81_FR_70017 81 FR 69822 - National Health and Nutrition Examination Survey (NHANES) DNA Specimens: Guidelines for Proposals To Use Specimens and Cost Schedule

81 FR 69822 - National Health and Nutrition Examination Survey (NHANES) DNA Specimens: Guidelines for Proposals To Use Specimens and Cost Schedule

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

Federal Register Volume 81, Issue 195 (October 7, 2016)

Page Range69822-69826
FR Document2016-24349

The Centers for Disease Control and Prevention (CDC), located within the Department of Health and Human Services (HHS) announces reopening of the National Center for Health Statistics' (NCHS) National Health and Nutrition Examination Survey (NHANES) DNA Specimen Repository for research proposals. Blood samples for DNA purification were collected from study participants during NHANES III, NHANES 1999- 2000, NHANES 2001-02, NHANES 2007-08, and NHANES 2009-10 (Office of Management and Budget Control Numbers 0920-0237/0920-0950). Samples from these DNA Specimens are being made available to the research community for genetic testing. The information gained from research using these samples can be combined with the extensive amount of information available in NHANES which describes the prevalence/trends of disease, nutrition, risk behaviors, and environmental exposures in the US population. A more complete description of this program follows.

Federal Register, Volume 81 Issue 195 (Friday, October 7, 2016)
[Federal Register Volume 81, Number 195 (Friday, October 7, 2016)]
[Notices]
[Pages 69822-69826]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-24349]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


National Health and Nutrition Examination Survey (NHANES) DNA 
Specimens: Guidelines for Proposals To Use Specimens and Cost Schedule

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), located 
within the Department of Health and Human Services (HHS) announces 
reopening of the National Center for Health Statistics' (NCHS) National 
Health and Nutrition Examination Survey (NHANES) DNA Specimen 
Repository for research proposals. Blood samples for DNA purification 
were collected from study participants during NHANES III, NHANES 1999-
2000, NHANES 2001-02, NHANES 2007-08, and NHANES 2009-10 (Office of 
Management and Budget Control Numbers 0920-0237/0920-0950). Samples 
from these DNA Specimens are being made available to the research 
community for genetic testing. The information gained from research 
using these samples can be combined with the extensive amount of 
information available in NHANES which describes the prevalence/trends 
of disease, nutrition, risk behaviors, and environmental exposures in 
the US population. A more complete description of this program follows.

[[Page 69823]]


FOR FURTHER INFORMATION CONTACT:  NHANES Genetic Project Officer: Jody 
McLean M.P.H., Division of Health and Nutrition Examination Surveys, 
National Center for Health Statistics, Centers for Disease Control and 
Prevention, 3311 Toledo Road, Hyattsville, MD 20782, Phone: 301-458-
4683, Fax: 301-458-4029, EMail: NHANESgenetics@cdc.gov.

    Authority: Sections 301, 306 and 308 of the Public Health 
Service Act (42 U.S.C. 241, 2421 and 242m).

SUPPLEMENTARY INFORMATION:

Background

    NHANES is a program of periodic surveys conducted by NCHS. 
Examination surveys conducted since 1960 by NCHS have provided national 
estimates of the health and nutritional status of the U.S. civilian 
non-institutionalized population. The goals of NHANES are (1) to 
estimate the number and percentage of people in the U.S. population and 
designated subgroups with selected diseases and risk factors for those 
diseases; (2) to monitor trends in the prevalence, awareness, treatment 
and control of selected diseases; (3) to monitor trends in risk 
behaviors and environmental exposures; (4) to analyze risk factors for 
selected diseases; (5) to study the relation among diet, nutrition and 
health; (6) to explore emerging public health issues and new 
technologies; and (7) to establish and maintain a national probability 
sample of baseline information on health and nutritional status.
    The availability of the NHANES III DNA specimens has been 
previously announced in 2002 (67 FR 51585), 2006 (71 FR 22248), 2007 
(72 FR 59094), 2009 (74 FR 45644), and 2010 (75 FR 32191). NHANES III 
Phase II DNA specimens (1991-1994) are from participants ages 12 or 
older (see NHANES III DNA Specimens section for a description). For 
details about available NHANES III non-genetic data see http://www.cdc.gov/nchs/nhanes/nh3data.htm.
    Beginning in 1999, NHANES became a continuous, annual survey rather 
than a periodic survey. For a variety of reasons, including disclosure 
and reliability issues, the survey data are released as public use data 
files every two years. In addition to the analysis of data from any two 
year cycle, it is possible to combine two cycles to increase sample 
size and analytic options. Blood samples for DNA purification were 
collected from participants aged 20 years and older in survey years 
1999-2002 and 2007-12. DNA specimens are available as collections from 
NHANES 1999-2002 (NHANES 1999-2000 and 2001-02 specimens available as 
one collection), and NHANES two-year cycles 2007-08 and 2009-10(see 
NHANES 1999-2002, 2007-08, and 2009-10 DNA specimens section for a 
description). Availability of DNA specimens from NHANES 2011-12 is 
forthcoming and will be announced in a future FRN. The availability of 
the NHANES 1999-2002 and NHANES 2007-08 DNA specimens has been 
previously announced (Thursday, September 3, 2009 [74 FR 45644], and 
Monday, June 7, 2010 [75 FR 32191]). The data release cycle for the 
NHANES corresponding to the period in which specimens were collected 
for DNA is described in the following web links: http://wwwn.cdc.gov/nchs/nhanes/search/nhanes99_00.aspx, http://wwwn.cdc.gov/nchs/nhanes/search/nhanes01_02.aspx, http://wwwn.cdc.gov/nchs/nhanes/search/nhanes07_08.aspx, and http://wwwn.cdc.gov/Nchs/Nhanes/Search/nhanes09_10.aspx.
    Identifiable health information collected in the NHANES is kept in 
strictest confidence. During the informed consent process, survey 
participants are assured that data collected will be used only for 
stated purposes and will not be disclosed or released to others without 
the consent of the individual in accordance with section 308(d) of the 
Public Health Service Act (42 U.S.C. 242m). During NHANES III, 
participants 12 years and older (parent or guardian signed the consent 
form if the participant was under age 18 years) signed a consent form 
to store a sample of their blood for future research. In NHANES 1999-
2002, 2007-08 and 2009-10 a separate consent form was signed by 
eligible participants who agreed to the storing of specimens for future 
genetic research. DNA specimens will be available for testing only from 
participants who consented to future genetic research. Resulting data 
from DNA specimen testing will be linked to the NCHS variables (public 
use and restricted) and available for analyses through an NCHS Research 
Data Center (RDC). Access to these data at an NCHS RDC is only through 
an approved proposal process mechanism to assure confidentiality.

