80_FR_53975 80 FR 53802 - A Vapor Containment Performance Protocol for Closed System Transfer Devices Used During Pharmacy Compounding and Administration of Hazardous Drugs; Request for Comment

80 FR 53802 - A Vapor Containment Performance Protocol for Closed System Transfer Devices Used During Pharmacy Compounding and Administration of Hazardous Drugs; Request for Comment

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

Federal Register Volume 80, Issue 173 (September 8, 2015)

Page Range53802-53803
FR Document2015-22525

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 A Vapor Containment Performance Protocol for Closed System Transfer Devices Used During Pharmacy Compounding and Administration of Hazardous Drugs. 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 173 (Tuesday, September 8, 2015)
[Federal Register Volume 80, Number 173 (Tuesday, September 8, 2015)]
[Notices]
[Pages 53802-53803]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-22525]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[CDC-2015-0075, Docket Number NIOSH-288]


A Vapor Containment Performance Protocol for Closed System 
Transfer Devices Used During Pharmacy Compounding and Administration of 
Hazardous Drugs; 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 A Vapor Containment Performance Protocol for Closed 
System Transfer Devices Used During Pharmacy Compounding and 
Administration of Hazardous Drugs. 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 November 9, 
2015.

ADDRESSES: You may submit comments, identified by CDC-2015-0075 and 
Docket Number NIOSH-288, by either of the two following methods:
     Federal eRulemaking Portal: www.regulations.gov Follow the 
instructions for submitting comments.
     Mail: NIOSH Docket Office, Robert A. Taft Laboratories, 
1090 Tusculum Avenue, MS-C34, Cincinnati, Ohio 45226.
    Instructions: All information received in response to this notice 
must include the agency name and the docket number (CDC-2015-0075; 
NIOSH-288). 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-2015-0075 and Docket Number NIOSH-
288. 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 45226-1998.

FOR FURTHER INFORMATION CONTACT: Deborah V. Hirst, NIOSH, Division of 
Applied Research and Technology, Alice Hamilton Laboratories, 1090 
Tusculum Avenue, MS R-5, Cincinnati, Ohio 45226, (513) 841-4141 (not a 
toll free number), Email: [email protected].

SUPPLEMENTARY INFORMATION: The purpose of the protocol is to test a 
closed system transfer device's (CSTD) capability to perform as a 
closed system. During an evaluation of the protocol,

[[Page 53803]]

registered pharmacists, familiar with the use of CSTDs, tested the 
protocol's prescribed compounding and administration tasks using five 
commercially available CSTDs. They also performed the assigned tasks 
using a negative control condition without a CSTD. Prescribed tasks 
were performed in a NIOSH-developed environmental test chamber with 70% 
isopropyl alcohol (IPA) as the challenge agent. A highly specific gas 
analyzer, with measurement capabilities specific to IPA and with a low 
limit of detection (LOD), was used to detect vapor concentrations of 
escaped IPA during the tasks. The protocol is not intended for CSTDs 
designed to operate using air-cleaning technologies. This protocol has 
multiple applications and can be used by manufacturers to evaluate 
prototype CSTDs, by consumers to compare CSTD products, or by 
jurisdictions wishing to adopt the protocol for a CSTD performance 
certification procedure.
    A panel consisting of peer reviewers and stakeholders was asked to 
review and comment on the draft guidance document and protocol. NIOSH 
reviewed the recommendations of the peer reviewers and stakeholders 
then made the final determination regarding document content as well as 
the decision not to propose a specific pass/fail performance threshold. 
The protocol is being published for comment in CDC-2015-0075 and Docket 
Number NIOSH-288 and can be found at www.regulations.gov.

    Dated: September 1, 2015.
John Howard,
Director, National Institute for Occupational Safety and Health, 
Centers for Disease Control and Prevention.
[FR Doc. 2015-22525 Filed 9-4-15; 8:45 am]
 BILLING CODE 4163-19-P



                                                    53802                              Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices

                                                    information is aircraft traveling within                                almost always submitted electronically                                        the facilitation of reporting using
                                                    the United States.                                                      via radio, so the current Master of                                           electronic means, i.e., Air Traffic
                                                      This revision makes several                                           Vessel or Conveyance Illness Report has                                       Control and the Domestic Events
                                                    modification to this information                                        been rendered obsolete. In addition,                                          Network for domestic flights.
                                                    collection. They are as follows:                                        CDC has issued guidance stating that                                            The resulting change in burden is a
                                                      • In current practice, CDC does not                                   reports to CDC, instead of local health                                       reduction of 3,678 hours.
                                                    process applications for travel permits.                                authorities, regarding domestic reports                                         For reports of death or communicable
                                                    The issuance of travel restrictions is a                                of communicable disease or death on                                           disease made by master of a vessel or
                                                    collaborative process between public                                    board conveyances meet the                                                    person in charge of a conveyance
                                                    health partners, e.g., state health                                     requirements of the regulation;                                               engaged in interstate traffic, the
                                                    departments, the Department of                                          therefore, information collections                                            requested burden is approximately 23
                                                    Homeland Security, and CDC. There is                                    related to copies sent to state health                                        hours. This total is estimated from 200
                                                    no standardized collection of                                           departments are no longer necessary.                                          respondents submitting domestic
                                                    information involved. This change                                       This primary concerns interstate flights.                                     reports of death or communicable
                                                    results in the removal of the Ill Person                                   • CDC is also requesting an                                                disease a year, with an average burden
                                                    Travel Permit from the list of                                          adjustment to the burden associated                                           of 7 minutes per report. This totals 23
                                                    information collections as well as the                                  with reports of communicable disease or                                       hours. There is no burden to
                                                    removal of the associated burden.                                       death from domestic conveyances. CDC                                          respondents other than the time
                                                      • Reports of communicable disease or                                  is reducing the burden from 15 minutes                                        required to make the report of illness or
                                                    death from domestic conveyances are                                     per report to 7 minutes. This is due to                                       death.

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

                                                    Master of a vessel or person in                          42 CFR 70.4 Report by the master                                                200                           1                     7/60                 23
                                                     charge of a conveyance.                                   of a vessel or person in charge of
                                                                                                               conveyance of the incidence of a
                                                                                                               communicable disease occurring
                                                                                                               while in interstate travel.

                                                         Total ...........................................   ...........................................................   ........................   ........................   ........................             23



                                                    Leroy A. Richardson,                                                    SUMMARY:  The National Institute for                                          Avenue, MS–C34, Cincinnati, Ohio
                                                    Chief, Information Collection Review Office,                            Occupational Safety and Health                                                45226.
                                                    Office of Scientific Integrity, Office of the                           (NIOSH) of the Centers for Disease                                               Instructions: All information received
                                                    Associate Director for Science, Office of the                           Control and Prevention (CDC)                                                  in response to this notice must include
                                                    Director, Centers for Disease Control and                               announces the availability of the                                             the agency name and the docket number
                                                    Prevention.                                                             following draft document for public                                           (CDC–2015–0075; NIOSH–288). All
                                                    [FR Doc. 2015–22549 Filed 9–4–15; 8:45 am]                              comment entitled A Vapor Containment                                          relevant comments received will be
                                                    BILLING CODE 4163–18–P                                                  Performance Protocol for Closed System                                        posted without change to
                                                                                                                            Transfer Devices Used During Pharmacy                                         www.regulations.gov, including any
                                                                                                                            Compounding and Administration of                                             personal information provided. All
                                                    DEPARTMENT OF HEALTH AND                                                Hazardous Drugs. The document and                                             electronic comments should be
                                                    HUMAN SERVICES                                                          instructions for submitting comments                                          formatted as Microsoft Word. Please
                                                    Centers for Disease Control and                                         can be found at www.regulations.gov.                                          make reference to CDC–2015–0075 and
                                                                                                                              This guidance document does not                                             Docket Number NIOSH–288. All
                                                    Prevention
                                                                                                                            have the force and effect of law.                                             information received in response to this
                                                    [CDC–2015–0075, Docket Number NIOSH–                                                                                                                  notice will also be available for public
                                                    288]                                                                    Table of Contents
                                                                                                                                                                                                          examination and copying at the NIOSH
                                                                                                                                • DATES:                                                                  Docket Office, 1150 Tusculum Avenue,
                                                    A Vapor Containment Performance                                             • ADDRESSES:                                                              Room 155, Cincinnati, OH 45226–1998.
                                                    Protocol for Closed System Transfer                                         • FOR FURTHER INFORMATION
                                                    Devices Used During Pharmacy                                                  CONTACT:                                                                FOR FURTHER INFORMATION CONTACT:
                                                    Compounding and Administration of                                           • SUPPLEMENTARY INFORMATION:                                              Deborah V. Hirst, NIOSH, Division of
                                                    Hazardous Drugs; Request for                                                                                                                          Applied Research and Technology,
                                                                                                                            DATES:  Electronic or written comments
                                                    Comment                                                                                                                                               Alice Hamilton Laboratories, 1090
                                                                                                                            must be received by November 9, 2015.
                                                                                                                                                                                                          Tusculum Avenue, MS R–5, Cincinnati,
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    AGENCY:  National Institute for                                         ADDRESSES: You may submit comments,
                                                                                                                                                                                                          Ohio 45226, (513) 841–4141 (not a toll
                                                    Occupational Safety and Health                                          identified by CDC–2015–0075 and                                               free number), Email: hazardousdrugs@
                                                    (NIOSH) of the Centers for Disease                                      Docket Number NIOSH–288, by either                                            cdc.gov.
                                                    Control and Prevention (CDC),                                           of the two following methods:
                                                    Department of Health and Human                                            • Federal eRulemaking Portal:                                               SUPPLEMENTARY INFORMATION:     The
                                                    Services (HHS).                                                         www.regulations.gov Follow the                                                purpose of the protocol is to test a
                                                                                                                            instructions for submitting comments.                                         closed system transfer device’s (CSTD)
                                                    ACTION: Notice of draft document
                                                                                                                              • Mail: NIOSH Docket Office, Robert                                         capability to perform as a closed system.
                                                    available for public comment.
                                                                                                                            A. Taft Laboratories, 1090 Tusculum                                           During an evaluation of the protocol,


