81_FR_12557 81 FR 12511 - Mass Spectrometry in the Clinic: Regulatory Considerations Surrounding Validation of Liquid Chromatography-Mass Spectrometry Based Devices; Public Workshop; Request for Comments

81 FR 12511 - Mass Spectrometry in the Clinic: Regulatory Considerations Surrounding Validation of Liquid Chromatography-Mass Spectrometry Based Devices; Public Workshop; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 46 (March 9, 2016)

Page Range12511-12513
FR Document2016-05220

The Food and Drug Administration (FDA) is announcing the following public workshop entitled ``Mass Spectrometry in the Clinic: Regulatory Considerations Surrounding Validation of Liquid Chromatography-Mass Spectrometry Based Devices.'' The topics to be discussed are the specific analytical and clinical study designs and considerations for validation and use of liquid chromatography/mass- spectrometry (LC/MS)-based in vitro diagnostic devices (IVDs) in the clinical laboratory. The primary focus will be on the validation considerations with protein- and peptide-based LC/MS devices.

Federal Register, Volume 81 Issue 46 (Wednesday, March 9, 2016)
[Federal Register Volume 81, Number 46 (Wednesday, March 9, 2016)]
[Notices]
[Pages 12511-12513]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-05220]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-N-0610]


Mass Spectrometry in the Clinic: Regulatory Considerations 
Surrounding Validation of Liquid Chromatography-Mass Spectrometry Based 
Devices; Public Workshop; Request for Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop; request for comments.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
following public workshop entitled ``Mass Spectrometry in the Clinic: 
Regulatory Considerations Surrounding Validation of Liquid 
Chromatography-Mass Spectrometry Based Devices.'' The topics to be 
discussed are the specific analytical and clinical study designs and 
considerations for validation and use of liquid chromatography/mass-
spectrometry (LC/MS)-based in vitro diagnostic devices (IVDs) in the 
clinical laboratory. The primary focus will be on the validation 
considerations with protein- and peptide-based LC/MS devices.

DATES: The public workshop will be held on May 2, 2016, from 8:30 a.m. 
to 5 p.m. Submit either electronic or written comments on the public 
workshop by April 20, 2016.

ADDRESSES: The public workshop will be held at FDA's White Oak Campus, 
10903 New Hampshire Ave., Bldg. 31, Rm. 1503 (The Great Room), Silver 
Spring, MD 20993. Entrance for the public meeting participants (non-FDA 
employees) is through Building 1, where routine security check 
procedures will be performed. For parking and security information, 
please refer to http://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.
    You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential,

[[Page 12512]]

if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2016-N-0610 for the ``Mass Spectrometry in the Clinic: Regulatory 
Considerations Surrounding Validation of Liquid Chromatography-Mass 
Spectrometry Based Devices'' public workshop. Received comments will be 
placed in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at http://www.regulations.gov or at 
the Division of Dockets Management between 9 a.m. and 4 p.m., Monday 
through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION''. The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Julia Tait Lathrop, Center for Devices 
and Radiological Health, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 5614, Silver Spring, MD 20993, 240-402-
5034, email: [email protected].

I. Background

    Innovations in liquid chromatography-mass spectrometry (LC/MS) 
technology have dramatically improved assay throughput and 
precision.\1\ FDA has cleared and approved several LC/MS- and MS-based 
devices as diagnostic tests, including assays for screening newborns 
for metabolic diseases, for identifying microbes from human cultures, 
and for measuring the concentrations of therapeutic drugs in blood. 
Currently, however, no LC/MS-based IVDs have been cleared or approved 
by FDA for measuring proteins and peptides. FDA would like to enhance 
engagement with the clinical LC/MS community concerning the development 
and validation of LC/MS-based devices and to work with the community 
toward developing guidelines for review that will be useful and 
relevant to both FDA and manufacturers. Prior to the workshop, FDA will 
place a discussion paper on file in the public docket (docket number 
found in brackets in the heading of this document) and will post it at 
http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm.
---------------------------------------------------------------------------