Research Proposal

    Note: The following proposal types differ from those used in 
previous announcements for use of NHANES III DNA specimens (Thursday, 
August 8, 2002 [67 FR 51585], Friday, January 13, 2006 [71 FR 22248], 
and Monday, June 10, 2010 [75 FR 32191]).
    Proposals testing a complete NHANES DNA collection of specimens 
(NHANES III, 7,159 samples; NHANES 1999-2002, 7,839 specimens; NHANES 
2007-08, 4,612 specimens; NHANES 2009-10, 4,893 specimens):
    Note: If the investigator would like to propose a subsample of the 
complete set please contact the NHANES Genetic Project Officer to 
discuss feasibility.
    Proposals should investigate specific research hypotheses. The 
investigator will specify which DNA collection they are requesting and 
the tests to be conducted on DNA specimens excluding tests that produce 
incidental findings. The investigator will also include in the research 
protocol an analytic plan that includes a list of proposed NCHS 
variables (public use and restricted) that would be used for the data 
analyses. The investigator will conduct the tests of the approved 
variants or approved assays on samples of NHANES DNA specimens that are 
labeled with a lab identification number that is not directly linkable 
to the public use file and therefore, anonymous to the investigator. 
Investigators are required to provide the data obtained from DNA 
testing to Division of Health and Nutrition Examination Survey 
(DHANES)/NCHS for quality control assessment. Analysis and linkage of 
the resulting data are conducted in the NCHS RDC via a separate 
proposal.
    After the DHANES/NCHS has completed the initial quality control 
assessment, investigators will be given up to six months to conduct a 
comprehensive quality assurance review. The timeframe allowed for this 
review will depend on the number and characteristics of the tests 
submitted. At the completion of this review, the availability of the 
resulting data will be announced to the public on the NHANES Web site 
Genetic Variant Search: http://www.nhgeneticvariant.com/. The resulting 
data can be linked to other NCHS variables (public use and restricted) 
for secondary data analysis. For further information on available 
variant data visit: http://www.cdc.gov/nchs/nhanes/biospecimens/dnaspecimens.htm#Genetic.
    DNA specimen collections will be provided in 96 well plates to 
investigators and distributed as samples from a complete collection or 
from a subsample of a collection.
    Proposals testing DNA specimens already obtained from previous 
solicitations: Investigators that have obtained samples from NHANES DNA 
specimens from previous solicitations and have sufficient DNA left may 
request to do additional tests on the

[[Page 69824]]

remaining DNA. These proposals must be submitted and approved before 
the DNA specimens were scheduled to be destroyed or returned. The 
investigator will specify the test to be conducted on the samples 
excluding tests that produce incidental findings. The investigator will 
also include in the research protocol an analytic plan that includes a 
list of proposed NCHS variables (public use and restricted) that would 
be used for the data analyses.

DNA Samples

    These DNA specimens (NHANES III, NHANES 1999-2002, NHANES 2007-08 
and NHANES 2009-10) were processed by the Centers for Disease Control 
and Prevention (CDC), National Center for Environmental Health (NCEH), 
Division of Laboratory Sciences (DLS).

NHANES III DNA Specimens

    The laboratory will distribute aliquots (samples) of crude DNA 
lysates extracted from cell lines. DNA concentrations vary and are 
estimated to range from 7.5-65.0 ng/[mu]L with an average of 
approximately four micrograms in 100 [mu]L. Samples will be provided in 
96 well plates that are bar-coded and labeled with a readable 
identifier. Quality control samples (5% of the total) will be sent at 
no charge, on separate plates as blind replicates. DNA specimens are 
available from 7,159 NHANES III participants. Samples will be 
distributed in a total of 78 plates with an additional four plates of 
quality control samples. NHANES III DNA specimens are in limited supply 
thus are not available as a partial set. Due to the method of 
extraction, NHANES III DNA specimens are not appropriate for all 
projects and/or assays.

NHANES 1999-2002, 2007-08, 2009-10 DNA Specimens

    The laboratory will distribute aliquots of purified, high molecular 
DNA in normalized concentrations of 50.0 ng/[mu]L. Some specimens may 
fall below this threshold. A sample of 40 microliters of each specimen 
will be supplied. The amount of DNA in each sample may vary but will be 
on average approximately two micrograms.
    There are purified DNA specimens from 7,839 NHANES 1999-2002 
participants. Samples from these specimens will be distributed into 90 
plates including four plates of quality control samples.
    There are purified DNA specimens available from 4,612 NHANES 2007-
08 participants. These will be distributed into approximately 54 plates 
including three plates of quality control samples.
    There are purified DNA specimens available from 4,893 NHANES 2009-
10 participants. Samples from the specimens will be distributed into 54 
plates with approximately three additional plates of quality control 
samples.
    Each 96 well plate will be bar-coded and labeled with a readable 
identifier. Quality control samples (5% of a collection) will be sent 
at no charge, on separate plates as blind replicates.

Proposed Cost Schedule for Providing NHANES DNA Samples

    Costs are determined by NCHS and include costs incurred from the 
contracting DNA Repository and DHANES administrative costs. The fee 
covers the costs of materials, equipment, labor, proposal review, 
administration and space for storage. For more details see Table 1 
below. In prior years, the DNA Repository was maintained by CDC. The 
DNA Repository is now maintained by a private contractor. The costs of 
contracting, along with annual inflation increases, are reflected in 
the proposed cost schedule.

Procedures for Proposals

    The investigator should follow these instructions for preparation 
of proposals. Protocols must be written using the outline below.

Proposal Timeline

     Submission of Proposals: Can be submitted on an ongoing 
basis.
     Scientific Review: Within two months of proposal 
submission.
     Institutional Review Date: Within six weeks of final 
proposal acceptance.
     Notification of approval: Approximately 30 days after 
Institutional Review.
     Anticipated distribution of samples: Approximately 60 days 
after all approvals are obtained.
    Note: Timeframe may vary depending on the nature of the proposal 
and the results of each level of review. Unforeseen circumstances could 
result in a change to this schedule.
    DNA Specimen Program will begin accepting research proposals on 
December 6, 2016.
    In addition to the cover page, the research proposal should contain 
the title of the research project, the name, address phone number and 
Email address of the lead investigator along with the name of the 
institution where the testing will be conducted. Office of Human 
Research Protections assurance numbers for the institutions engaged in 
the research project should be included. CDC investigators need to 
include their Scientific Ethics Verification Number. Email submission 
of the proposal is required.
    The proposals should be a maximum of 20 single-spaced typed pages, 
excluding figures and tables. Please use appendices sparingly. If a 
proposal is approved, the title, specific aims, name, and phone number 
of the author will be maintained by NCHS and released if requested by 
the public. Unapproved proposals will be returned to the investigator 
and will not be maintained by NCHS.
    Applications will have a Scientific Review by the Genetic Project 
Officer and the Technical Panel. The Technical Panel is comprised of 
two members: A Genetic Research Scientist and a Genetic Epidemiologist. 
The members review each proposal for scientific and technical merit.
    After the proposal is approved by the Genetic Technical Panel and 
the Genetic Project Officer it will be submitted for Institutional 
review. All proposals will undergo Institutional Review by the NCHS 
Human Subjects Contact and the NCHS Ethics Review Board (ERB) for any 
potential human subjects concerns to ensure appropriate human subjects 
protections are provided in compliance with 45 CFR 46, and by the NCHS 
Confidentiality Officer for disclosure risk. The ERB will review the 
proposal even if the investigator has received approval by their 
institutional review panel.
    Proposals should include the following information:
    (1) Cover sheet: Include the name of the institution where the test 
will be conducted and Office of Human Research Protections assurance 
numbers for the institutions engaged in the research project. CDC 
investigators need to include their Scientific Ethics Verification 
Number.
    (2) Abstract: Please limit the abstract to 300 words.
    (3) Specific Aims: List the broad objectives; describe concisely 
and realistically what the research is intended to accomplish, and 
state the specific hypotheses to be tested.
    (4) Background and Public Health Significance:
    (A) Describe the public health significance of the proposed 
research.
    (B) Discuss how the results will be used. Analyses should be 
consistent with the NHANES mission to assess the health of the nation. 
The Scientific Review will ensure that the proposed project does not go 
beyond either the general purpose for collecting the blood samples for 
DNA in the survey or the specific stated goals of the proposal.
    (5) Design, Method, and Data analysis: The appropriateness and