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                                                                               Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices                                                 53803

                                                    registered pharmacists, familiar with the               concerning each proposed collection of                to publish a 30-day notice in the
                                                    use of CSTDs, tested the protocol’s                     information, including each proposed                  Federal Register concerning each
                                                    prescribed compounding and                              extension or reinstatement of an existing             proposed collection of information,
                                                    administration tasks using five                         collection of information, and to allow               including each proposed extension or
                                                    commercially available CSTDs. They                      a second opportunity for public                       reinstatement of an existing collection
                                                    also performed the assigned tasks using                 comment on the notice. Interested                     of information, before submitting the
                                                    a negative control condition without a                  persons are invited to send comments                  collection to OMB for approval. To
                                                    CSTD. Prescribed tasks were performed                   regarding the burden estimate or any                  comply with this requirement, CMS is
                                                    in a NIOSH-developed environmental                      other aspect of this collection of                    publishing this notice that summarizes
                                                    test chamber with 70% isopropyl                         information, including any of the
                                                                                                                                                                  the following proposed collection(s) of
                                                    alcohol (IPA) as the challenge agent. A                 following subjects: (1) The necessity and
                                                                                                                                                                  information for public comment:
                                                    highly specific gas analyzer, with                      utility of the proposed information
                                                    measurement capabilities specific to                    collection for the proper performance of                 1. Type of Information Collection
                                                    IPA and with a low limit of detection                   the agency’s functions; (2) the accuracy              Request: Reinstatement without change
                                                    (LOD), was used to detect vapor                         of the estimated burden; (3) ways to                  of a previously approved collection;
                                                    concentrations of escaped IPA during                    enhance the quality, utility, and clarity             Title of Information Collection: Site
                                                    the tasks. The protocol is not intended                 of the information to be collected; and               Investigation for Independent
                                                    for CSTDs designed to operate using air-                (4) the use of automated collection                   Diagnostic Testing Facilities (IDTFs);
                                                    cleaning technologies. This protocol has                techniques or other forms of information              Use: We enroll Independent Diagnostic
                                                    multiple applications and can be used                   technology to minimize the information                Testing Facilities (IDTFs) into the
                                                    by manufacturers to evaluate prototype                  collection burden.                                    Medicare program via a uniform
                                                    CSTDs, by consumers to compare CSTD                     DATES: Comments on the collection(s) of               application, the CMS 855B.
                                                    products, or by jurisdictions wishing to                information must be received by the                   Implementation of enhanced procedures
                                                    adopt the protocol for a CSTD                           OMB desk officer by October 8, 2015.                  for verifying the enrollment information
                                                    performance certification procedure.                    ADDRESSES: When commenting on the                     has improved the enrollment process as
                                                       A panel consisting of peer reviewers                 proposed information collections,
                                                    and stakeholders was asked to review                                                                          well as identified and prevented
                                                                                                            please reference the document identifier              fraudulent IDTFs from entering the
                                                    and comment on the draft guidance                       or OMB control number. To be assured
                                                    document and protocol. NIOSH                                                                                  Medicare program. As part of this
                                                                                                            consideration, comments and                           process, verification of compliance with
                                                    reviewed the recommendations of the                     recommendations must be received by
                                                    peer reviewers and stakeholders then                                                                          IDTF performance standards is
                                                                                                            the OMB desk officer via one of the                   necessary. The primary function of the
                                                    made the final determination regarding
                                                                                                            following transmissions: OMB, Office of               site investigation form for IDTFs is to
                                                    document content as well as the
                                                                                                            Information and Regulatory Affairs,