    \1\ LC/MS includes high-performance liquid chromatography, HPLC-
MS.
---------------------------------------------------------------------------

II. Topics for Discussion

    This public workshop will consist of brief presentations providing 
information to frame the goals of the workshop, followed by interactive 
panel discussions. The presentations will focus on current and 
anticipated uses for LC/MS and discussions of different validation 
approaches. Following the presentations, a moderated discussion will 
ask speakers and additional panelists to provide their individual 
perspectives. Examples of topics for discussion surrounding the 
challenges to validation that are specific to LC/MS-based protein and 
peptide IVDs include:
     Identifying pre-analytical and analytical variables that 
impact precision and reproducibility;
     Defining methods of normalization, harmonization, and the 
use of internal standards for quantitation and device calibration;
     Developing quality control materials; and
     Identifying appropriate reference materials and predicate 
devices.
    We are soliciting comments and feedback from the clinical LC/MS 
community regarding additional topics for FDA to consider. We 
anticipate that the comments and suggestions generated through this 
workshop will help facilitate the development of appropriate analytical 
and clinical validation methods for IVDs. The agenda of the workshop 
will include time for public comments. These comments can be submitted 
to the docket prior to the meeting (see ADDRESSES).
    Registration: Registration is free and early registration is 
recommended because facilities are limited and, therefore, FDA may 
limit the number of participants from each organization. Persons 
interested in attending this public workshop must register online by 4 
p.m. on April 22, 2016. If time and space permit, onsite registration 
on the day of the public workshop will be provided beginning at 7:30 
a.m.
    If you need special accommodations due to a disability, please 
contact Susan Monahan, 301-796-5661, [email protected], no 
later than April 15, 2016.
    To register for the public workshop, please visit FDA's Medical 
Devices News & Events--Workshops & Conferences calendar at http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. 
(Select this public workshop from the posted events list.) Please 
provide complete contact information for each attendee, including name, 
title, affiliation, address, email, and telephone number. Those without 
Internet access should contact Susan Monahan (contact for special 
accommodations) to register. Registrants will receive confirmation 
after they have been accepted. You will be notified if you are on a 
waiting list.
    Streaming Webcast of the Public Workshop: This public workshop will 
also be Webcast. The Webcast link will be available on the registration 
Web page after April 25, 2016. If you have never attended a Connect Pro 
event before, test your connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get a quick overview of the 
Connect Pro program, visit http://www.adobe.com/go/connectpro_overview. 
FDA has verified the Web site addresses in this document, as of the 
date this document publishes in the Federal Register, but Web sites are 
subject to change over time.
    Requests for Oral Presentations: This public workshop includes a 
public comment session and topic-focused sessions. During online 
registration you may indicate if you wish to present during a public 
comment session or

[[Page 12513]]

participate in a specific session, and which topics you wish to 
address. FDA has included general topics in this document. FDA will do 
its best to accommodate requests to make public comments and 
participate in the focused sessions. Individuals and organizations with 
common interests are urged to consolidate or coordinate their 
presentations, and request time for a joint presentation, or submit 
requests for designated representatives to participate in the focused 
sessions. Following the close of registration, FDA will determine the 
amount of time allotted to each presenter and the approximate time each 
oral presentation is to begin, and will select and notify participants 
by April 24, 2016. All requests to make oral presentations must be 
received by the close of registration at 4 p.m. on April 22, 2016. If 
selected for presentation, any presentation materials must be emailed 
to Julia Tait Lathrop (see FOR FURTHER INFORMATION CONTACT) no later 
than April 29, 2016. No commercial or promotional material will be 
permitted to be presented or distributed at the public workshop.
    FDA is holding this public workshop to obtain information on 
current and anticipated uses for LC/MS as well as different validation 
approaches. In order to permit the widest possible opportunity to 
obtain public comment, FDA is soliciting either electronic or written 
comments on all aspects of the public workshop topics. For the deadline 
for submitting comments related to this public workshop, see DATES.
    Transcripts: Please be advised that as soon as a transcript is 
available, it will be accessible at http://www.regulations.gov. It may 
be viewed at the Division of Dockets Management (see ADDRESSES). A 
transcript will also be available in either hardcopy or on CD-ROM, 
after submission of a Freedom of Information request. The Freedom of 
Information office address is available on the Agency's Web site at 
http://www.fda.gov. A link to the transcripts will also be available 
approximately 45 days after the public workshop on the Internet at 
http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the posted events list).