[[Page 69825]]

adequacy of the methodology proposed to reach the research aims, and 
the appropriateness of using the NHANES (a complex, multistage 
probability sample of the national population) to address the goals of 
the proposal will be assessed.
    (A) Research Design and Methods: Describe the analytic and 
statistical methods to be employed. Include power calculations. For all 
proposal categories, include a detailed description of the laboratory 
methods. The characteristics of the laboratory assay, such as 
reliability, validity, should be included with appropriate references. 
The potential difficulties and limitations of the proposed procedures 
should also be discussed. Address adequate methods planned for handling 
and storage of samples of DNA specimens. Proposals must specify 
specific variants or the standard assay(s) that will be used to test 
the proposed research hypotheses and include a statement of why the 
specific standard assay(s) is/are necessary to test the proposed 
hypotheses. The standard assay is a commercially available assay for a 
curated set of variants. (1) Proposals will be provided with quality 
control samples at no additional cost. Approved projects must run these 
quality control samples and submit these results along with the results 
from the NHANES DNA samples, unless the Genetic Project Officer has 
approved an alternative quality control review plan. (2) Proposals 
using residual samples should have residual quality control samples and 
investigators will be required to use these residual quality control 
samples. The proposal should address additional quality control 
procedures the laboratory will use to assure the validity of the test 
results and address adequate methods planned for handling and storage 
of sample specimens.
    (B) Data analysis: Note: All resulting data must be analyzed in the 
NCHS RDC Output: Please describe the data output that you would like to 
retain and take out of the RDC after analyses.
    (6) Additional information for NHANES:
    (A) Clinical Relevance of Research Findings: The consent document 
for DNA specimen storage and future studies states that individual 
results will not be provided to participants therefore no tests that 
would need to be reported back to the participant can be proposed. 
DHANES/NCHS will use the most recent American College of Medical 
Genetics and Genomics (ACMG) recommendations for reporting incidental 
findings to review the proposed tests and the potential incidental 
findings. Investigators must justify that the proposed tests do not 
produce sets of variants on specific genes listed by the most recent 
ACMG as reportable incidental findings as well as how potential 
incidental test results will be handled. As of publication the most 
recent report, published July 2013, ``ACMG Recommendations for 
Reporting of Incidental Findings in Clinical Exome and Genome 
Sequencing'', lists 56 genes where specific variants on these genes are 
pathogenic for 24 conditions.
    (B)Data Transfer: Specify the secure method to transfer resultant 
data to NCHS. Investigators must use a device that meets federal 
information processing standards (FIPS 140-2 and FIPS 197).
    (C) Period of Performance: Specify the project period. The period 
may be up to three years. At the end of the project period, any unused 
samples must be returned to the NHANES DNA Specimen Repository or 
destroyed by the investigator. Extensions to the period of performance 
may be requested.
    (D) Funding: Include the source and status of the funding to 
perform the requested laboratory analysis. Investigators will be 
responsible for the cost of processing and shipping the samples (See 
table).
    (7) References.
    (8) Resumes/CV: Please include a 2-page CV for each member of the 
research team in this document (not as attachments).

Public Availability of Data

    Data resulting from use of DNA specimens will be made available to 
the public for secondary data analyses via the NCHS RDC. After DHANES/
NCHS quality control assessment is completed, investigators will be 
given up to six months to conduct comprehensive quality assurance 
review in the NCHS RDC. The quality assurance review timeframe will be 
negotiated between the investigator and the NHANES Genetic Project 
Officer and will depend on the type, number, and characteristics of the 
tests submitted. The results of the quality assurance review will be 
provided to DHANES/NCHS and appropriate aspects will become part of the 
data set documentation. The public announcement, that test results are 
available for submission of proposals for secondary data analyses, will 
occur once the quality assurance review timeframe has ended. For a list 
of currently available variant data see: http://www.cdc.gov/nchs/nhanes/biospecimens/dnaspecimens.htm#Genetic.
    Proposals for secondary data analyses linking NCHS restricted data, 
NCHS public use data, or non-NCHS data to data resulting from DNA 
specimen testing will be reviewed by the NCHS RDC. See http://www.cdc.gov/rdc for proposal guidelines.

Submission of Proposals

    Proposals can be submitted immediately. The review process will 
begin approximately 60 days from the publication of the notice and will 
include all proposals submitted as of that date.
    Electronic submission of proposals are required. Please submit 
proposals to the NHANES Genetic Project Officer: Jody McLean M.P.H., 
Division of Health and Nutrition Examination Surveys, National Center 
for Health Statistics, Centers for Disease Control and Prevention, 3311 
Toledo Road, Hyattsville, MD 20782, Phone: 301-458-4683, EMail: 
NHANESgenetics@cdc.gov.

Agency Agreement

    Investigators must secure funding and sign terms and conditions 
agreements for the use of the DNA specimens with CDC/NCHS prior to the 
release of the NHANES DNA samples. Investigators must agree to use the 
specimens only for the approved tests and use the test results only for 
purposes as stated in the approved proposal, not link the results of 
the proposed research to any other data, and not use the DNA specimens 
for commercial purposes via a legally binding Materials Transfer 
Agreement for non-government researchers or Interagency Agreement for 
government researchers. In addition, all investigators will be required 
to sign a Designated Agent Agreement (DAA) with CDC/NCHS in accordance 
with NCHS' confidentiality legislation, the Confidential Information 
Protection and Statistical Efficiency Act (CIPSEA; Title V of the E-
Government Act of 2002 (Pub. L. 107-347)). The DAA is the mechanism by 
which CDC/NCHS may authorize designation of agents to exclusively 
perform activities needed to produce approved data on CIPSEA protected 
NHANES DNA specimens.

Approved Proposals

    After DNA samples are received and testing is complete, the 
resulting data will be sent back to DHANES/NCHS for quality control 
(QC) assessment. While DHANES/NCHS QC assessment is under way the 
investigator can submit a NCHS RDC proposal to conduct comprehensive 
quality assurance review. Once the investigator's quality assurance 
review is complete and the

[[Page 69826]]

results returned to DHANES/NCHS, the test results will be made 
available to the public and the investigator can submit an NCHS RDC 
proposal to request linkage to NCHS restricted data, NCHS public use 
data, or Non-NCHS data to conduct their analysis.
    After the comprehensive quality assessment process has been 
completed by the investigator, a list of variants generated from NHANES 
specimen testing will be made available to the public for potential 
solicitation via NCHS RDC proposals. The list of variants will be 
available in the NHANES Genetic Variant Search (http://www.nhgeneticvariant.com/). In addition, DHANES/NCHS quality control 
assessment procedures will be posted on the NHANES Genetic Repository 
Web site and/or available via email.

