The document and instructions for submitting comments can be found at www.regulations.gov. This guidance document does not have the force and effect of law.

Federal Register, Volume 80 Issue 102 (Thursday, May 28, 2015)
[Federal Register Volume 80, Number 102 (Thursday, May 28, 2015)]
[Notices]
[Pages 30463-30464]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-12857]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[CDC-2015-0034; NIOSH 233-A]


NIOSH List of Antineoplastic and Other Hazardous Drugs in 
Healthcare Settings: Proposed Additions to the NIOSH Hazardous Drug 
List 2016; Request for Comment

AGENCY: National Institute for Occupational Safety and Health (NIOSH) 
of the Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice of draft document available for public comment.

-----------------------------------------------------------------------

SUMMARY: The National Institute for Occupational Safety and Health 
(NIOSH) of the Centers for Disease Control and Prevention (CDC) 
announces the availability of the following draft document for public 
comment entitled ``NIOSH List of Antineoplastic and Other Hazardous 
Drugs in Healthcare Settings: Proposed Additions to the NIOSH Hazardous 
Drug List 2016.'' The document and instructions for submitting comments 
can be found at www.regulations.gov.
    This guidance document does not have the force and effect of law.

Table of Contents

     DATES:
     ADDRESSES:
     FOR FURTHER INFORMATION CONTACT:
     SUPPLEMENTARY INFORMATION:

DATES: Electronic or written comments must be received by July 27, 
2015.

ADDRESSES: You may submit comments, identified by CDC-2015-0034 and 
Docket Number NIOSH 233-A, by either of the two following methods:
     Federal eRulemaking Portal: www.regulations.gov Follow the 
instructions for submitting comments.
     Mail: National Institute for Occupational Safety and 
Health, NIOSH Docket Office, 1090 Tusculum Avenue, MS C-34, Cincinnati, 
Ohio 45226.
    Instructions: All information received in response to this notice 
must include the agency name and the docket number (CDC-2015-0034; 
NIOSH 233-A). All relevant comments received will be posted without 
change to www.regulations.gov, including any personal information 
provided. All electronic comments should be formatted as Microsoft 
Word. Please make reference to CDC-2015-0034 and Docket Number NIOSH 
233-A. All information received in response to this notice will also be 
available for public examination and copying at the NIOSH Docket 
Office, 1150 Tusculum Avenue, Room 155, Cincinnati, OH 45226.

FOR FURTHER INFORMATION CONTACT: Barbara MacKenzie, NIOSH, Division of 
Applied Research and Technology, Robert A. Taft Laboratories, 1090 
Tusculum Avenue, MS C-26, Cincinnati, Ohio 45226. (513) 533-8132 (not a 
toll free number). Email: [email protected].

SUPPLEMENTARY INFORMATION: The NIOSH Alert: ``Preventing Occupational 
Exposures to Antineoplastic and Other Hazardous Drugs in Health Care 
Settings'' was published in September 2004 (http://www.cdc.gov/niosh/docs/2004-165/). This Alert contained Appendix A which was a list of 
drugs that were deemed to be hazardous and may require special 
handling. This list of hazardous drugs was updated in 2010, 2012 and 
2014 and covered all new approved drugs and drugs with new warnings up 
to December 2011 (http://www.cdc.gov/niosh/docs/2014-138). Between 
January 2012 and December 2013, 60 new drugs received FDA approval and 
270 drugs received new warnings based on reported adverse effects in 
patients. From this list of 330 drugs, 44 drugs were identified by 
NIOSH as potential hazardous drugs. In addition to these 44 drugs, the 
panel members were asked to comment on the addition of one drug 
requested by several stakeholders. Three additional drugs had safe 
handling recommendations from the manufacturer and NIOSH is following 
these recommendations. Therefore, these 3 drugs will be listed as 
hazardous without requiring further review. A panel consisting of peer 
reviewers and stakeholders was asked to review and comment on the 45 
potentially hazardous drugs. Reviewers were not asked to provide a 
consensus opinion

[[Page 30464]]

and NIOSH made the final determination regarding proposed additions to 
the 2016 hazardous drug list.
    NIOSH reviewed the recommendations of the peer reviewers and 
stakeholders and determined that 33 drugs in addition to the 3 drugs 
with manufacturer's warnings, were determined to have one or more 
characteristics of a hazardous drug and this list of 36 drugs is being 
published for comment in CDC-2015-0034 and NIOSH Docket Number 233-A. 
The list of proposed additions can be found at www.regulations.gov.

