81_FR_54259 81 FR 54102 - Premarket Notification Submissions for Bipolar Electrosurgical Vessel Sealers for General Surgery; Guidance for Industry and Food and Drug Administration Staff; Availability

81 FR 54102 - Premarket Notification Submissions for Bipolar Electrosurgical Vessel Sealers for General Surgery; Guidance for Industry and Food and Drug Administration Staff; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 157 (August 15, 2016)

Page Range54102-54104
FR Document2016-19402

The Food and Drug Administration (FDA or Agency) is announcing the availability of the guidance entitled ``Premarket Notification (510(k)) Submissions for Bipolar Electrosurgical Vessel Sealers for General Surgery.'' FDA has developed this guidance document to assist industry in preparing premarket notification (510(k)) submissions for bipolar electrosurgical vessel sealers intended for use in general surgery.

Federal Register, Volume 81 Issue 157 (Monday, August 15, 2016)
[Federal Register Volume 81, Number 157 (Monday, August 15, 2016)]
[Notices]
[Pages 54102-54104]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-19402]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-D-0218]


Premarket Notification Submissions for Bipolar Electrosurgical 
Vessel Sealers for General Surgery; Guidance for Industry and Food and 
Drug Administration Staff; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of the guidance entitled ``Premarket Notification 
(510(k)) Submissions for Bipolar Electrosurgical Vessel Sealers for 
General Surgery.'' FDA has developed this guidance document to assist 
industry in preparing premarket notification (510(k)) submissions for 
bipolar electrosurgical vessel sealers intended for use in general 
surgery.

DATES: Submit either electronic or written comments on this guidance at 
any time. General comments on Agency guidance documents are welcome at 
any time.

ADDRESSES: 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'').

[[Page 54103]]

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, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2014-D-0218 for ``Premarket Notification (510(k)) Submissions for 
Bipolar Electrosurgical Vessel Sealers for General Surgery.'' 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.
    An electronic copy of the guidance document is available for 
download from the Internet. See the SUPPLEMENTARY INFORMATION section 
for information on electronic access to the guidance. Submit written 
requests for a single hard copy of the guidance document entitled 
``Premarket Notification (510(k)) Submissions for Bipolar 
Electrosurgical Vessel Sealers for General Surgery'' to the Office of 
the Center Director, Guidance and Policy Development, Center for 
Devices and Radiological Health, Food and Drug Administration, 10903 
New Hampshire Ave., Bldg. 66, Rm. 5431, Silver Spring, MD 20993-0002. 
Send one self-addressed adhesive label to assist that office in 
processing your request.

FOR FURTHER INFORMATION CONTACT: Jismi Johnson, Center for Devices and 
Radiological Health, Food and Drug Administration, 10903 New Hampshire 
Ave., Bldg. 66, Rm. 1524, Silver Spring, MD 20993-0002, 301-796-6424.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA has developed this guidance document to assist industry in 
preparing premarket notification (510(k)) submissions for bipolar 
electrosurgical vessel sealers intended for use in general surgery. 
These devices are designed to seal isolated blood and lymphatic vessels 
for hemostasis (as an alternative to ties) through the use of high-
frequency electrical current between two electrodes in close proximity. 
The scope of this document is limited to the class II electrosurgical 
devices and accessories classified under 21 CFR 878.4400, 
Electrosurgical cutting and coagulation device and accessories. This 
generic type of device includes bipolar vessel sealing instruments, 
associated electrosurgical generators, and accessories for use in open 
and minimally invasive general surgical procedures. This guidance is 
intended only to address bipolar electrosurgical vessel sealers that 
have general indications for use in general surgery.
    In the Federal Register of March 24, 2014 (79 FR 16009), FDA 
announced the availability of the draft guidance. Interested persons 
were invited to comment by June 23, 2014. Four sets of comments were 
received. FDA reviewed and considered all the public comments received 
and revised sections of the guidance, where applicable.

II. Significance of Guidance

    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on Premarket Notification (510(k)) Submissions 
for Bipolar Electrosurgical Vessel Sealers for General Surgery. It does 
not establish any rights for any person and is not binding on FDA or 
the public. You can use an alternative approach if it satisfies the 
requirements of the applicable statutes and regulations.