Progress Reports

    A progress report will be submitted in the annual CDC/NCHS/ERB 
continuation report. An ERB continuation form will be sent to the 
investigator each year for project update. If an approved proposal is 
unable to obtain funding the proposal will be closed.

Termination of ERB Protocol

    At the end of laboratory testing the ERB Protocol will be closed.

Disposition of Results and Samples

    The provided DNA samples cannot be used for any purpose other than 
the specifically requested purpose outlined in the proposal and 
approved through the Scientific and Institutional Review. No DNA 
samples can be shared with others, including other investigators, 
unless specified in the proposal and so approved. Samples must be 
returned upon completion of the approved project or destroyed only with 
the written approval of the NHANES Genetic Project Officer. Test 
results from all studies using NHANES DNA specimens will be made 
available to the public for secondary data analyses. After the DHANES/
NCHS quality control assessment is completed, investigators will be 
given up to six months to conduct a more comprehensive quality 
assurance review. The final quality assurance review timeframe will be 
negotiated between the researcher and the NHANES Genetic Project 
Officer and characteristics of the tests submitted. Proposals for 
secondary data analyses will be reviewed by the NCHS RDC on a rolling 
basis; see: http://www.cdc.gov/rdc for proposal guidelines. All data 
analyses will be conducted via access modes available at NCHS RDC.

    Dated: October 4, 2016.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.

                                 Table 1--Cost Schedule for NHANES DNA Specimens
----------------------------------------------------------------------------------------------------------------
                                                                    1999-2002,      1999-2002,
                                                                  2007-08,  2009- 2007-08,  2009-   NHANES III
                           Total costs                             10  Complete     10  Partial    complete set
                                                                        set             set
----------------------------------------------------------------------------------------------------------------
Materials and Equipment--contractor: Plates, reagents, assays,             $1.51           $4.53           $0.75
 aliquoting and packaging samples; use of equipment.............
Labor--contractor: Processing, handling, and shipping; NCHS:                4.98           24.90            2.49
 Data quality control...........................................
Proposal review and Administrative expenses--contractor:                    3.02            6.04            1.51
 Inventory management and reporting; NCHS: Management of
 proposal process non-NCHS: Technical panel fees................
Space--contractor: Freezer use and maintenance..................            5.59            5.59            2.79
Cost per sample.................................................           15.10           41.06            7.55
Cost per new proposal:
    1999-2002...................................................         119,260              NA
    2007-2008...................................................          72,661
    2009-2010...................................................          73,884
    III.........................................................  ..............  ..............          54,050
Cost per additional proposal: *
    1999-2002...................................................           5,963              **
    2007-2008...................................................           3,633
    2009-2010...................................................           3,694
    III.........................................................  ..............  ..............           2,702
----------------------------------------------------------------------------------------------------------------
* Additional research using DNA specimens already obtained from previous solicitations.
** This charge will be 5 percent of the original cost.
Note: Applicable CDC overhead and NCHS management and oversight charges will be added to these rates for
  proposals coming from Federal agencies.

[FR Doc. 2016-24349 Filed 10-6-16; 8:45 am]
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                                                                                                                                                                National Health and Nutrition
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                                                                                                                                                                Examination Survey (NHANES) DNA
                                                  of automated collection techniques or                   independent Federal Advisory
                                                                                                                                                                Specimens: Guidelines for Proposals
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                                                                                                                                                                To Use Specimens and Cost Schedule
                                                                                                          Advisory Committee, chartered in 2013,
                                                    Dated: September 30, 2016.                            validated the existing methodology. The               AGENCY: Centers for Disease Control and
                                                  Kevin Winkler,                                          latter Committee had a full briefing and              Prevention (CDC), Department of Health
                                                  Chief Information Officer, Federal Housing              discussed the overall per diem                        and Human Services (HHS).
                                                  Finance Agency.                                         methodology, but did not specifically                 ACTION: Notice.
                                                  [FR Doc. 2016–24345 Filed 10–6–16; 8:45 am]             evaluate setting NSA boundaries.
                                                  BILLING CODE 8070–01–P                                     Under the current methodology, NSA                 SUMMARY:   The Centers for Disease
                                                                                                          boundaries are set as a single county                 Control and Prevention (CDC), located
                                                                                                          unless an exception is made. As of                    within the Department of Health and
                                                  GENERAL SERVICES                                        FY2017, 68 of the 346 CONUS NSAs, or                  Human Services (HHS) announces
                                                  ADMINISTRATION                                          approximately 20 percent, have an                     reopening of the National Center for
                                                                                                          exception for one of three reasons: (1)               Health Statistics’ (NCHS) National
                                                  [Notice-MA–2016–07; Docket No. 2016–                                                                          Health and Nutrition Examination
                                                                                                          Historically the boundary was set that
                                                  0002; Sequence No. 7]                                                                                         Survey (NHANES) DNA Specimen
                                                                                                          way, (2) an agency requested that a one-
                                                                                                          county boundary be adjusted to meet                   Repository for research proposals. Blood
                                                  Interagency Per Diem Working Group
                                                                                                          official needs, or (3) the survey                     samples for DNA purification were
                                                  Meeting Concerning Boundaries To
                                                                                                          methodology required inclusion of                     collected from study participants during
                                                  Set Continental United States Lodging
                                                                                                          multiple counties to have sufficient data             NHANES III, NHANES 1999–2000,
                                                  and Meals and Incidental Per Diem
                                                                                                          to establish a rate.                                  NHANES 2001–02, NHANES 2007–08,
                                                  Reimbursement Rates
                                                                                                             Authority: 5 U.S.C. 5707.                          and NHANES 2009–10 (Office of
                                                  AGENCY:  Office of Government-wide                         Meeting Access: The meeting is open                Management and Budget Control
                                                  Policy (OGP), General Services                          to the public. Those wishing to attend                Numbers 0920–0237/0920–0950).
                                                  Administration (GSA).                                   must do so in person. Teleconferencing                Samples from these DNA Specimens are
                                                  ACTION: Notice of meeting.                              will not be available.                                being made available to the research
                                                                                                             Registration: Interested parties must              community for genetic testing. The
                                                  SUMMARY:  The Interagency Per Diem                      register by October 21, 2016 via email at             information gained from research using
                                                  Working Group (IPDWG) is meeting to                     travelpolicy@gsa.gov. Please provide                  these samples can be combined with the
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                                                  discuss studying the process of setting                 your full name to expedite entrance into              extensive amount of information
                                                  continental United States (CONUS)                       the building. To gain entry into the                  available in NHANES which describes
                                                  Non-Standard Area (NSA) boundaries                      Federal building where the meeting is                 the prevalence/trends of disease,
                                                  for lodging maximum reimbursement                       being held, public attendees who are                  nutrition, risk behaviors, and
                                                  rates and meals and incidental expense                  Federal employees should bring their                  environmental exposures in the US
                                                  (M&IE) per diem reimbursement rates.                    Federal employee identification cards,                population. A more complete
                                                  The purpose of the study would be to                    and members of the general public                     description of this program follows.