    Dated: May 20, 2015.
John Howard,
Director, National Institute for Occupational Safety and Health, 
Centers for Disease Control and Prevention.
[FR Doc. 2015-12857 Filed 5-27-15; 8:45 am]
 BILLING CODE 4163-19-P



                                                                                    Federal Register / Vol. 80, No. 102 / Thursday, May 28, 2015 / Notices                                                                 30463

                                                       Sampling recruitment methods may                                is convenient to the respondent.                                 United States and territories, and thus
                                                    include, but not be limited to: Use of                             Locations will be private. Data                                  suggest ways CDC might improve
                                                    social networking sites, the Internet,                             collection may be audio-recorded and                             programmatic activities along the
                                                    print marketing materials, and other                               transcribed with the consent of the                              continuum of HIV prevention, treatment
                                                    methods to find and enroll respondents                             respondent.                                                      and care.
                                                    into the research study.                                              The data collections supported under
                                                       All data collection tools will be                               this generic information collection will                           The total estimated annualized
                                                    pretested and interviews conducted by                              be used to provide insight regarding                             burden hours are 918. There are no costs
                                                    trained personnel. The data collection                             barriers and facilitators to HIV                                 to respondents other than their time.
                                                    will take place at a time and place that                           prevention, care, and treatment in the

                                                                                                                      ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                         Average
                                                                                                                                                                                                        Number of
                                                                                                                                                                                        Number of                      burden per
                                                                     Type of respondent                                                      Form name                                                responses per
                                                                                                                                                                                       respondents                      response
                                                                                                                                                                                                        respondent      (in hours)

                                                    General   Public—Adults     ...................................   Study Screener ..............................................           1,600               1            5/60
                                                    General   Public—Adults     ...................................   Contact Information Form ..............................                   600               1            1/60
                                                    General   Public—Adults     ...................................   Consent Form ................................................             600               1            5/60
                                                    General   Public—Adults     ...................................   Demographic Survey ......................................                 500               1           15/60
                                                    General   Public—Adults     ...................................   Interview Guide ..............................................            500               1               1
                                                    General   Public—Adults     ...................................   Provider Demographic Survey .......................                       100               1           15/60
                                                    General   Public—Adults     ...................................   Provider Interview Guide ................................                 100               1           45/60



                                                    Leroy A. Richardson,                                               instructions for submitting comments                             Applied Research and Technology,
                                                    Chief, Information Collection Review Office,                       can be found at www.regulations.gov.                             Robert A. Taft Laboratories, 1090
                                                    Office of Scientific Integrity, Office of the                        This guidance document does not                                Tusculum Avenue, MS C–26,
                                                    Associate Director for Science, Office of the                      have the force and effect of law.                                Cincinnati, Ohio 45226. (513) 533–8132
                                                    Director, Centers for Disease Control and                                                                                           (not a toll free number). Email:
                                                    Prevention.                                                        Table of Contents
                                                                                                                                                                                        hazardousdrugs@cdc.gov.
                                                    [FR Doc. 2015–12808 Filed 5–27–15; 8:45 am]                         • DATES:                                                        SUPPLEMENTARY INFORMATION: The
                                                    BILLING CODE 4163–18–P                                              • ADDRESSES:                                                    NIOSH Alert: ‘‘Preventing Occupational
                                                                                                                        • FOR FURTHER INFORMATION                                       Exposures to Antineoplastic and Other
                                                                                                                       CONTACT:
                                                                                                                        • SUPPLEMENTARY INFORMATION:
                                                                                                                                                                                        Hazardous Drugs in Health Care