    Dated: March 3, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-05220 Filed 3-8-16; 8:45 am]
BILLING CODE 4164-01-P



                                                                                   Federal Register / Vol. 81, No. 46 / Wednesday, March 9, 2016 / Notices                                                                                               12511

                                                                                              TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1—Continued
                                                                                                                                                                  Number of
                                                                                                                                      Number of                                             Total annual               Average burden
                                                                21 CFR section and activity                                                                     responses per                                                                        Total hours
                                                                                                                                     respondents                                             responses                  per response
                                                                                                                                                                  respondent

                                             Supplemental Feed Mill License Application Using                                                           40                           1                         40     0.25 (15 minutes)                        10
                                                Form FDA 3448 (515.11(b)).
                                             Voluntary Revocation of Medicated Feed Mill License                                                        40                            1                       40      0.25 (15 minutes)                        10
                                                (515.23).
                                             Filing a Request for a Hearing on Medicated Feed Mill                                                        1                          1                          1     4 .........................                  4
                                                License (515.30(c)).

                                                  Total .........................................................................   ........................    ........................   ........................   ............................             29
                                                1 ‘‘There   are no capital costs or operating and maintenance costs associated with this collection of information.

                                                                                                     TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
                                                                                                                                                                   Number of                                               Average
                                                                                                                                      Number of                                             Total annual
                                                                21 CFR section and activity                                                                       records per                                             burden per                 Total hours
                                                                                                                                    recordkeepers                                             records
                                                                                                                                                                 recordkeeper                                           recordkeeping