III. Electronic Access

    Persons interested in obtaining a copy of the guidance may do so by 
downloading an electronic copy from the Internet. A search capability 
for all Center for Devices and Radiological Health guidance documents 
is available at http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/default.htm. Guidance 
documents are also available at http://www.regulations.gov. Persons 
unable to download an electronic copy of ``Premarket Notification 
(510(k)) Submissions for Bipolar Electrosurgical Vessel Sealers for 
General Surgery'' may send an email request to [email protected] to receive an electronic copy of the document. 
Please use the document number 1300048 to identify the guidance you are 
requesting.

IV. Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information. These collections of information are subject to review by 
the Office of Management and Budget (OMB) under the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3501-3520). The collections of information in 21 
CFR 807, subpart E have been approved under OMB control number 0910-
0120; the collections of information in 21 CFR part 820 have been 
approved under OMB control number 0910-0073; the collections of 
information in 21 CFR part 801 have been approved under OMB control 
number 0910-0485; the collections of information in 21 CFR part 58 have 
been approved under OMB control number 0910-0119; and the collections 
of information in the guidance document ``Requests for Feedback on 
Medical Device Submissions: The Pre-Submission Program and Meetings 
with Food and Drug Administration Staff'' have been

[[Page 54104]]

approved under OMB control number 0910-0756.

    Dated: August 9, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-19402 Filed 8-12-16; 8:45 am]
BILLING CODE 4164-01-P