                                                    DEPARTMENT OF HEALTH AND                                                                                                            Settings’’ was published in September
                                                    HUMAN SERVICES                                                     DATES:  Electronic or written comments                           2004 (http://www.cdc.gov/niosh/docs/
                                                                                                                       must be received by July 27, 2015.                               2004-165/). This Alert contained
                                                    Centers for Disease Control and                                    ADDRESSES: You may submit comments,
                                                    Prevention                                                                                                                          Appendix A which was a list of drugs
                                                                                                                       identified by CDC–2015–0034 and                                  that were deemed to be hazardous and
                                                                                                                       Docket Number NIOSH 233–A, by either                             may require special handling. This list
                                                    [CDC–2015–0034; NIOSH 233–A]                                       of the two following methods:                                    of hazardous drugs was updated in
                                                                                                                         • Federal eRulemaking Portal:                                  2010, 2012 and 2014 and covered all
                                                    NIOSH List of Antineoplastic and Other
                                                                                                                       www.regulations.gov Follow the                                   new approved drugs and drugs with
                                                    Hazardous Drugs in Healthcare
                                                                                                                       instructions for submitting comments.                            new warnings up to December 2011
                                                    Settings: Proposed Additions to the                                  • Mail: National Institute for
                                                    NIOSH Hazardous Drug List 2016;                                                                                                     (http://www.cdc.gov/niosh/docs/2014-
                                                                                                                       Occupational Safety and Health, NIOSH                            138). Between January 2012 and
                                                    Request for Comment                                                Docket Office, 1090 Tusculum Avenue,                             December 2013, 60 new drugs received
                                                    AGENCY:  National Institute for                                    MS C–34, Cincinnati, Ohio 45226.                                 FDA approval and 270 drugs received
                                                    Occupational Safety and Health                                       Instructions: All information received                         new warnings based on reported
                                                    (NIOSH) of the Centers for Disease                                 in response to this notice must include                          adverse effects in patients. From this list
                                                    Control and Prevention (CDC),                                      the agency name and the docket number                            of 330 drugs, 44 drugs were identified
                                                    Department of Health and Human                                     (CDC–2015–0034; NIOSH 233–A). All                                by NIOSH as potential hazardous drugs.
                                                    Services (HHS).                                                    relevant comments received will be                               In addition to these 44 drugs, the panel
                                                    ACTION: Notice of draft document
                                                                                                                       posted without change to                                         members were asked to comment on the
                                                    available for public comment.                                      www.regulations.gov, including any                               addition of one drug requested by
                                                                                                                       personal information provided. All                               several stakeholders. Three additional
                                                    SUMMARY:  The National Institute for                               electronic comments should be                                    drugs had safe handling
                                                    Occupational Safety and Health                                     formatted as Microsoft Word. Please                              recommendations from the
                                                    (NIOSH) of the Centers for Disease                                 make reference to CDC–2015–0034 and                              manufacturer and NIOSH is following
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    Control and Prevention (CDC)                                       Docket Number NIOSH 233–A. All                                   these recommendations. Therefore,
                                                    announces the availability of the                                  information received in response to this                         these 3 drugs will be listed as hazardous
                                                    following draft document for public                                notice will also be available for public                         without requiring further review. A
                                                    comment entitled ‘‘NIOSH List of                                   examination and copying at the NIOSH                             panel consisting of peer reviewers and
                                                    Antineoplastic and Other Hazardous                                 Docket Office, 1150 Tusculum Avenue,                             stakeholders was asked to review and
                                                    Drugs in Healthcare Settings: Proposed                             Room 155, Cincinnati, OH 45226.                                  comment on the 45 potentially
                                                    Additions to the NIOSH Hazardous                                   FOR FURTHER INFORMATION CONTACT:                                 hazardous drugs. Reviewers were not
                                                    Drug List 2016.’’ The document and                                 Barbara MacKenzie, NIOSH, Division of                            asked to provide a consensus opinion