                                             Maintenance of Records for Approved Labeling for                                                        890                              1                      890      0.03 (2 minutes)                       26.7
                                              Each ‘‘Type B’’ and ‘‘Type C’’ Feed (510.305).
                                                1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                These estimates are based on our                                      SUMMARY:   The Food and Drug                                                    • Federal eRulemaking Portal: http://
                                             experience with medicated feed mill                                      Administration (FDA) is announcing the                                        www.regulations.gov. Follow the
                                             license applications. We estimate that                                   following public workshop entitled                                            instructions for submitting comments.
                                             we will receive 20 medicated feed mill                                   ‘‘Mass Spectrometry in the Clinic:                                            Comments submitted electronically,
                                             license applications, 40 supplemental                                    Regulatory Considerations Surrounding                                         including attachments, to http://
                                             applications, 40 requests for voluntary                                  Validation of Liquid Chromatography-                                          www.regulations.gov will be posted to
                                             revocation, and that these submissions                                   Mass Spectrometry Based Devices.’’ The                                        the docket unchanged. Because your
                                             will take approximately 15 minutes per                                   topics to be discussed are the specific                                       comment will be made public, you are
                                             response, as shown in table 1, rows 1                                    analytical and clinical study designs                                         solely responsible for ensuring that your
                                             through 3. We estimate that preparing a                                  and considerations for validation and                                         comment does not include any
                                             request for a hearing under 21 CFR                                       use of liquid chromatography/mass-                                            confidential information that you or a
                                             515.30(c) takes approximately 4 hours,                                   spectrometry (LC/MS)-based in vitro                                           third party may not wish to be posted,
                                             as shown in table 1, row 4. In table 2,                                  diagnostic devices (IVDs) in the clinical                                     such as medical information, your or
                                             we estimate that 890 licensees will keep                                 laboratory. The primary focus will be on                                      anyone else’s Social Security number, or
                                             the records required by 21 CFR 510.305                                   the validation considerations with                                            confidential business information, such
                                             expending a total of 26.7 hours                                          protein- and peptide-based LC/MS                                              as a manufacturing process. Please note
                                             annually.                                                                devices.                                                                      that if you include your name, contact
                                               Dated: March 2, 2016.                                                                                                                                information, or other information that
                                                                                                                      DATES: The public workshop will be
                                                                                                                                                                                                    identifies you in the body of your
                                             Leslie Kux,                                                              held on May 2, 2016, from 8:30 a.m. to
                                                                                                                                                                                                    comments, that information will be
                                             Associate Commissioner for Policy.                                       5 p.m. Submit either electronic or
                                                                                                                                                                                                    posted on http://www.regulations.gov.
                                                                                                                      written comments on the public
                                             [FR Doc. 2016–05214 Filed 3–8–16; 8:45 am]
                                                                                                                                                                                                      • If you want to submit a comment
                                             BILLING CODE 4164–01–P                                                   workshop by April 20, 2016.
                                                                                                                                                                                                    with confidential information that you
                                                                                                                      ADDRESSES: The public workshop will                                           do not wish to be made available to the
                                                                                                                      be held at FDA’s White Oak Campus,                                            public, submit the comment as a
                                             DEPARTMENT OF HEALTH AND                                                 10903 New Hampshire Ave., Bldg. 31,                                           written/paper submission and in the
                                             HUMAN SERVICES                                                           Rm. 1503 (The Great Room), Silver                                             manner detailed (see ‘‘Written/Paper
                                                                                                                      Spring, MD 20993. Entrance for the                                            Submissions’’ and ‘‘Instructions’’).
                                             Food and Drug Administration                                             public meeting participants (non-FDA
                                                                                                                      employees) is through Building 1, where                                       Written/Paper Submissions
                                             [Docket No. FDA–2016–N–0610]                                             routine security check procedures will                                          Submit written/paper submissions as
                                                                                                                      be performed. For parking and security                                        follows:
                                             Mass Spectrometry in the Clinic:                                         information, please refer to http://                                            • Mail/Hand delivery/Courier (for
                                             Regulatory Considerations                                                www.fda.gov/AboutFDA/                                                         written/paper submissions): Division of
                                             Surrounding Validation of Liquid                                         WorkingatFDA/BuildingsandFacilities/                                          Dockets Management (HFA–305), Food
                                             Chromatography-Mass Spectrometry                                         WhiteOakCampusInformation/                                                    and Drug Administration, 5630 Fishers
                                             Based Devices; Public Workshop;
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                                                                                                                      ucm241740.htm.                                                                Lane, Rm. 1061, Rockville, MD 20852.
                                             Request for Comments                                                       You may submit comments as                                                    • For written/paper comments
                                             AGENCY:      Food and Drug Administration,                               follows:                                                                      submitted to the Division of Dockets
                                             HHS.                                                                                                                                                   Management, FDA will post your
                                                                                                                      Electronic Submissions
                                                                                                                                                                                                    comment, as well as any attachments,
                                             ACTION: Notice of public workshop;
                                                                                                                        Submit electronic comments in the                                           except for information submitted,
                                             request for comments.
                                                                                                                      following way:                                                                marked and identified, as confidential,


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                                             12512                        Federal Register / Vol. 81, No. 46 / Wednesday, March 9, 2016 / Notices