                                                54102                        Federal Register / Vol. 81, No. 157 / Monday, August 15, 2016 / Notices

                                                will be accepted for current vacancies                  growers should send a letter stating that             DEPARTMENT OF HEALTH AND
                                                effective with this notice.                             interest to the FDA contact (see FOR                  HUMAN SERVICES
                                                DATES: Any industry organization                        FURTHER INFORMATION CONTACT) within
                                                interested in participating in the                      30 days of publication of this document               Food and Drug Administration
                                                selection of an appropriate nonvoting                   (see DATES). Within the subsequent 30
                                                member to represent the interests of                    days, FDA will send a letter to each                  [Docket No. FDA–2014–D–0218]
                                                tobacco growers must send a letter                      organization that has expressed an
                                                stating that interest to FDA by                         interest, attaching a complete list of all            Premarket Notification Submissions
                                                September 14, 2016 (see sections I and                  such organizations, and a list of all                 for Bipolar Electrosurgical Vessel
                                                II of this document for further details).               nominees along with their current                     Sealers for General Surgery; Guidance
                                                Concurrently, nomination materials for                                                                        for Industry and Food and Drug
                                                                                                        résumés. The letter will also state that
                                                prospective candidates should be sent to                                                                      Administration Staff; Availability
                                                                                                        it is the responsibility of the interested
                                                FDA by September 14, 2016.                              organizations to confer with one another              AGENCY:    Food and Drug Administration,
                                                ADDRESSES: All statements of interest                   and to select a candidate, within 60                  HHS.
                                                from industry organizations interested                  days after the receipt of the FDA letter,
                                                in participating in the selection process                                                                     ACTION:   Notice of availability.
                                                                                                        to serve as the nonvoting member to
                                                should be sent to Caryn Cohen (see FOR
                                                                                                        represent the interests of tobacco                    SUMMARY:   The Food and Drug
                                                FURTHER INFORMATION CONTACT). All
                                                                                                        growers for the committee. The                        Administration (FDA or Agency) is
                                                nominations for nonvoting industry
                                                                                                        interested organizations are not bound                announcing the availability of the
                                                representatives should be submitted
                                                                                                        by the list of nominees in selecting a                guidance entitled ‘‘Premarket
                                                electronically by accessing the FDA
                                                                                                        candidate. However, if no individual is               Notification (510(k)) Submissions for
                                                Advisory Committee Membership
                                                                                                        selected within 60 days, the                          Bipolar Electrosurgical Vessel Sealers
                                                Nomination Portal at: https://
                                                                                                        Commissioner will select the nonvoting                for General Surgery.’’ FDA has
                                                www.accessdata.fda.gov/scripts/
                                                                                                        member to represent the interests of                  developed this guidance document to
                                                FACTRSPortal/FACTRS/index.cfm or by
                                                                                                        tobacco growers.                                      assist industry in preparing premarket
                                                mail to Advisory Committee Oversight
                                                                                                                                                              notification (510(k)) submissions for
                                                and Management Staff, Food and Drug                     III. Application Procedure                            bipolar electrosurgical vessel sealers
                                                Administration, 10903 New Hampshire
                                                                                                                                                              intended for use in general surgery.
                                                Ave., Bldg. 32, Rm. 5103, Silver Spring,                  Individuals may self-nominate and/or
                                                MD 20993–0002. Information about                                                                              DATES: Submit either electronic or
                                                                                                        an organization may nominate one or
                                                becoming a member of an FDA advisory                    more individuals to serve as a nonvoting              written comments on this guidance at
                                                committee can also be obtained by                                                                             any time. General comments on Agency
                                                                                                        member to represent the interests of
                                                visiting FDA’s Web site at: http://                                                                           guidance documents are welcome at any
                                                                                                        tobacco growers. Contact information,
                                                www.fda.gov/AdvisoryCommittees/                                                                               time.
                                                                                                        current curriculum vitae, and the name
                                                default.htm.                                            of the committee of interest should be                ADDRESSES: You may submit comments
                                                FOR FURTHER INFORMATION CONTACT:                        sent to the FDA Advisory Committee                    as follows:
                                                Caryn Cohen, Office of Science, Center                  Membership Nomination Portal (see                     Electronic Submissions
                                                for Tobacco Products, Food and Drug                     ADDRESSES) within 30 days of
                                                Administration, Center for Tobacco                                                                              Submit electronic comments in the
                                                                                                        publication of this document (see                     following way:
                                                Products, Document Control Center,                      DATES). FDA will forward all
                                                Bldg. 71, Rm. G335, 10903 New                                                                                   • Federal eRulemaking Portal: http://
                                                                                                        nominations to the organizations                      www.regulations.gov. Follow the
                                                Hampshire Ave., Silver Spring, MD                       expressing interest in participating in
                                                20993–0002, 1–877–287–1373 (choose                                                                            instructions for submitting comments.
                                                                                                        the selection process for the committee.              Comments submitted electronically,
                                                Option 5), email: TPSAC@fda.hhs.gov.                    (Persons who nominate themselves as                   including attachments, to http://
                                                SUPPLEMENTARY INFORMATION: The                          nonvoting industry representatives will               www.regulations.gov will be posted to
                                                Agency intends to add nonvoting                         not participate in the selection process.)            the docket unchanged. Because your
                                                industry representatives to the following
                                                                                                          FDA seeks to include the views of                   comment will be made public, you are
                                                advisory committee:
                                                                                                        women, and men, members of all racial                 solely responsible for ensuring that your
                                                I. Tobacco Products Scientific Advisory                 and ethnic groups, and individuals with               comment does not include any
                                                Committee                                               and without disabilities on its advisory              confidential information that you or a
                                                   The Tobacco Products Scientific                      committees and, therefore encourages                  third party may not wish to be posted,
                                                Advisory Committee (the Committee)                      nominations of appropriately qualified                such as medical information, your or
                                                advises the Commissioner of Food and                    candidates from these groups.                         anyone else’s Social Security number, or
                                                Drugs (the Commissioner) or designee in                                                                       confidential business information, such
                                                                                                          This notice is issued under the                     as a manufacturing process. Please note
                                                discharging responsibilities related to
                                                                                                        Federal Advisory Committee Act (5                     that if you include your name, contact
                                                the regulation of tobacco products. The
                                                                                                        U.S.C. app. 2) and 21 CFR part 14,                    information, or other information that
                                                Committee reviews and evaluates safety,
                                                                                                        relating to advisory committees.                      identifies you in the body of your
                                                dependence, and health issues relating
                                                to tobacco products and provides                          Dated: August 9, 2016.                              comments, that information will be
                                                                                                                                                              posted on http://www.regulations.gov.
sradovich on DSK3GMQ082PROD with NOTICES