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                                                                                 Federal Register / Vol. 81, No. 195 / Friday, October 7, 2016 / Notices                                           69823

                                                  FOR FURTHER INFORMATION CONTACT:                        DNA specimens are available as                           Proposals testing a complete NHANES
                                                  NHANES Genetic Project Officer: Jody                    collections from NHANES 1999–2002                     DNA collection of specimens (NHANES
                                                  McLean M.P.H., Division of Health and                   (NHANES 1999–2000 and 2001–02                         III, 7,159 samples; NHANES 1999–2002,
                                                  Nutrition Examination Surveys,                          specimens available as one collection),               7,839 specimens; NHANES 2007–08,
                                                  National Center for Health Statistics,                  and NHANES two-year cycles 2007–08                    4,612 specimens; NHANES 2009–10,
                                                  Centers for Disease Control and                         and 2009–10(see NHANES 1999–2002,                     4,893 specimens):
                                                  Prevention, 3311 Toledo Road,                           2007–08, and 2009–10 DNA specimens                       Note: If the investigator would like to
                                                  Hyattsville, MD 20782, Phone: 301–                      section for a description). Availability of           propose a subsample of the complete set
                                                  458–4683, Fax: 301–458–4029, EMail:                     DNA specimens from NHANES 2011–12                     please contact the NHANES Genetic
                                                  NHANESgenetics@cdc.gov.                                 is forthcoming and will be announced                  Project Officer to discuss feasibility.
                                                                                                          in a future FRN. The availability of the                 Proposals should investigate specific
                                                    Authority: Sections 301, 306 and 308 of the
                                                                                                          NHANES 1999–2002 and NHANES                           research hypotheses. The investigator
                                                  Public Health Service Act (42 U.S.C. 241,
                                                  2421 and 242m).                                         2007–08 DNA specimens has been                        will specify which DNA collection they
                                                                                                          previously announced (Thursday,                       are requesting and the tests to be
                                                  SUPPLEMENTARY INFORMATION:
                                                                                                          September 3, 2009 [74 FR 45644], and                  conducted on DNA specimens
                                                  Background                                              Monday, June 7, 2010 [75 FR 32191]).                  excluding tests that produce incidental
                                                                                                          The data release cycle for the NHANES                 findings. The investigator will also
                                                     NHANES is a program of periodic
                                                                                                          corresponding to the period in which                  include in the research protocol an
                                                  surveys conducted by NCHS.
                                                                                                          specimens were collected for DNA is                   analytic plan that includes a list of
                                                  Examination surveys conducted since
                                                                                                          described in the following web links:                 proposed NCHS variables (public use
                                                  1960 by NCHS have provided national
                                                                                                          http://wwwn.cdc.gov/nchs/nhanes/                      and restricted) that would be used for
                                                  estimates of the health and nutritional                                                                       the data analyses. The investigator will
                                                  status of the U.S. civilian non-                        search/nhanes99_00.aspx, http://
                                                                                                          wwwn.cdc.gov/nchs/nhanes/search/                      conduct the tests of the approved
                                                  institutionalized population. The goals                                                                       variants or approved assays on samples
                                                  of NHANES are (1) to estimate the                       nhanes01_02.aspx, http://
                                                                                                          wwwn.cdc.gov/nchs/nhanes/search/                      of NHANES DNA specimens that are
                                                  number and percentage of people in the                                                                        labeled with a lab identification number
                                                                                                          nhanes07_08.aspx, and http://
                                                  U.S. population and designated                                                                                that is not directly linkable to the public
                                                                                                          wwwn.cdc.gov/Nchs/Nhanes/Search/
                                                  subgroups with selected diseases and                                                                          use file and therefore, anonymous to the
                                                                                                          nhanes09_10.aspx.
                                                  risk factors for those diseases; (2) to                    Identifiable health information                    investigator. Investigators are required
                                                  monitor trends in the prevalence,                       collected in the NHANES is kept in                    to provide the data obtained from DNA
                                                  awareness, treatment and control of                     strictest confidence. During the                      testing to Division of Health and
                                                  selected diseases; (3) to monitor trends                informed consent process, survey                      Nutrition Examination Survey
                                                  in risk behaviors and environmental                     participants are assured that data                    (DHANES)/NCHS for quality control
                                                  exposures; (4) to analyze risk factors for              collected will be used only for stated                assessment. Analysis and linkage of the
                                                  selected diseases; (5) to study the                     purposes and will not be disclosed or                 resulting data are conducted in the
                                                  relation among diet, nutrition and                      released to others without the consent of             NCHS RDC via a separate proposal.
                                                  health; (6) to explore emerging public                  the individual in accordance with                        After the DHANES/NCHS has
                                                  health issues and new technologies; and                 section 308(d) of the Public Health                   completed the initial quality control
                                                  (7) to establish and maintain a national                Service Act (42 U.S.C. 242m). During                  assessment, investigators will be given
                                                  probability sample of baseline                          NHANES III, participants 12 years and                 up to six months to conduct a
                                                  information on health and nutritional                   older (parent or guardian signed the                  comprehensive quality assurance
                                                  status.                                                 consent form if the participant was                   review. The timeframe allowed for this
                                                     The availability of the NHANES III                   under age 18 years) signed a consent                  review will depend on the number and
                                                  DNA specimens has been previously                       form to store a sample of their blood for             characteristics of the tests submitted. At
                                                  announced in 2002 (67 FR 51585), 2006                   future research. In NHANES 1999–2002,                 the completion of this review, the
                                                  (71 FR 22248), 2007 (72 FR 59094), 2009                 2007–08 and 2009–10 a separate                        availability of the resulting data will be
                                                  (74 FR 45644), and 2010 (75 FR 32191).                  consent form was signed by eligible                   announced to the public on the
                                                  NHANES III Phase II DNA specimens                       participants who agreed to the storing of             NHANES Web site Genetic Variant
                                                  (1991–1994) are from participants ages                  specimens for future genetic research.                Search: http://
                                                  12 or older (see NHANES III DNA                         DNA specimens will be available for                   www.nhgeneticvariant.com/. The
                                                  Specimens section for a description).                   testing only from participants who                    resulting data can be linked to other
                                                  For details about available NHANES III                  consented to future genetic research.                 NCHS variables (public use and
                                                  non-genetic data see http://                            Resulting data from DNA specimen                      restricted) for secondary data analysis.
                                                  www.cdc.gov/nchs/nhanes/                                testing will be linked to the NCHS                    For further information on available
                                                  nh3data.htm.                                            variables (public use and restricted) and             variant data visit: http://www.cdc.gov/
                                                     Beginning in 1999, NHANES became                     available for analyses through an NCHS                nchs/nhanes/biospecimens/
                                                  a continuous, annual survey rather than                 Research Data Center (RDC). Access to                 dnaspecimens.htm#Genetic.
                                                  a periodic survey. For a variety of                     these data at an NCHS RDC is only                        DNA specimen collections will be
                                                  reasons, including disclosure and                       through an approved proposal process                  provided in 96 well plates to
                                                  reliability issues, the survey data are                 mechanism to assure confidentiality.                  investigators and distributed as samples
                                                  released as public use data files every                                                                       from a complete collection or from a
                                                  two years. In addition to the analysis of               Research Proposal                                     subsample of a collection.
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                                                  data from any two year cycle, it is                       Note: The following proposal types                     Proposals testing DNA specimens
                                                  possible to combine two cycles to                       differ from those used in previous                    already obtained from previous
                                                  increase sample size and analytic                       announcements for use of NHANES III                   solicitations: Investigators that have
                                                  options. Blood samples for DNA                          DNA specimens (Thursday, August 8,                    obtained samples from NHANES DNA
                                                  purification were collected from                        2002 [67 FR 51585], Friday, January 13,               specimens from previous solicitations
                                                  participants aged 20 years and older in                 2006 [71 FR 22248], and Monday, June                  and have sufficient DNA left may
                                                  survey years 1999–2002 and 2007–12.                     10, 2010 [75 FR 32191]).                              request to do additional tests on the


