81_FR_20717 81 FR 20649 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

81 FR 20649 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 81, Issue 68 (April 8, 2016)

Page Range20649-20650
FR Document2016-08110

In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Health Resources and Services Administration (HRSA) has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period.

Federal Register, Volume 81 Issue 68 (Friday, April 8, 2016)
[Federal Register Volume 81, Number 68 (Friday, April 8, 2016)]
[Notices]
[Pages 20649-20650]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-08110]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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

SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period.

DATES: Comments on this ICR should be received no later than May 9, 
2016.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to 
[email protected] or by fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the HRSA Information 
Collection Clearance Officer at [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION:
    Information Collection Request Title: Enrollment and Re-
Certification of Entities in the 340B Drug Pricing Program and 
Collection of Manufacturer Data to Verify 340B Drug Pricing Program 
Ceiling Price Calculations.

OMB No. 0915-0327--Revision

    Abstract: Section 602 of Public Law 102-585, the Veterans Health 
Care Act of 1992, enacted as Section 340B of the Public Health Service 
Act (PHS Act; ``Limitation on Prices of Drugs Purchased by Covered 
Entities''), provides that the Secretary of Health and Human Services 
will enter into a Pharmaceutical Pricing Agreement (PPA) with each 
manufacturer of covered outpatient drugs in which the manufacturer 
agrees to charge a price for covered outpatient drugs that will not 
exceed the average manufacturer price decreased by a rebate percentage. 
Under this PPA, a manufacturer agrees not to charge a price for covered 
outpatient drugs that exceeds an amount determined under a statutory 
formula (ceiling price). A manufacturer subject to a PPA must offer all 
covered outpatient drugs at no more than the ceiling price to a covered 
entity listed in the 340B Program database if such drug is made 
available to any other purchaser at any price. The manufacturer shall 
rely on the information in the 340B database to determine if the 
covered entity is participating in the 340B Program or for any 
notifications of changes to eligibility that may occur within a 
quarter. By signing the PPA, the manufacturer agrees to comply with all 
applicable statutory and regulatory requirements. In response to 
comments submitted during the first public review of this ICR, the 
language has been revised in this notice and in the draft instruments 
in order to align with the applicable statutory language regarding the 
obligation to sign the PPA, the circumstances under which participating 
manufacturers must offer covered outpatient drugs to covered entities, 
and the description of the ceiling price data required to be provided.
    The purpose of this revision is to include an addendum to the PPA 
to incorporate the administrative requirement for manufacturer 
integrity provisions directly addressed in the Affordable Care Act.
    Need and Proposed Use of the Information: HRSA is proposing 
revisions to the current PPA to include an addendum in response to 
manufacturer integrity provisions implemented in the Affordable Care 
Act. Section 7102(b) of the Affordable Care Act amends section 
340B(a)(1) of the Public Health Service Act (PHSA) to add two new 
requirements for inclusion in the PPA with manufacturers of covered 
outpatient drugs:
    I. ``Each such agreement shall require that the manufacturer 
furnish the Secretary with reports, on a quarterly basis, of the price 
for each covered outpatient drug subject to the agreement that, 
according to the manufacturer, represents the maximum price that 
covered entities may permissibly be required to pay for the drug . . 
.'' and
    II. ``. . . shall require that the manufacturer offer each covered 
entity covered outpatient drugs for purchase at or below the applicable 
ceiling price if such drug is made available to any other purchaser at 
any price.''
    These requirements shall be included in the PPA addendum to be 
signed by manufacturers participating in the 340B Program to ensure 
that the provisions of the 340B statute requiring inclusion in the PPA 
are satisfied. The execution of the addendum by manufacturers will 
fulfill the administrative requirement of the statute that these 
provisions be included in the PPA. The burden imposed on manufacturers 
by the proposed requirement of the PPA is minimal because the addendum 
does not impose requirements beyond review and a signature by the 
manufacturer.
    Likely Respondents: Drug Manufacturers.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this Information Collection Request are summarized in the table below.
    Total Estimated Annualized Burden Hours:

[[Page 20650]]