                                             if submitted as detailed in                             Administration, 10903 New Hampshire                   community regarding additional topics
                                             ‘‘Instructions.’’                                       Ave., Bldg. 66, Rm. 5614, Silver Spring,              for FDA to consider. We anticipate that
                                                Instructions: All submissions received               MD 20993, 240–402–5034, email:                        the comments and suggestions
                                             must include the Docket No. FDA–                        julia.lathrop@fda.hhs.gov.                            generated through this workshop will
                                             2016–N–0610 for the ‘‘Mass                                                                                    help facilitate the development of
                                                                                                     I. Background                                         appropriate analytical and clinical
                                             Spectrometry in the Clinic: Regulatory
                                             Considerations Surrounding Validation                      Innovations in liquid                              validation methods for IVDs. The
                                             of Liquid Chromatography-Mass                           chromatography-mass spectrometry (LC/                 agenda of the workshop will include
                                             Spectrometry Based Devices’’ public                     MS) technology have dramatically                      time for public comments. These
                                             workshop. Received comments will be                     improved assay throughput and                         comments can be submitted to the
                                             placed in the docket and, except for                    precision.1 FDA has cleared and                       docket prior to the meeting (see
                                             those submitted as ‘‘Confidential                       approved several LC/MS- and MS-based                  ADDRESSES).
                                             Submissions,’’ publicly viewable at                     devices as diagnostic tests, including                  Registration: Registration is free and
                                             http://www.regulations.gov or at the                    assays for screening newborns for                     early registration is recommended
                                             Division of Dockets Management                          metabolic diseases, for identifying                   because facilities are limited and,
                                             between 9 a.m. and 4 p.m., Monday                       microbes from human cultures, and for                 therefore, FDA may limit the number of
                                             through Friday.                                         measuring the concentrations of                       participants from each organization.
                                                • Confidential Submissions—To                        therapeutic drugs in blood. Currently,                Persons interested in attending this
                                             submit a comment with confidential                      however, no LC/MS-based IVDs have                     public workshop must register online by
                                             information that you do not wish to be                  been cleared or approved by FDA for                   4 p.m. on April 22, 2016. If time and
                                             made publicly available, submit your                    measuring proteins and peptides. FDA                  space permit, onsite registration on the
                                             comments only as a written/paper                        would like to enhance engagement with                 day of the public workshop will be
                                             submission. You should submit two                       the clinical LC/MS community                          provided beginning at 7:30 a.m.
                                             copies total. One copy will include the                 concerning the development and                          If you need special accommodations
                                             information you claim to be confidential                validation of LC/MS-based devices and                 due to a disability, please contact Susan
                                             with a heading or cover note that states                to work with the community toward                     Monahan, 301–796–5661,
                                             ‘‘THIS DOCUMENT CONTAINS                                developing guidelines for review that                 susan.monahan@fda.hhs.gov, no later
                                             CONFIDENTIAL INFORMATION’’. The                         will be useful and relevant to both FDA               than April 15, 2016.
                                                                                                     and manufacturers. Prior to the                         To register for the public workshop,
                                             Agency will review this copy, including
                                                                                                     workshop, FDA will place a discussion                 please visit FDA’s Medical Devices
                                             the claimed confidential information, in
                                                                                                     paper on file in the public docket                    News & Events—Workshops &
                                             its consideration of comments. The
                                                                                                     (docket number found in brackets in the               Conferences calendar at http://
                                             second copy, which will have the
                                                                                                     heading of this document) and will post               www.fda.gov/MedicalDevices/
                                             claimed confidential information
                                                                                                     it at http://www.fda.gov/                             NewsEvents/WorkshopsConferences/
                                             redacted/blacked out, will be available
                                                                                                     MedicalDevices/NewsEvents/                            default.htm. (Select this public
                                             for public viewing and posted on                                                                              workshop from the posted events list.)
                                             http://www.regulations.gov. Submit                      WorkshopsConferences/default.htm.
                                                                                                                                                           Please provide complete contact
                                             both copies to the Division of Dockets                  II. Topics for Discussion                             information for each attendee, including
                                             Management. If you do not wish your                                                                           name, title, affiliation, address, email,