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                                                  69824                          Federal Register / Vol. 81, No. 195 / Friday, October 7, 2016 / Notices

                                                  remaining DNA. These proposals must                       There are purified DNA specimens                    Email submission of the proposal is
                                                  be submitted and approved before the                    available from 4,893 NHANES 2009–10                   required.
                                                  DNA specimens were scheduled to be                      participants. Samples from the                           The proposals should be a maximum
                                                  destroyed or returned. The investigator                 specimens will be distributed into 54                 of 20 single-spaced typed pages,
                                                  will specify the test to be conducted on                plates with approximately three                       excluding figures and tables. Please use
                                                  the samples excluding tests that                        additional plates of quality control                  appendices sparingly. If a proposal is
                                                  produce incidental findings. The                        samples.                                              approved, the title, specific aims, name,
                                                  investigator will also include in the                     Each 96 well plate will be bar-coded                and phone number of the author will be
                                                  research protocol an analytic plan that                 and labeled with a readable identifier.               maintained by NCHS and released if
                                                  includes a list of proposed NCHS                        Quality control samples (5% of a                      requested by the public. Unapproved
                                                  variables (public use and restricted) that              collection) will be sent at no charge, on             proposals will be returned to the
                                                  would be used for the data analyses.                    separate plates as blind replicates.                  investigator and will not be maintained
                                                                                                                                                                by NCHS.
                                                  DNA Samples                                             Proposed Cost Schedule for Providing                     Applications will have a Scientific
                                                                                                          NHANES DNA Samples                                    Review by the Genetic Project Officer
                                                    These DNA specimens (NHANES III,
                                                  NHANES 1999–2002, NHANES 2007–08                          Costs are determined by NCHS and                    and the Technical Panel. The Technical
                                                  and NHANES 2009–10) were processed                      include costs incurred from the                       Panel is comprised of two members: A
                                                  by the Centers for Disease Control and                  contracting DNA Repository and                        Genetic Research Scientist and a
                                                  Prevention (CDC), National Center for                   DHANES administrative costs. The fee                  Genetic Epidemiologist. The members
                                                  Environmental Health (NCEH), Division                   covers the costs of materials, equipment,             review each proposal for scientific and
                                                  of Laboratory Sciences (DLS).                           labor, proposal review, administration                technical merit.
                                                                                                          and space for storage. For more details                  After the proposal is approved by the
                                                  NHANES III DNA Specimens                                see Table 1 below. In prior years, the                Genetic Technical Panel and the Genetic
                                                     The laboratory will distribute aliquots              DNA Repository was maintained by                      Project Officer it will be submitted for
                                                  (samples) of crude DNA lysates                          CDC. The DNA Repository is now                        Institutional review. All proposals will
                                                  extracted from cell lines. DNA                          maintained by a private contractor. The               undergo Institutional Review by the
                                                  concentrations vary and are estimated to                costs of contracting, along with annual               NCHS Human Subjects Contact and the
                                                  range from 7.5–65.0 ng/mL with an                       inflation increases, are reflected in the             NCHS Ethics Review Board (ERB) for
                                                  average of approximately four                           proposed cost schedule.                               any potential human subjects concerns
                                                  micrograms in 100 mL. Samples will be                                                                         to ensure appropriate human subjects
                                                                                                          Procedures for Proposals
                                                  provided in 96 well plates that are bar-                                                                      protections are provided in compliance
                                                  coded and labeled with a readable                         The investigator should follow these                with 45 CFR 46, and by the NCHS
                                                  identifier. Quality control samples (5%                 instructions for preparation of                       Confidentiality Officer for disclosure
                                                  of the total) will be sent at no charge,                proposals. Protocols must be written                  risk. The ERB will review the proposal
                                                  on separate plates as blind replicates.                 using the outline below.                              even if the investigator has received
                                                  DNA specimens are available from 7,159                  Proposal Timeline                                     approval by their institutional review
                                                  NHANES III participants. Samples will                                                                         panel.
                                                                                                             • Submission of Proposals: Can be                     Proposals should include the
                                                  be distributed in a total of 78 plates with
                                                                                                          submitted on an ongoing basis.                        following information:
                                                  an additional four plates of quality                       • Scientific Review: Within two
                                                  control samples. NHANES III DNA                                                                                  (1) Cover sheet: Include the name of
                                                                                                          months of proposal submission.                        the institution where the test will be
                                                  specimens are in limited supply thus                       • Institutional Review Date: Within
                                                  are not available as a partial set. Due to                                                                    conducted and Office of Human
                                                                                                          six weeks of final proposal acceptance.               Research Protections assurance numbers
                                                  the method of extraction, NHANES III                       • Notification of approval:
                                                  DNA specimens are not appropriate for                                                                         for the institutions engaged in the
                                                                                                          Approximately 30 days after                           research project. CDC investigators need
                                                  all projects and/or assays.                             Institutional Review.                                 to include their Scientific Ethics
                                                  NHANES 1999–2002, 2007–08, 2009–10                         • Anticipated distribution of samples:             Verification Number.
                                                  DNA Specimens                                           Approximately 60 days after all                          (2) Abstract: Please limit the abstract
                                                                                                          approvals are obtained.                               to 300 words.
                                                     The laboratory will distribute aliquots                 Note: Timeframe may vary depending                    (3) Specific Aims: List the broad
                                                  of purified, high molecular DNA in                      on the nature of the proposal and the                 objectives; describe concisely and
                                                  normalized concentrations of 50.0 ng/                   results of each level of review.                      realistically what the research is
                                                  mL. Some specimens may fall below this                  Unforeseen circumstances could result                 intended to accomplish, and state the
                                                  threshold. A sample of 40 microliters of                in a change to this schedule.                         specific hypotheses to be tested.
                                                  each specimen will be supplied. The                        DNA Specimen Program will begin                       (4) Background and Public Health
                                                  amount of DNA in each sample may                        accepting research proposals on                       Significance:
                                                  vary but will be on average                             December 6, 2016.                                        (A) Describe the public health
                                                  approximately two micrograms.                              In addition to the cover page, the                 significance of the proposed research.
                                                     There are purified DNA specimens                     research proposal should contain the                     (B) Discuss how the results will be
                                                  from 7,839 NHANES 1999–2002                             title of the research project, the name,              used. Analyses should be consistent
                                                  participants. Samples from these                        address phone number and Email                        with the NHANES mission to assess the
                                                  specimens will be distributed into 90                   address of the lead investigator along                health of the nation. The Scientific
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                                                  plates including four plates of quality                 with the name of the institution where                Review will ensure that the proposed
                                                  control samples.                                        the testing will be conducted. Office of              project does not go beyond either the
                                                     There are purified DNA specimens                     Human Research Protections assurance                  general purpose for collecting the blood
                                                  available from 4,612 NHANES 2007–08                     numbers for the institutions engaged in               samples for DNA in the survey or the
                                                  participants. These will be distributed                 the research project should be included.              specific stated goals of the proposal.
                                                  into approximately 54 plates including                  CDC investigators need to include their                  (5) Design, Method, and Data
                                                  three plates of quality control samples.                Scientific Ethics Verification Number.                analysis: The appropriateness and