                                                appropriate advice, information, and                    Janice M. Soreth,
                                                recommendations to the Commissioner.                                                                            • If you want to submit a comment
                                                                                                        Acting Associate Commissioner, Special
                                                                                                        Medical Programs.
                                                                                                                                                              with confidential information that you
                                                II. Selection Procedure                                                                                       do not wish to be made available to the
                                                                                                        [FR Doc. 2016–19312 Filed 8–12–16; 8:45 am]
                                                   Any industry organization interested                                                                       public, submit the comment as a
                                                in participating in the selection of an                 BILLING CODE 4164–01–P                                written/paper submission and in the
                                                appropriate nonvoting member to                                                                               manner detailed (see ‘‘Written/Paper
                                                represent the interests of tobacco                                                                            Submissions’’ and ‘‘Instructions’’).


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                                                                             Federal Register / Vol. 81, No. 157 / Monday, August 15, 2016 / Notices                                             54103

                                                Written/Paper Submissions                               electronic and written/paper comments                 and considered all the public comments
                                                   Submit written/paper submissions as                  received, go to http://                               received and revised sections of the
                                                follows:                                                www.regulations.gov and insert the                    guidance, where applicable.
                                                   • Mail/Hand delivery/Courier (for                    docket number, found in brackets in the
                                                                                                                                                              II. Significance of Guidance
                                                written/paper submissions): Division of                 heading of this document, into the
                                                Dockets Management (HFA–305), Food                      ‘‘Search’’ box and follow the prompts                   This guidance is being issued
                                                and Drug Administration, 5630 Fishers                   and/or go to the Division of Dockets                  consistent with FDA’s good guidance
                                                Lane, Rm. 1061, Rockville, MD 20852.                    Management, 5630 Fishers Lane, Rm.                    practices regulation (21 CFR 10.115).
                                                   • For written/paper comments                         1061, Rockville, MD 20852.                            The guidance represents the current
                                                submitted to the Division of Dockets                       An electronic copy of the guidance                 thinking of FDA on Premarket
                                                Management, FDA will post your                          document is available for download                    Notification (510(k)) Submissions for
                                                comment, as well as any attachments,                    from the Internet. See the                            Bipolar Electrosurgical Vessel Sealers
                                                except for information submitted,                       SUPPLEMENTARY INFORMATION section for                 for General Surgery. It does not establish
                                                marked and identified, as confidential,                 information on electronic access to the               any rights for any person and is not
                                                if submitted as detailed in                             guidance. Submit written requests for a               binding on FDA or the public. You can
                                                ‘‘Instructions.’’                                       single hard copy of the guidance                      use an alternative approach if it satisfies
                                                   Instructions: All submissions received               document entitled ‘‘Premarket                         the requirements of the applicable
                                                must include the Docket No. FDA–                        Notification (510(k)) Submissions for                 statutes and regulations.
                                                2014–D–0218 for ‘‘Premarket                             Bipolar Electrosurgical Vessel Sealers
                                                                                                        for General Surgery’’ to the Office of the            III. Electronic Access
                                                Notification (510(k)) Submissions for
                                                Bipolar Electrosurgical Vessel Sealers                  Center Director, Guidance and Policy                     Persons interested in obtaining a copy
                                                for General Surgery.’’ Received                         Development, Center for Devices and                   of the guidance may do so by
                                                comments will be placed in the docket                   Radiological Health, Food and Drug                    downloading an electronic copy from
                                                and, except for those submitted as                      Administration, 10903 New Hampshire                   the Internet. A search capability for all
                                                ‘‘Confidential Submissions,’’ publicly                  Ave., Bldg. 66, Rm. 5431, Silver Spring,              Center for Devices and Radiological
                                                viewable at http://www.regulations.gov                  MD 20993–0002. Send one self-                         Health guidance documents is available
                                                or at the Division of Dockets                           addressed adhesive label to assist that               at http://www.fda.gov/MedicalDevices/
                                                Management between 9 a.m. and 4 p.m.,                   office in processing your request.                    DeviceRegulationandGuidance/