----------------------------------------------------------------------------------------------------------------
                                                              Number of                                 Total
                Form name                     Number of     responses per     Total      Hours per      burden
                                             respondents     respondent     responses    respondent     hours
----------------------------------------------------------------------------------------------------------------
                                Hospital Enrollment, Additions & Recertifications
----------------------------------------------------------------------------------------------------------------
340B Program Registrations &                          194               1          194            2          388
 Certifications for Hospitals............
Certifications to Enroll Hospital                     697               8         5576          0.5         2788
 Outpatient Facilities...................
Hospital Annual Recertifications.........            2134               6        12804         0.25         3201
----------------------------------------------------------------------------------------------------------------
                      Registrations and Recertifications for Entities Other Than Hospitals
----------------------------------------------------------------------------------------------------------------
340B Registrations for Community Health               427               3         1281            1         1281
 Centers.................................
340B Registrations for STD/TB Clinics....             647               1          647            1          647
340B Registrations for Various Other                  405               1          405            1          405
 Eligible Entity Types...................
Community Health Center Annual                       1204               5         6020         0.25         1505
 Recertifications........................
STD & TB Annual Recertifications.........            3123               1         3123         0.25       780.75
Annual Recertification for entities other            4899               1         4899         0.25      1224.75
 than Hospitals, Community Health
 Centers, and STD/TB Clinics.............
----------------------------------------------------------------------------------------------------------------
                          Contracted Pharmacy Services Registration & Recertifications
----------------------------------------------------------------------------------------------------------------
Contracted Pharmacy Services Registration            1758               5         8790            1         8790
----------------------------------------------------------------------------------------------------------------
                                          Other Information Collections
----------------------------------------------------------------------------------------------------------------
Submission of Administrative Changes for             9396               1         9396          0.5         4698
 any Covered Entity......................
Submission of Administrative Changes for              350               1          350          0.5          175
 any Manufacturer........................
Manufacturer Data Required to Verify 340B             600               4         2400          0.5         1200
 Ceiling Price Calculations..............
Pharmaceutical Pricing Agreement.........             200               1          200            1          200
Pharmaceutical Pricing Agreement (PPA)                620               1          620          0.5          310
 Addendum................................
                                          ----------------------------------------------------------------------
    Total................................          26,654  ..............       56,705  ...........      27593.5
----------------------------------------------------------------------------------------------------------------

    HRSA specifically requests comments on (1) the necessity and 
utility of the proposed information collection for the proper 
performance of the agency's functions, (2) the accuracy of the 
estimated burden, (3) ways to enhance the quality, utility, and clarity 
of the information to be collected, and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.

Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2016-08110 Filed 4-7-16; 8:45 am]
BILLING CODE 4165-15-P



                                                                                    Federal Register / Vol. 81, No. 68 / Friday, April 8, 2016 / Notices                                         20649