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                                                                                 Federal Register / Vol. 81, No. 195 / Friday, October 7, 2016 / Notices                                           69825

                                                  adequacy of the methodology proposed                    justify that the proposed tests do not                   Proposals for secondary data analyses
                                                  to reach the research aims, and the                     produce sets of variants on specific                  linking NCHS restricted data, NCHS
                                                  appropriateness of using the NHANES                     genes listed by the most recent ACMG                  public use data, or non-NCHS data to
                                                  (a complex, multistage probability                      as reportable incidental findings as well             data resulting from DNA specimen
                                                  sample of the national population) to                   as how potential incidental test results              testing will be reviewed by the NCHS
                                                  address the goals of the proposal will be               will be handled. As of publication the                RDC. See http://www.cdc.gov/rdc for
                                                  assessed.                                               most recent report, published July 2013,              proposal guidelines.
                                                     (A) Research Design and Methods:                     ‘‘ACMG Recommendations for
                                                  Describe the analytic and statistical                                                                         Submission of Proposals
                                                                                                          Reporting of Incidental Findings in
                                                  methods to be employed. Include power                   Clinical Exome and Genome                               Proposals can be submitted
                                                  calculations. For all proposal categories,              Sequencing’’, lists 56 genes where                    immediately. The review process will
                                                  include a detailed description of the                   specific variants on these genes are                  begin approximately 60 days from the
                                                  laboratory methods. The characteristics                 pathogenic for 24 conditions.                         publication of the notice and will
                                                  of the laboratory assay, such as                           (B)Data Transfer: Specify the secure               include all proposals submitted as of
                                                  reliability, validity, should be included               method to transfer resultant data to                  that date.
                                                  with appropriate references. The                        NCHS. Investigators must use a device                   Electronic submission of proposals
                                                  potential difficulties and limitations of                                                                     are required. Please submit proposals to
                                                                                                          that meets federal information
                                                  the proposed procedures should also be                                                                        the NHANES Genetic Project Officer:
                                                                                                          processing standards (FIPS 140–2 and
                                                  discussed. Address adequate methods                                                                           Jody McLean M.P.H., Division of Health
                                                                                                          FIPS 197).
                                                  planned for handling and storage of                                                                           and Nutrition Examination Surveys,
                                                                                                             (C) Period of Performance: Specify the
                                                  samples of DNA specimens. Proposals                                                                           National Center for Health Statistics,
                                                                                                          project period. The period may be up to
                                                  must specify specific variants or the                                                                         Centers for Disease Control and
                                                                                                          three years. At the end of the project
                                                  standard assay(s) that will be used to                                                                        Prevention, 3311 Toledo Road,
                                                                                                          period, any unused samples must be
                                                  test the proposed research hypotheses                                                                         Hyattsville, MD 20782, Phone: 301–
                                                                                                          returned to the NHANES DNA
                                                  and include a statement of why the                                                                            458–4683, EMail: NHANESgenetics@
                                                                                                          Specimen Repository or destroyed by
                                                  specific standard assay(s) is/are                                                                             cdc.gov.
                                                                                                          the investigator. Extensions to the
                                                  necessary to test the proposed                          period of performance may be                          Agency Agreement
                                                  hypotheses. The standard assay is a                     requested.
                                                  commercially available assay for a                                                                              Investigators must secure funding and
                                                                                                             (D) Funding: Include the source and                sign terms and conditions agreements
                                                  curated set of variants. (1) Proposals
                                                                                                          status of the funding to perform the                  for the use of the DNA specimens with
                                                  will be provided with quality control
                                                                                                          requested laboratory analysis.                        CDC/NCHS prior to the release of the
                                                  samples at no additional cost. Approved
                                                                                                          Investigators will be responsible for the             NHANES DNA samples. Investigators
                                                  projects must run these quality control
                                                                                                          cost of processing and shipping the                   must agree to use the specimens only for
                                                  samples and submit these results along
                                                  with the results from the NHANES DNA                    samples (See table).                                  the approved tests and use the test
                                                  samples, unless the Genetic Project                        (7) References.                                    results only for purposes as stated in the
                                                  Officer has approved an alternative                        (8) Resumes/CV: Please include a 2-                approved proposal, not link the results
                                                  quality control review plan. (2)                        page CV for each member of the                        of the proposed research to any other
                                                  Proposals using residual samples should                 research team in this document (not as                data, and not use the DNA specimens
                                                  have residual quality control samples                   attachments).                                         for commercial purposes via a legally
                                                  and investigators will be required to use               Public Availability of Data                           binding Materials Transfer Agreement
                                                  these residual quality control samples.                                                                       for non-government researchers or
                                                  The proposal should address additional                    Data resulting from use of DNA                      Interagency Agreement for government
                                                  quality control procedures the                          specimens will be made available to the               researchers. In addition, all investigators
                                                  laboratory will use to assure the validity              public for secondary data analyses via                will be required to sign a Designated
                                                  of the test results and address adequate                the NCHS RDC. After DHANES/NCHS                       Agent Agreement (DAA) with CDC/
                                                  methods planned for handling and                        quality control assessment is completed,              NCHS in accordance with NCHS’
                                                  storage of sample specimens.                            investigators will be given up to six                 confidentiality legislation, the
                                                     (B) Data analysis: Note: All resulting               months to conduct comprehensive                       Confidential Information Protection and
                                                  data must be analyzed in the NCHS                       quality assurance review in the NCHS                  Statistical Efficiency Act (CIPSEA; Title
                                                  RDC Output: Please describe the data                    RDC. The quality assurance review                     V of the E-Government Act of 2002
                                                  output that you would like to retain and                timeframe will be negotiated between                  (Pub. L. 107–347)). The DAA is the
                                                  take out of the RDC after analyses.                     the investigator and the NHANES                       mechanism by which CDC/NCHS may
                                                     (6) Additional information for                       Genetic Project Officer and will depend               authorize designation of agents to
                                                  NHANES:                                                 on the type, number, and characteristics              exclusively perform activities needed to
                                                     (A) Clinical Relevance of Research                   of the tests submitted. The results of the            produce approved data on CIPSEA
                                                  Findings: The consent document for                      quality assurance review will be                      protected NHANES DNA specimens.
                                                  DNA specimen storage and future                         provided to DHANES/NCHS and
                                                  studies states that individual results                  appropriate aspects will become part of               Approved Proposals
                                                  will not be provided to participants                    the data set documentation. The public                  After DNA samples are received and
                                                  therefore no tests that would need to be                announcement, that test results are                   testing is complete, the resulting data
                                                  reported back to the participant can be                 available for submission of proposals for             will be sent back to DHANES/NCHS for
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                                                  proposed. DHANES/NCHS will use the                      secondary data analyses, will occur                   quality control (QC) assessment. While
                                                  most recent American College of                         once the quality assurance review                     DHANES/NCHS QC assessment is under
                                                  Medical Genetics and Genomics                           timeframe has ended. For a list of                    way the investigator can submit a NCHS
                                                  (ACMG) recommendations for reporting                    currently available variant data see:                 RDC proposal to conduct
                                                  incidental findings to review the                       http://www.cdc.gov/nchs/nhanes/                       comprehensive quality assurance
                                                  proposed tests and the potential                        biospecimens/                                         review. Once the investigator’s quality
                                                  incidental findings. Investigators must                 dnaspecimens.htm#Genetic.                             assurance review is complete and the