                                                Monday through Friday.                                  FOR FURTHER INFORMATION CONTACT:                      GuidanceDocuments/default.htm.
                                                   • Confidential Submissions—To                        Jismi Johnson, Center for Devices and                 Guidance documents are also available
                                                submit a comment with confidential                      Radiological Health, Food and Drug                    at http://www.regulations.gov. Persons
                                                information that you do not wish to be                  Administration, 10903 New Hampshire                   unable to download an electronic copy
                                                made publicly available, submit your                    Ave., Bldg. 66, Rm. 1524, Silver Spring,              of ‘‘Premarket Notification (510(k))
                                                comments only as a written/paper                        MD 20993–0002, 301–796–6424.                          Submissions for Bipolar Electrosurgical
                                                submission. You should submit two                       SUPPLEMENTARY INFORMATION:                            Vessel Sealers for General Surgery’’ may
                                                copies total. One copy will include the                                                                       send an email request to CDRH-
                                                information you claim to be confidential                I. Background                                         Guidance@fda.hhs.gov to receive an
                                                with a heading or cover note that states                   FDA has developed this guidance                    electronic copy of the document. Please
                                                ‘‘THIS DOCUMENT CONTAINS                                document to assist industry in preparing              use the document number 1300048 to
                                                CONFIDENTIAL INFORMATION.’’ The                         premarket notification (510(k))                       identify the guidance you are
                                                Agency will review this copy, including                 submissions for bipolar electrosurgical               requesting.
                                                the claimed confidential information, in                vessel sealers intended for use in                    IV. Paperwork Reduction Act of 1995
                                                its consideration of comments. The                      general surgery. These devices are
                                                second copy, which will have the                        designed to seal isolated blood and                     This guidance refers to previously
                                                claimed confidential information                        lymphatic vessels for hemostasis (as an               approved collections of information.
                                                redacted/blacked out, will be available                 alternative to ties) through the use of               These collections of information are
                                                for public viewing and posted on http://                high-frequency electrical current                     subject to review by the Office of
                                                www.regulations.gov. Submit both                        between two electrodes in close                       Management and Budget (OMB) under
                                                copies to the Division of Dockets                       proximity. The scope of this document                 the Paperwork Reduction Act of 1995
                                                Management. If you do not wish your                     is limited to the class II electrosurgical            (44 U.S.C. 3501–3520). The collections
                                                name and contact information to be                      devices and accessories classified under              of information in 21 CFR 807, subpart
                                                made publicly available, you can                        21 CFR 878.4400, Electrosurgical cutting              E have been approved under OMB
                                                provide this information on the cover                   and coagulation device and accessories.               control number 0910–0120; the
                                                sheet and not in the body of your                       This generic type of device includes                  collections of information in 21 CFR
                                                comments and you must identify this                     bipolar vessel sealing instruments,                   part 820 have been approved under
                                                information as ‘‘confidential.’’ Any                    associated electrosurgical generators,                OMB control number 0910–0073; the
                                                information marked as ‘‘confidential’’                  and accessories for use in open and                   collections of information in 21 CFR
                                                will not be disclosed except in                         minimally invasive general surgical                   part 801 have been approved under
                                                accordance with 21 CFR 10.20 and other                  procedures. This guidance is intended                 OMB control number 0910–0485; the
                                                applicable disclosure law. For more                     only to address bipolar electrosurgical               collections of information in 21 CFR
                                                information about FDA’s posting of                      vessel sealers that have general                      part 58 have been approved under OMB
sradovich on DSK3GMQ082PROD with NOTICES




                                                comments to public dockets, see 80 FR                   indications for use in general surgery.               control number 0910–0119; and the
                                                56469, September 18, 2015, or access                       In the Federal Register of March 24,               collections of information in the
                                                the information at: http://www.fda.gov/                 2014 (79 FR 16009), FDA announced the                 guidance document ‘‘Requests for
                                                regulatoryinformation/dockets/                          availability of the draft guidance.                   Feedback on Medical Device
                                                default.htm.                                            Interested persons were invited to                    Submissions: The Pre-Submission
                                                   Docket: For access to the docket to                  comment by June 23, 2014. Four sets of                Program and Meetings with Food and
                                                read background documents or the                        comments were received. FDA reviewed                  Drug Administration Staff’’ have been