                                                    We base our estimates on our                          Data to Verify 340B Drug Pricing                      Act. Section 7102(b) of the Affordable
                                                  experience with the submission of                       Program Ceiling Price Calculations.                   Care Act amends section 340B(a)(1) of
                                                  electronic information to us using the                                                                        the Public Health Service Act (PHSA) to
                                                                                                          OMB No. 0915–0327—Revision
                                                  FDA ESG and the number of electronic                                                                          add two new requirements for inclusion
                                                  registration or change requests received                   Abstract: Section 602 of Public Law                in the PPA with manufacturers of
                                                  between January 1, 2014, and December                   102–585, the Veterans Health Care Act                 covered outpatient drugs:
                                                  31, 2014.                                               of 1992, enacted as Section 340B of the                  I. ‘‘Each such agreement shall require
                                                                                                          Public Health Service Act (PHS Act;                   that the manufacturer furnish the
                                                    Dated: April 1, 2016.
                                                                                                          ‘‘Limitation on Prices of Drugs                       Secretary with reports, on a quarterly
                                                  Leslie Kux,                                             Purchased by Covered Entities’’),
                                                  Associate Commissioner for Policy.                                                                            basis, of the price for each covered
                                                                                                          provides that the Secretary of Health                 outpatient drug subject to the agreement
                                                  [FR Doc. 2016–08075 Filed 4–7–16; 8:45 am]              and Human Services will enter into a
                                                                                                                                                                that, according to the manufacturer,
                                                  BILLING CODE 4164–01–P                                  Pharmaceutical Pricing Agreement
                                                                                                                                                                represents the maximum price that
                                                                                                          (PPA) with each manufacturer of
                                                                                                                                                                covered entities may permissibly be
                                                                                                          covered outpatient drugs in which the
                                                  DEPARTMENT OF HEALTH AND                                                                                      required to pay for the drug . . .’’ and
                                                                                                          manufacturer agrees to charge a price for
                                                  HUMAN SERVICES                                          covered outpatient drugs that will not                   II. ‘‘. . . shall require that the
                                                                                                          exceed the average manufacturer price                 manufacturer offer each covered entity
                                                  Health Resources and Services                           decreased by a rebate percentage. Under               covered outpatient drugs for purchase at
                                                  Administration                                          this PPA, a manufacturer agrees not to                or below the applicable ceiling price if
                                                                                                          charge a price for covered outpatient                 such drug is made available to any other
                                                  Agency Information Collection                                                                                 purchaser at any price.’’
                                                                                                          drugs that exceeds an amount
                                                  Activities: Submission to OMB for                                                                                These requirements shall be included
                                                                                                          determined under a statutory formula
                                                  Review and Approval; Public Comment                                                                           in the PPA addendum to be signed by
                                                                                                          (ceiling price). A manufacturer subject
                                                  Request                                                                                                       manufacturers participating in the 340B
                                                                                                          to a PPA must offer all covered
                                                  AGENCY: Health Resources and Services                   outpatient drugs at no more than the                  Program to ensure that the provisions of
                                                  Administration, HHS.                                    ceiling price to a covered entity listed in           the 340B statute requiring inclusion in
                                                                                                          the 340B Program database if such drug                the PPA are satisfied. The execution of
                                                  ACTION: Notice.
                                                                                                          is made available to any other purchaser              the addendum by manufacturers will
                                                  SUMMARY:   In compliance with Section                   at any price. The manufacturer shall                  fulfill the administrative requirement of
                                                  3507(a)(1)(D) of the Paperwork                          rely on the information in the 340B                   the statute that these provisions be
                                                  Reduction Act of 1995, the Health                       database to determine if the covered                  included in the PPA. The burden
                                                  Resources and Services Administration                   entity is participating in the 340B                   imposed on manufacturers by the
                                                  (HRSA) has submitted an Information                     Program or for any notifications of                   proposed requirement of the PPA is
                                                  Collection Request (ICR) to the Office of               changes to eligibility that may occur                 minimal because the addendum does
                                                  Management and Budget (OMB) for                         within a quarter. By signing the PPA,                 not impose requirements beyond review
                                                  review and approval. Comments                           the manufacturer agrees to comply with                and a signature by the manufacturer.
                                                  submitted during the first public review                all applicable statutory and regulatory                  Likely Respondents: Drug
                                                  of this ICR will be provided to OMB.                    requirements. In response to comments                 Manufacturers.
                                                                                                          submitted during the first public review
                                                  OMB will accept further comments from                                                                            Burden Statement: Burden in this
                                                                                                          of this ICR, the language has been
                                                  the public during the review and                                                                              context means the time expended by
                                                                                                          revised in this notice and in the draft
                                                  approval period.                                                                                              persons to generate, maintain, retain,
                                                                                                          instruments in order to align with the
                                                  DATES: Comments on this ICR should be                                                                         disclose or provide the information
                                                                                                          applicable statutory language regarding
                                                  received no later than May 9, 2016.                                                                           requested. This includes the time
                                                                                                          the obligation to sign the PPA, the
                                                                                                                                                                needed to review instructions; to
                                                  ADDRESSES: Submit your comments,                        circumstances under which
                                                                                                                                                                develop, acquire, install and utilize
                                                  including the Information Collection                    participating manufacturers must offer
                                                                                                                                                                technology and systems for the purpose
                                                  Request Title, to the desk officer for                  covered outpatient drugs to covered
                                                                                                                                                                of collecting, validating and verifying
                                                  HRSA, either by email to OIRA_                          entities, and the description of the
                                                                                                          ceiling price data required to be                     information, processing and
                                                  submission@omb.eop.gov or by fax to                                                                           maintaining information, and disclosing
                                                  202–395–5806.                                           provided.
                                                                                                             The purpose of this revision is to                 and providing information; to train
                                                  FOR FURTHER INFORMATION CONTACT: To                                                                           personnel and to be able to respond to
                                                                                                          include an addendum to the PPA to
                                                  request a copy of the clearance requests                                                                      a collection of information; to search
                                                                                                          incorporate the administrative
                                                  submitted to OMB for review, email the                                                                        data sources; to complete and review
                                                                                                          requirement for manufacturer integrity
                                                  HRSA Information Collection Clearance                                                                         the collection of information; and to
                                                                                                          provisions directly addressed in the
                                                  Officer at paperwork@hrsa.gov or call                                                                         transmit or otherwise disclose the
                                                                                                          Affordable Care Act.
                                                  (301) 443–1984.                                            Need and Proposed Use of the                       information. The total annual burden
                                                  SUPPLEMENTARY INFORMATION:                              Information: HRSA is proposing                        hours estimated for this Information
                                                    Information Collection Request Title:                 revisions to the current PPA to include               Collection Request are summarized in
                                                  Enrollment and Re-Certification of                      an addendum in response to                            the table below.
                                                  Entities in the 340B Drug Pricing                       manufacturer integrity provisions                        Total Estimated Annualized Burden
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                                                  Program and Collection of Manufacturer                  implemented in the Affordable Care                    Hours:




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                                                  20650                                         Federal Register / Vol. 81, No. 68 / Friday, April 8, 2016 / Notices

                                                                                                                                                                                Number of
                                                                                                                                                            Number of                                      Total      Hours per             Total bur-
                                                                                            Form name                                                                         responses per
                                                                                                                                                           respondents                                  responses    respondent             den hours
                                                                                                                                                                                respondent

                                                                                                                         Hospital Enrollment, Additions & Recertifications

                                                  340B Program Registrations & Certifications for Hospitals .............                                             194                         1           194                    2             388
                                                  Certifications to Enroll Hospital Outpatient Facilities .......................                                     697                         8          5576                  0.5            2788
                                                  Hospital Annual Recertifications ......................................................                            2134                         6         12804                 0.25            3201

                                                                                                          Registrations and Recertifications for Entities Other Than Hospitals

                                                  340B Registrations for Community Health Centers ........................                                            427                         3          1281                   1             1281
                                                  340B Registrations for STD/TB Clinics ...........................................                                   647                         1           647                   1              647
                                                  340B Registrations for Various Other Eligible Entity Types ............                                             405                         1           405                   1              405
                                                  Community Health Center Annual Recertifications .........................                                          1204                         5          6020                0.25            1505
                                                  STD & TB Annual Recertifications ..................................................                                3123                         1          3123                0.25           780.75
                                                  Annual Recertification for entities other than Hospitals, Commu-
                                                    nity Health Centers, and STD/TB Clinics .....................................                                    4899                         1          4899                0.25          1224.75

                                                                                                              Contracted Pharmacy Services Registration & Recertifications

                                                  Contracted Pharmacy Services Registration ...................................                                      1758                         5          8790                     1           8790

                                                                                                                                         Other Information Collections

                                                  Submission of Administrative Changes for any Covered Entity ......                                                 9396                         1          9396                  0.5            4698
                                                  Submission of Administrative Changes for any Manufacturer ........                                                  350                         1           350                  0.5             175
                                                  Manufacturer Data Required to Verify 340B Ceiling Price Calcula-
                                                    tions ..............................................................................................              600                         4          2400                  0.5            1200
                                                  Pharmaceutical Pricing Agreement .................................................                                  200                         1           200                    1             200
                                                  Pharmaceutical Pricing Agreement (PPA) Addendum ....................                                                620                         1           620                  0.5             310

                                                        Total ..........................................................................................           26,654    ........................       56,705   ....................      27593.5