                                             name and contact information to be                         This public workshop will consist of
                                                                                                     brief presentations providing                         and telephone number. Those without
                                             made publicly available, you can                                                                              Internet access should contact Susan
                                             provide this information on the cover                   information to frame the goals of the
                                                                                                     workshop, followed by interactive panel               Monahan (contact for special
                                             sheet and not in the body of your                                                                             accommodations) to register. Registrants
                                             comments and you must identify this                     discussions. The presentations will
                                                                                                     focus on current and anticipated uses                 will receive confirmation after they have
                                             information as ‘‘confidential.’’ Any                                                                          been accepted. You will be notified if
                                             information marked as ‘‘confidential’’                  for LC/MS and discussions of different
                                                                                                     validation approaches. Following the                  you are on a waiting list.
                                             will not be disclosed except in                                                                                 Streaming Webcast of the Public
                                             accordance with 21 CFR 10.20 and other                  presentations, a moderated discussion
                                                                                                     will ask speakers and additional                      Workshop: This public workshop will
                                             applicable disclosure law. For more                                                                           also be Webcast. The Webcast link will
                                             information about FDA’s posting of                      panelists to provide their individual
                                                                                                     perspectives. Examples of topics for                  be available on the registration Web
                                             comments to public dockets, see 80 FR                                                                         page after April 25, 2016. If you have
                                             56469, September 18, 2015, or access                    discussion surrounding the challenges
                                                                                                     to validation that are specific to LC/MS-             never attended a Connect Pro event
                                             the information at: http://www.fda.gov/                                                                       before, test your connection at https://
                                             regulatoryinformation/dockets/                          based protein and peptide IVDs include:
                                                                                                        • Identifying pre-analytical and                   collaboration.fda.gov/common/help/en/
                                             default.htm.                                                                                                  support/meeting_test.htm. To get a
                                                Docket: For access to the docket to                  analytical variables that impact
                                                                                                     precision and reproducibility;                        quick overview of the Connect Pro
                                             read background documents or the                                                                              program, visit http://www.adobe.com/
                                             electronic and written/paper comments                      • Defining methods of normalization,
                                                                                                     harmonization, and the use of internal                go/connectpro_overview. FDA has
                                             received, go to http://                                                                                       verified the Web site addresses in this
                                             www.regulations.gov and insert the                      standards for quantitation and device
                                                                                                     calibration;                                          document, as of the date this document
                                             docket number, found in brackets in the                                                                       publishes in the Federal Register, but
                                             heading of this document, into the                         • Developing quality control
                                                                                                     materials; and                                        Web sites are subject to change over
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                                             ‘‘Search’’ box and follow the prompts
                                                                                                        • Identifying appropriate reference                time.
                                             and/or go to the Division of Dockets                                                                            Requests for Oral Presentations: This
                                                                                                     materials and predicate devices.
                                             Management, 5630 Fishers Lane, Rm.                                                                            public workshop includes a public
                                                                                                        We are soliciting comments and
                                             1061, Rockville, MD 20852.                                                                                    comment session and topic-focused
                                                                                                     feedback from the clinical LC/MS
                                             FOR FURTHER INFORMATION CONTACT: Julia                                                                        sessions. During online registration you
                                             Tait Lathrop, Center for Devices and                      1 LC/MS includes high-performance liquid            may indicate if you wish to present
                                             Radiological Health, Food and Drug                      chromatography, HPLC–MS.                              during a public comment session or