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                                                  69826                                      Federal Register / Vol. 81, No. 195 / Friday, October 7, 2016 / Notices

                                                  results returned to DHANES/NCHS, the                                         continuation report. An ERB                                                  specimens will be made available to the
                                                  test results will be made available to the                                   continuation form will be sent to the                                        public for secondary data analyses.
                                                  public and the investigator can submit                                       investigator each year for project                                           After the DHANES/NCHS quality
                                                  an NCHS RDC proposal to request                                              update. If an approved proposal is                                           control assessment is completed,
                                                  linkage to NCHS restricted data, NCHS                                        unable to obtain funding the proposal                                        investigators will be given up to six
                                                  public use data, or Non-NCHS data to                                         will be closed.                                                              months to conduct a more
                                                  conduct their analysis.                                                                                                                                   comprehensive quality assurance
                                                     After the comprehensive quality                                           Termination of ERB Protocol
                                                                                                                                                                                                            review. The final quality assurance
                                                  assessment process has been completed                                          At the end of laboratory testing the
                                                                                                                               ERB Protocol will be closed.                                                 review timeframe will be negotiated
                                                  by the investigator, a list of variants
                                                                                                                                                                                                            between the researcher and the
                                                  generated from NHANES specimen                                               Disposition of Results and Samples
                                                  testing will be made available to the                                                                                                                     NHANES Genetic Project Officer and
                                                  public for potential solicitation via                                           The provided DNA samples cannot be                                        characteristics of the tests submitted.
                                                  NCHS RDC proposals. The list of                                              used for any purpose other than the                                          Proposals for secondary data analyses
                                                  variants will be available in the                                            specifically requested purpose outlined                                      will be reviewed by the NCHS RDC on
                                                  NHANES Genetic Variant Search                                                in the proposal and approved through                                         a rolling basis; see: http://www.cdc.gov/
                                                  (http://www.nhgeneticvariant.com/). In                                       the Scientific and Institutional Review.                                     rdc for proposal guidelines. All data
                                                  addition, DHANES/NCHS quality                                                No DNA samples can be shared with                                            analyses will be conducted via access
                                                  control assessment procedures will be                                        others, including other investigators,                                       modes available at NCHS RDC.
                                                  posted on the NHANES Genetic                                                 unless specified in the proposal and so
                                                                                                                                                                                                              Dated: October 4, 2016.
                                                  Repository Web site and/or available via                                     approved. Samples must be returned
                                                                                                                               upon completion of the approved                                              Sandra Cashman,
                                                  email.
                                                                                                                               project or destroyed only with the                                           Executive Secretary, Centers for Disease
                                                  Progress Reports                                                             written approval of the NHANES                                               Control and Prevention.
                                                    A progress report will be submitted in                                     Genetic Project Officer. Test results from
                                                  the annual CDC/NCHS/ERB                                                      all studies using NHANES DNA

                                                                                                           TABLE 1—COST SCHEDULE FOR NHANES DNA SPECIMENS
                                                                                                                                                                                                         1999–2002,                  1999–2002,
                                                                                                                                                                                                          2007–08,                    2007–08,                NHANES III
                                                                                                                  Total costs                                                                              2009–10                    2009–10                 complete set
                                                                                                                                                                                                         Complete set                 Partial set

                                                  Materials and Equipment—contractor: Plates, reagents, assays, aliquoting and packaging
                                                    samples; use of equipment ......................................................................................................                                  $1.51                       $4.53              $0.75
                                                  Labor—contractor: Processing, handling, and shipping; NCHS: Data quality control ................                                                                    4.98                       24.90               2.49
                                                  Proposal review and Administrative expenses—contractor: Inventory management and re-
                                                    porting; NCHS: Management of proposal process non-NCHS: Technical panel fees ............                                                                           3.02                      6.04                1.51
                                                  Space—contractor: Freezer use and maintenance .....................................................................                                                   5.59                      5.59                2.79
                                                  Cost per sample ..........................................................................................................................                           15.10                     41.06                7.55
                                                  Cost per new proposal:
                                                      1999–2002 ............................................................................................................................                       119,260                            NA
                                                      2007–2008 ............................................................................................................................                         72,661
                                                      2009–2010 ............................................................................................................................                         73,884
                                                      III ...........................................................................................................................................   ........................   ........................         54,050
                                                  Cost per additional proposal: *
                                                      1999–2002 ............................................................................................................................                           5,963                            **
                                                      2007–2008 ............................................................................................................................                           3,633
                                                      2009–2010 ............................................................................................................................                           3,694
                                                      III ...........................................................................................................................................   ........................   ........................          2,702
                                                    * Additional research using DNA specimens already obtained from previous solicitations.
                                                    ** This charge will be 5 percent of the original cost.
                                                    Note: Applicable CDC overhead and NCHS management and oversight charges will be added to these rates for proposals coming from Fed-
                                                  eral agencies.


                                                  [FR Doc. 2016–24349 Filed 10–6–16; 8:45 am]                                  DEPARTMENT OF HEALTH AND                                                     Advisory Committee to the Director
                                                  BILLING CODE 4163–18–P                                                       HUMAN SERVICES                                                               (ACD), Centers for Disease Control and
                                                                                                                                                                                                            Prevention—Health Disparities
                                                                                                                               Centers for Disease Control and                                              Subcommittee (HDS) Meeting on
                                                                                                                               Prevention                                                                   October 19, 2016 as follows:
                                                                                                                                                                                                              Time and Date: 8:00 a.m.–4:00 p.m.,
                                                                                                                               Advisory Committee to the Director                                           EDT, October 19, 2016.
                                                                                                                                                                                                              Place: CDC, Building 19, Room 151,
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                                               (ACD), Centers for Disease Control and
                                                                                                                               Prevention (CDC)                                                             1600 Clifton Road NE., Atlanta, Georgia
                                                                                                                                                                                                            30329.
                                                                                                                                 Amendment: A notice of this meeting                                          Status: Open to the public, limited
                                                                                                                               was published in the Federal Register                                        only by the space available. The meeting
                                                                                                                               on August 30, 2016, Volume 81,                                               room accommodates approximately 50
                                                                                                                               Number 168, Page 59626. The original                                         people. The public is welcome to
                                                                                                                               notice is amended to include the                                             participate during the public comment


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Document Created: 2018-02-13 16:31:51
Document Modified: 2018-02-13 16:31:51
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.
DatesWithin six weeks of final proposal acceptance.
ContactNHANES Genetic Project Officer: Jody McLean M.P.H., Division of Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Hyattsville, MD 20782, Phone: 301-458- 4683, Fax: 301-458-4029, EMail: [email protected]
FR Citation81 FR 69822 

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