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                                                    30464                         Federal Register / Vol. 80, No. 102 / Thursday, May 28, 2015 / Notices

                                                    and NIOSH made the final                                proposed collection of information is                    Child maltreatment is both
                                                    determination regarding proposed                        necessary for the proper performance of               widespread and impactful. It is
                                                    additions to the 2016 hazardous drug                    the functions of the agency, including                estimated that 1 in 58 U.S. children had
                                                    list.                                                   whether the information will have                     been maltreated in a 1-year period (i.e.,
                                                       NIOSH reviewed the                                   practical utility; (b) Evaluate the                   victims of physical, sexual, and
                                                    recommendations of the peer reviewers                   accuracy of the agencies estimate of the              emotional abuse or neglect). Millions of
                                                    and stakeholders and determined that                    burden of the proposed collection of                  other American children are exposed to
                                                    33 drugs in addition to the 3 drugs with                information, including the validity of                maltreatment that does not meet
                                                    manufacturer’s warnings, were                           the methodology and assumptions used;                 thresholds for clinical significance, but
                                                    determined to have one or more                          (c) Enhance the quality, utility, and                 is nonetheless detrimental to child
                                                    characteristics of a hazardous drug and                 clarity of the information to be                      health.
                                                    this list of 36 drugs is being published                collected; (d) Minimize the burden of
                                                                                                                                                                     Parent training is arguably the single
                                                    for comment in CDC–2015–0034 and                        the collection of information on those
                                                                                                                                                                  most effective prevention initiative
                                                    NIOSH Docket Number 233–A. The list                     who are to respond, including through
                                                    of proposed additions can be found at                                                                         developed to date. Although there are
                                                                                                            the use of appropriate automated,
                                                    www.regulations.gov.                                                                                          potentially far-reaching impacts of
                                                                                                            electronic, mechanical, or other
                                                                                                                                                                  parent training to improve public
                                                      Dated: May 20, 2015.                                  technological collection techniques or
                                                                                                                                                                  health, empirically-supported parent
                                                    John Howard,                                            other forms of information technology,
                                                                                                                                                                  training is not widely available. The
                                                    Director, National Institute for Occupational
                                                                                                            e.g., permitting electronic submission of
                                                                                                                                                                  public health challenge is how to make
                                                    Safety and Health, Centers for Disease Control          responses; and (e) Assess information
                                                                                                                                                                  the content of these empirically-
                                                    and Prevention.                                         collection costs.
                                                                                                               To request additional information on               supported parent training programs—
                                                    [FR Doc. 2015–12857 Filed 5–27–15; 8:45 am]                                                                   which largely focus on the same
                                                                                                            the proposed project or to obtain a copy
                                                    BILLING CODE 4163–19–P
                                                                                                            of the information collection plan and                parenting skills and approaches—
                                                                                                            instruments, call (404) 639–7570 or                   accessible to the majority of American
                                                                                                            send an email to omb@cdc.gov. Written                 parents.
                                                    DEPARTMENT OF HEALTH AND
                                                    HUMAN SERVICES                                          comments and/or suggestions regarding                    To leverage the strength of
                                                                                                            the items contained in this notice                    empirically supported parent training as
                                                    Centers for Disease Control and                         should be directed to the Attention:                  a broadly disseminated prevention tool,
                                                    Prevention                                              CDC Desk Officer, Office of Management                the CDC has developed a resource tool
                                                                                                            and Budget, Washington, DC 20503 or                   called ‘‘Essentials for Parenting
                                                    [30Day–15–15KZ]
                                                                                                            by fax to (202) 395–5806. Written                     Toddlers and Preschoolers (EFP)’’. This
                                                    Agency Forms Undergoing Paperwork                       comments should be received within 30                 web-based resource includes the typical
                                                    Reduction Act Review                                    days of this notice.                                  content of empirically supported parent
                                                                                                                                                                  training programs and uses a
                                                       The Centers for Disease Control and                  Proposed Project
                                                                                                                                                                  psychoeducational approach including
                                                    Prevention (CDC) has submitted the                        Research on the Efficacy and                        modeling (through its videos) and
                                                    following information collection request                Feasibility of Essentials for Parenting               practice (through its activities).
                                                    to the Office of Management and Budget                  Toddlers and Preschoolers—New—
                                                                                                                                                                     This study is an empirical evaluation
                                                    (OMB) for review and approval in                        National Center for Injury Prevention
                                                    accordance with the Paperwork                                                                                 using an intensive repeated measures
                                                                                                            and Control (NCIPC), Centers for
                                                    Reduction Act of 1995. The notice for                                                                         design to test the efficacy, feasibility,
                                                                                                            Disease Control and Prevention (CDC).
                                                    the proposed information collection is                                                                        and use of EFP as administered in
                                                    published to obtain comments from the                   Background and Brief Description                      guided and unguided formats. The
                                                    public and affected agencies.                              The Centers for Disease Control and                proposed data collection fits into
                                                       Written comments and suggestions                     Prevention (CDC) seeks a two-year OMB                 NCIPC’s research agenda’s priorities in
                                                    from the public and affected agencies                   approval to conduct a new information                 preventing child maltreatment.
                                                    concerning the proposed collection of                   collection for a study entitled,                         There are no costs to respondents
                                                    information are encouraged. Your                        ‘‘Research on the Efficacy and                        other than their time. The total
                                                    comments should address any of the                      Feasibility of Essentials for Parenting               estimated annual burden hours are
                                                    following: (a) Evaluate whether the                     Toddlers and Preschoolers’’.                          2,050.

                                                                                                           ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                   Average
                                                                                                                                                                                   Number of
                                                                                                                                                                 Number of                       burden per
                                                                 Type of respondents                                          Form name                                          responses per
                                                                                                                                                                respondents                       response
                                                                                                                                                                                   respondent     (in hours)

                                                    Parents (both Natural Navigation [NN] and             Form 1—Screening and Demographics                                400               1          15/60
                                                      Guided Navigation [GN] groups).                       Questionnaires—Attachment I1.
                                                                                                          Form 2—Detailed Assessment Measures—                             200               2          45/60
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                                                                                                            Attachment I2.
                                                                                                          Form 3—Core Assessment Measures (Rotat-                          200              18          15/60
                                                                                                            ing)—Attachment I3.
                                                                                                          Form 4—Parental EFP Skills Knowledge                             200               8          15/60
                                                                                                            Scale—Attachment I4.
                                                                                                          Form 5—Parental EFP Skills Usefulness                            200               6          15/60
                                                                                                            Scale—Attachment I5.




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Document Created: 2018-02-21 10:33:40
Document Modified: 2018-02-21 10:33:40
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of draft document available for public comment.
DatesElectronic or written comments must be received by July 27, 2015.
Contact<bullet> SUPPLEMENTARY INFORMATION:
FR Citation80 FR 30463 

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