                                                    HRSA specifically requests comments                                        Dates and Time: June 7–8, 2016, 8:30                              interested parties may request to attend
                                                  on (1) the necessity and utility of the                                    a.m.–5:00 p.m. EST.                                                 the meeting by contacting Staff
                                                  proposed information collection for the                                      Place: In-Person Meeting with                                     Assistant, Jeanne Brown, at jbrown@
                                                  proper performance of the agency’s                                         Webinar/Conference Call Component,                                  hrsa.gov. Access to the meeting will be
                                                  functions, (2) the accuracy of the                                         U.S. Department of Health and Human                                 granted on a first-come, first-served
                                                  estimated burden, (3) ways to enhance                                      Services, Health Resources and Services                             basis and space is limited. Public
                                                  the quality, utility, and clarity of the                                   Administration, 5600 Fishers Lane,                                  attendees may submit written
                                                  information to be collected, and (4) the                                   Room 5A02/5A03, Rockville, Maryland                                 statements in advance of the scheduled
                                                  use of automated collection techniques                                     20857.                                                              meeting. In addition, a public comment
                                                  or other forms of information                                                Status: This Advisory Council                                     period is tentatively scheduled for the
                                                  technology to minimize the information                                     meeting will be open to the public.                                 first day of the meeting after the lunch
                                                  collection burden.                                                           Purpose: The purpose of the 133rd                                 break. Oral comments will be limited to
                                                                                                                             NACNEP meeting is to explore strategies                             three minutes per speaker. Written
                                                  Jackie Painter,                                                            to prepare registered nurses (RNs) to                               statements and registration for oral
                                                  Director, Division of the Executive Secretariat.                           address the complex health needs of                                 comments must be received in advance
                                                  [FR Doc. 2016–08110 Filed 4–7–16; 8:45 am]                                 populations within an evolving health                               and should be sent to Erin Fowler by
                                                  BILLING CODE 4165–15–P                                                     care delivery system. NACNEP members                                email at: nacnep@hrsa.gov. Individuals
                                                                                                                             will identify and discuss gaps in                                   who plan to attend and need special
                                                                                                                             population health education, as well as                             assistance, such as sign language
                                                  DEPARTMENT OF HEALTH AND                                                   educational competencies in population                              interpretation or other reasonable
                                                  HUMAN SERVICES                                                             health for RNs. This meeting will                                   accommodations, should notify the
                                                                                                                             contribute to the development of                                    contact person listed above at least 10
                                                  Health Resources and Services                                              NACNEP’s mandated 14th Annual                                       days prior to the meeting.
                                                  Administration                                                             Report to the Secretary of the U.S.                                    Please be advised that council
                                                                                                                             Department of Health and Human                                      members are given copies of all written
                                                  National Advisory Council on Nurse                                         Services and Congress.                                              statements submitted by the public prior
                                                  Education and Practice; Notice of                                            Agenda: A final agenda will be posted                             to the meeting. Any further public
                                                  Meeting                                                                    on the NACNEP Web site 3 days prior                                 participation will be at the discretion of
                                                                                                                             to the meeting. Agenda items are subject
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                                                                                                                                                                                                 the Chair, with approval of the
                                                    In accordance with section 10(a)(2) of                                   to change as priorities dictate.                                    Designated Federal Official in
                                                  the Federal Advisory Committee Act                                         SUPPLEMENTARY INFORMATION: Further                                  attendance. Any member of the public
                                                  (Pub. L. 92–463), notice is hereby given                                   information regarding NACNEP,                                       who wishes to have printed materials
                                                  of the following meeting:                                                  including the roster of members, reports                            distributed to NACNEP should submit
                                                    Name: National Advisory Council on                                       to Congress, and minutes from previous                              materials to the National Advisory
                                                  Nurse Education and Practice                                               meetings, is available at the NACNEP                                Council on Nurse Education and
                                                  (NACNEP).                                                                  Web site. Members of the public and                                 Practice mailbox at nacnep@hrsa.gov,


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Document Created: 2018-02-07 13:49:55
Document Modified: 2018-02-07 13:49:55
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.
DatesComments on this ICR should be received no later than May 9, 2016.
ContactTo request a copy of the clearance requests submitted to OMB for review, email the HRSA Information Collection Clearance Officer at [email protected] or call (301) 443- 1984.
FR Citation81 FR 20649 

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