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                                                54104                        Federal Register / Vol. 81, No. 157 / Monday, August 15, 2016 / Notices

                                                approved under OMB control number                       SUPPLEMENTARY INFORMATION:                            current project plan, as the NCMHI
                                                0910–0756.                                                Intended Recipient of the Award: The                advances system changes and new
                                                  Dated: August 9, 2016.                                American Academy of Pediatrics.                       initiatives at the community, state, and
                                                                                                          Amount of Non-Competitive Awards:                   national levels, building on community
                                                Leslie Kux,
                                                                                                        $600,000.                                             partnerships to support family-centered
                                                Associate Commissioner for Policy.                        Period of Supplemental Funding: 7/1/                medical home implementation for all
                                                [FR Doc. 2016–19402 Filed 8–12–16; 8:45 am]             2016–6/30/2017 and 7/1/2017–6/30/                     children and youth, particularly those
                                                BILLING CODE 4164–01–P                                  2018.                                                 underrepresented and from diverse
                                                                                                          CFDA Number: 93.110.                                communities (Goal 3).
                                                                                                          Authority: Social Security Act, Title
                                                DEPARTMENT OF HEALTH AND                                V, sections 501(a)(1)(D) and 501(a)(2),                  In 2013, following objective review of
                                                HUMAN SERVICES                                          (42 U.S.C. 701(a)(1)(D) and 701(a)(2)).               its application, HRSA awarded the
                                                                                                          Justification: The White House Rural                NCMHI cooperative agreement to the
                                                Health Resources and Services                           Council initiated the Rural IMPACT                    American Academy of Pediatrics (AAP),
                                                Administration                                          project to support improved well-being                a nonprofit, tax-exempt organization
                                                                                                        and upward economic mobility of                       under Internal Revenue Code 501(c)(3).
                                                Notice of Single-Award Deviation From                                                                         In 2015, HRSA awarded a $300,000
                                                                                                        children in rural and tribal
                                                Competition Requirements for the                                                                              supplement to the NCMHI cooperative
                                                                                                        communities. Ideally, systems and
                                                National Center for Medical Home                                                                              agreement to allow the AAP to build on
                                                                                                        services are designed to meet family’s
                                                Implementation Cooperative                                                                                    its existing work under the cooperative
                                                                                                        needs, and are linked together so that
                                                Agreement                                               families can access them seamlessly                   agreement to implement and spread the
                                                AGENCY: Health Resources and Services                   through universal ‘‘no wrong door’’                   medical home model in Rural IMPACT
                                                Administration, HHS.                                    intake processes and shared referral                  project communities, thereby advancing
                                                ACTION: Notice of Single-Award                          networks. Components of the Rural                     the well-being of children in those
                                                Deviation from Competition                              IMPACT project include Healthy Start,                 communities.
                                                Requirements for the National Center for                Early Head Start, Head Start, Home                       From August 2015 to June 2016, AAP,
                                                Medical Home Implementation                             Visiting, WIC, Medical Home, Quality                  as part of the NCMHI cooperative
                                                Cooperative Agreement.                                  Child Care Education Job Training and                 agreement, established an expert
                                                                                                        income and nutrition supports such as                 workgroup and operational structure to
                                                SUMMARY:   HRSA announces the award                     TANF cash assistance, Supplemental                    guide the initiative; developed and
                                                of a supplement in the amount of                        Security Income, and the Supplemental                 issued a solicitation and scoring
                                                $300,000 per year for two years for the                 Nutrition Assistance Program. The goal                process, and conducted a review of
                                                National Center for Medical Home                        of Rural IMPACT is to ensure the                      applications to make recommendations
                                                Implementation (NCMHI) Cooperative                      healthy development of at-risk children               for participating communities. Since the
                                                Agreement cooperative agreement. The                    and increase the education and                        identification of ten rural and tribal
                                                purpose of the NCMHI cooperative                        employment opportunities of their                     communities, the AAP has provided
                                                agreement, as stated in the funding                     parents, thereby improving the well-                  technical assistance to support their
                                                opportunity announcement, is to: (1)                    being of families.                                    efforts to develop and begin
                                                Support a national resource and                           Rural IMPACT project continues to be                implementing two-generation service
                                                assistance effort to implement and                      a high priority of the White House Rural              delivery models to address the needs of