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                                                                          Federal Register / Vol. 81, No. 46 / Wednesday, March 9, 2016 / Notices                                                      12513

                                             participate in a specific session, and                  DEPARTMENT OF HEALTH AND                                  including the applicable Medicaid State
                                             which topics you wish to address. FDA                   HUMAN SERVICES                                            plan.
                                             has included general topics in this                                                                                 Dated: March 3, 2016.
                                             document. FDA will do its best to                       Indian Health Service
                                                                                                                                                               Mary Smith,
                                             accommodate requests to make public
                                             comments and participate in the                         Reimbursement Rates for Calendar                          Principal Deputy Director, Indian Health
                                                                                                     Year 2016                                                 Service.
                                             focused sessions. Individuals and
                                                                                                                                                               [FR Doc. 2016–05252 Filed 3–8–16; 8:45 am]
                                             organizations with common interests are                 AGENCY: Indian Health Service, HHS.
                                             urged to consolidate or coordinate their                ACTION: Notice.
                                                                                                                                                               BILLING CODE 4160–16–P

                                             presentations, and request time for a
                                             joint presentation, or submit requests for              SUMMARY:    Notice is given that the
                                             designated representatives to participate               Principal Deputy Director of the Indian                   DEPARTMENT OF HEALTH AND
                                             in the focused sessions. Following the                  Health Service (IHS), under the                           HUMAN SERVICES
                                             close of registration, FDA will                         authority of sections 321(a) and 322(b)
                                                                                                     of the Public Health Service Act (42                      National Institutes of Health
                                             determine the amount of time allotted to
                                             each presenter and the approximate                      U.S.C. 248 and 249(b)), Public Law 83–
                                                                                                     568 (42 U.S.C. 2001(a)), and the Indian                   National Center for Complementary
                                             time each oral presentation is to begin,                                                                          and Integrative Health; Notice of
                                             and will select and notify participants                 Health Care Improvement Act (25 U.S.C.
                                                                                                     1601 et seq.), has approved the                           Closed Meeting
                                             by April 24, 2016. All requests to make
                                             oral presentations must be received by                  following rates for inpatient and
                                                                                                     outpatient medical care provided by IHS                     Pursuant to section 10(d) of the
                                             the close of registration at 4 p.m. on                                                                            Federal Advisory Committee Act, as
                                                                                                     facilities for Calendar Year 2016 for
                                             April 22, 2016. If selected for                                                                                   amended (5 U.S.C. App.), notice is
                                                                                                     Medicare and Medicaid beneficiaries,
                                             presentation, any presentation materials                                                                          hereby given of the following meeting.
                                                                                                     beneficiaries of other Federal programs,
                                             must be emailed to Julia Tait Lathrop
                                                                                                     and for recoveries under the Federal                        The meeting will be closed to the
                                             (see FOR FURTHER INFORMATION CONTACT)                   Medical Care Recovery Act (42 U.S.C.                      public in accordance with the
                                             no later than April 29, 2016. No                        2651–2653). The Medicare Part A                           provisions set forth in sections
                                             commercial or promotional material                      inpatient rates are excluded from the                     552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
                                             will be permitted to be presented or                    table below as they are paid based on                     as amended. The grant applications and
                                             distributed at the public workshop.                     the prospective payment system. Since                     the discussions could disclose
                                                FDA is holding this public workshop                  the inpatient per diem rates set forth                    confidential trade secrets or commercial
                                             to obtain information on current and                    below do not include all physician                        property such as patentable material,
                                             anticipated uses for LC/MS as well as                   services and practitioner services,                       and personal information concerning
                                             different validation approaches. In order               additional payment shall be available to                  individuals associated with the grant
                                             to permit the widest possible                           the extent that those services are                        applications, the disclosure of which
                                             opportunity to obtain public comment,                   provided.
                                                                                                                                                               would constitute a clearly unwarranted