                                                    decision not to propose a specific pass/                                                                      provide a standardized, uniform tool to
                                                                                                            Attention: CMS Desk Officer, Fax
                                                    fail performance threshold. The protocol                                                                      gather information from an IDTF that
                                                                                                            Number: (202) 395–5806 OR Email:
                                                    is being published for comment in CDC–                                                                        tells us whether it meets certain
                                                                                                            OIRA_ submission@omb.eop.gov.
                                                    2015–0075 and Docket Number NIOSH–                         To obtain copies of a supporting                   standards to be a IDTF (as found in 42
                                                    288 and can be found at                                 statement and any related forms for the               CFR 410.33(g)) and where it practices or
                                                    www.regulations.gov.                                    proposed collection(s) summarized in                  renders its services. The site
                                                      Dated: September 1, 2015.                             this notice, you may make your request                investigation form has been used in the
                                                    John Howard,                                            using one of following:                               past to aid in verifying compliance with
                                                    Director, National Institute for Occupational              1. Access CMS’ Web site address at                 the required performance standards
                                                    Safety and Health, Centers for Disease Control          http://www.cms.hhs.gov/                               found in 42 CFR 410.33(g). No revisions
                                                    and Prevention.                                         PaperworkReductionActof1995.                          have been made to this form since the
                                                    [FR Doc. 2015–22525 Filed 9–4–15; 8:45 am]                 2. Email your request, including your              last submission for OMB approval. Form
                                                    BILLING CODE 4163–19–P                                  address, phone number, OMB number,                    Number: CMS–10221 (OMB Control
                                                                                                            and CMS document identifier, to                       Number: 0938–1029); Frequency:
                                                                                                            Paperwork@cms.hhs.gov.                                Occasionally; Affected Public: Private
                                                    DEPARTMENT OF HEALTH AND                                   3. Call the Reports Clearance Office at            Sector (Business or other for-profits and
                                                    HUMAN SERVICES                                          (410) 786–1326.                                       Not-for-profit institutions); Number of
                                                                                                            FOR FURTHER INFORMATION CONTACT:                      Respondents: 900; Total Annual
                                                    Centers for Medicare & Medicaid                         Reports Clearance Office at (410) 786–
                                                    Services                                                                                                      Responses: 900; Total Annual Hours:
                                                                                                            1326.                                                 1,800. (For policy questions regarding
                                                    [Document Identifier: CMS–10221]                        SUPPLEMENTARY INFORMATION: Under the                  this collection contact Kim McPhillips
                                                                                                            Paperwork Reduction Act of 1995 (PRA)                 at 410–786–5374).
                                                    Agency Information Collection                           (44 U.S.C. 3501–3520), federal agencies
                                                    Activities: Submission for OMB                                                                                   Dated: September 2, 2015.
                                                                                                            must obtain approval from the Office of
                                                    Review; Comment Request                                 Management and Budget (OMB) for each                  William N. Parham, III,
                                                                                                            collection of information they conduct                Director, Paperwork Reduction Staff, Office
                                                    ACTION:   Notice.
                                                                                                            or sponsor. The term ‘‘collection of                  of Strategic Operations and Regulatory
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    SUMMARY:  The Centers for Medicare &                    information’’ is defined in 44 U.S.C.                 Affairs.
                                                    Medicaid Services (CMS) is announcing                   3502(3) and 5 CFR 1320.3(c) and                       [FR Doc. 2015–22530 Filed 9–4–15; 8:45 am]
                                                    an opportunity for the public to                        includes agency requests or                           BILLING CODE 4120–01–P
                                                    comment on CMS’ intention to collect                    requirements that members of the public
                                                    information from the public. Under the                  submit reports, keep records, or provide
                                                    Paperwork Reduction Act of 1995                         information to a third party. Section
                                                    (PRA), federal agencies are required to                 3506(c)(2)(A) of the PRA (44 U.S.C.
                                                    publish notice in the Federal Register                  3506(c)(2)(A)) requires federal agencies


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Document Created: 2018-02-26 10:13:37
Document Modified: 2018-02-26 10:13:37
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 November 9, 2015.
Contact<bullet> SUPPLEMENTARY INFORMATION:
FR Citation80 FR 53802 

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