                                                spread the medical home model to all                    Council, and support for the ten Rural                both vulnerable children and their
                                                children and youth, particularly                        IMPACT communities will continue to                   parents.
                                                children with special health care needs                 be an interagency effort including, in
                                                                                                                                                                 From July 2016 to June 2018, the ten
                                                (CSHCN), children who are vulnerable                    addition to HHS, the Departments of
                                                                                                                                                              participating communities will
                                                and/or medically underserved, and                       Agriculture, Education, Labor, and the
                                                                                                                                                              implement their action plans. Ongoing
                                                pediatric populations served by state                   Corporation for National and
                                                                                                                                                              support is needed to assist the
                                                public health programs, MCHB and                        Community Service.
                                                                                                                                                              communities in implementation as well
                                                HRSA; and (2) support activities of the                   The purpose of the NCMHI
                                                                                                                                                              as evaluation, sustainability, and
                                                Healthy Tomorrows Partnership for                       cooperative agreement, as stated in the
                                                                                                                                                              dissemination of information. This
                                                Children Program (HTPCP) grantees to                    funding opportunity announcement, is
                                                                                                                                                              supplement will provide additional
                                                improve children’s health through                       to: (1) Support a national resource and
                                                                                                                                                              funds, through the NCMHI cooperative
                                                innovative community-based efforts,                     assistance effort to implement and
                                                                                                                                                              agreement, to provide technical
                                                and community and statewide                             spread the medical home model to all
                                                                                                                                                              assistance to the Rural IMPACT
                                                partnerships among professionals in                     children and youth, particularly
                                                                                                                                                              communities as they employ two-
                                                health, education, social services,                     children with special health care needs
                                                                                                                                                              generation strategies to more effectively
                                                government, and business. The                           (CSHCN), children who are vulnerable
                                                                                                                                                              support children living in poverty in
                                                supplement will permit the American                     and/or medically underserved, and
                                                                                                                                                              rural communities, including the
                                                Academy of Pediatrics (AAP), the                        pediatric populations served by state
                                                                                                                                                              implementation and spread of the
                                                cooperative agreement awardee, during                   public health programs, MCHB and
                                                                                                                                                              family-centered medical home model of
                                                the budget periods of 7/1/2016–6/30/                    HRSA; and (2) support activities of the
                                                                                                                                                              health care.
                                                2017 and 7/1/2017–6/30/2018, to                         Healthy Tomorrows Partnership for
                                                provide technical assistance to the Rural               Children Program (HTPCP) grantees to                  FOR FURTHER INFORMATION CONTACT:
sradovich on DSK3GMQ082PROD with NOTICES




                                                IMPACT communities as they employ                       improve children’s health through                     Marie Y. Mann, MD, MPH, FAAP,
                                                two-generation strategies to more                       innovative community-based efforts,                   Division of Services for Children with
                                                effectively support children living in                  and community and statewide                           Special Health Needs, Maternal and
                                                poverty in rural communities, including                 partnerships among professionals in                   Child Health Bureau, Health Resources
                                                the implementation and spread of the                    health, education, social services,                   and Services Administration, 5600
                                                family-centered medical home model of                   government, and business. The Rural                   Fishers Lane, Room 13–103, Rockville,
                                                health care.                                            IMPACT Project activities align with the              Maryland 20857; MMann@hrsa.gov.


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Document Created: 2016-08-13 02:22:05
Document Modified: 2016-08-13 02:22:05
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 availability.
DatesSubmit either electronic or written comments on this guidance at any time. General comments on Agency guidance documents are welcome at any time.
ContactJismi Johnson, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 1524, Silver Spring, MD 20993-0002, 301-796-6424.
FR Citation81 FR 54102 

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