                                             FDA is soliciting either electronic or                                                                            invasion of personal privacy.
                                             written comments on all aspects of the                   INPATIENT HOSPITAL PER DIEM RATE
                                             public workshop topics. For the                           (EXCLUDES       PHYSICIAN/PRACTI-                         Name of Committee: National Center for
                                                                                                       TIONER SERVICES)                                        Complementary and Integrative Health
                                             deadline for submitting comments
                                                                                                                                                               Special Emphasis Panel; Mind and Body
                                             related to this public workshop, see                                    [Calendar year 2016]
                                                                                                                                                               Interventions.
                                             DATES.
                                                                                                                                                                 Date: April 8, 2016.
                                                Transcripts: Please be advised that as                Lower 48 States ................                $2,655     Time: 8:00 a.m. to 8:00 p.m.
                                                                                                      Alaska ...............................           3,335
                                             soon as a transcript is available, it will                                                                          Agenda: To review and evaluate grant
                                                                                                     Outpatient per Visit Rate
                                             be accessible at http://                                 (Excluding Medicare):                                    applications.
                                             www.regulations.gov. It may be viewed                    Lower 48 States ................                   368     Place: Bethesda North Marriott Hotel &
                                             at the Division of Dockets Management                    Alaska ...............................             603   Conference Center, 5701 Marinelli Road,
                                             (see ADDRESSES). A transcript will also                 Outpatient Per Visit Rate                                 Bethesda, MD 20852.
                                             be available in either hardcopy or on                    (Medicare):                                                Contact Person: Martina Schmidt, Ph.D.,
                                             CD–ROM, after submission of a                            Lower 48 States ................                   324   Scientific Review Officer, Office of Scientific
                                             Freedom of Information request. The                      Alaska ...............................             582   Review, National Center for Complementary
                                                                                                     Medicare Part B Inpatient                                 and Integrative Health, NIH, 6707 Democracy
                                             Freedom of Information office address is                 Ancillary Per Diem Rate:
                                             available on the Agency’s Web site at                                                                             Blvd., Suite 401, Bethesda, MD 20892, 301–
                                                                                                      Lower 48 States ................                   637   594–3456, schmidma@mail.nih.gov.
                                             http://www.fda.gov. A link to the                        Alaska ...............................           1,082
                                             transcripts will also be available                      Outpatient Surgery Rate                                   (Catalogue of Federal Domestic Assistance
                                             approximately 45 days after the public                   (Medicare):                                              Program Nos. 93.213, Research and Training
                                             workshop on the Internet at http://                      Established Medicare rates                               in Complementary and Alternative Medicine,
                                             www.fda.gov/MedicalDevices/                                 for freestanding Ambula-                              National Institutes of Health, HHS)
                                                                                                         tory Surgery Centers..
                                             NewsEvents/WorkshopsConferences/
                                                                                                                                                                 Dated: March 3, 2016.
                                             default.htm. (Select this public
                                                                                                     Effective Date for Calendar Year 2016                     Michelle Trout,
Lhorne on DSK5TPTVN1PROD with NOTICES




                                             workshop from the posted events list).
                                                                                                     Rates                                                     Program Analyst, Office of Federal Advisory
                                               Dated: March 3, 2016.                                                                                           Committee Policy.
                                                                                                       Consistent with previous annual rate
                                             Leslie Kux,                                                                                                       [FR Doc. 2016–05197 Filed 3–8–16; 8:45 am]
                                                                                                     revisions, the Calendar Year 2016 rates
                                             Associate Commissioner for Policy.                      will be effective for services provided                   BILLING CODE 4140–01–P
                                             [FR Doc. 2016–05220 Filed 3–8–16; 8:45 am]              on/or after January 1, 2016 to the extent
                                             BILLING CODE 4164–01–P                                  consistent with payment authorities


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Document Created: 2016-03-09 00:13:00
Document Modified: 2016-03-09 00:13:00
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 public workshop; request for comments.
DatesThe public workshop will be held on May 2, 2016, from 8:30 a.m. to 5 p.m. Submit either electronic or written comments on the public workshop by April 20, 2016.
ContactJulia Tait Lathrop, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5614, Silver Spring, MD 20993, 240-402- 5034, email: [email protected]
FR Citation81 FR 12511 

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