82_FR_15117 82 FR 15061 - Effect of Stockpiling Conditions on the Performance of Medical N95 Respirators and High-Level Protective Surgical Gowns

82 FR 15061 - Effect of Stockpiling Conditions on the Performance of Medical N95 Respirators and High-Level Protective Surgical Gowns

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

Federal Register Volume 82, Issue 56 (March 24, 2017)

Page Range15061-15062
FR Document2017-05896

The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention announces the request for information about facilities that stockpile N95 respirators and high-level protective surgical gowns.

Federal Register, Volume 82 Issue 56 (Friday, March 24, 2017)
[Federal Register Volume 82, Number 56 (Friday, March 24, 2017)]
[Notices]
[Pages 15061-15062]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-05896]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket Number CDC-2017-0024, NIOSH-297]


Effect of Stockpiling Conditions on the Performance of Medical 
N95 Respirators and High-Level Protective Surgical Gowns

AGENCY: National Institute for Occupational Safety and Health (NIOSH) 
of the Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Request for information.

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SUMMARY: The National Institute for Occupational Safety and Health 
(NIOSH) of the Centers for Disease Control and Prevention announces the 
request for information about facilities that stockpile N95 respirators 
and high-level protective surgical gowns.

DATES: Electronic or written submissions must be received by [30 days 
from FRN posting].

ADDRESSES: You may submit responses, identified by CDC-2017-0024 and 
docket number NIOSH-297, by any of the following methods:
     Federal eRulemaking Portal: www.regulations.gov. Follow 
the instructions for submitting comments.
     Mail: National Institute for Occupational Safety and 
Health, NIOSH Docket Office, 1090 Tusculum Avenue, MS C-34, Cincinnati, 
Ohio 45226-1998.
    Instructions: All information received in response to this notice 
must include the agency name and docket number [CDC-2017-0024; NIOSH-
297]. All relevant responses received will be posted without change to 
www.regulations.gov, including any personal information provided. For 
access to the docket to read background documents or information 
received, go to www.regulations.gov. All information received in 
response to this notice will also be available for public examination 
and copying at the NIOSH Docket Office, 1150 Tusculum Avenue, Room 155, 
Cincinnati, OH 45226-1998.

FOR FURTHER INFORMATION CONTACT: Kerri Wizner, NIOSH, National Personal 
Protective Technology Laboratory, Research Branch, 626 Cochrans Mill 
Road, Building 19A, Pittsburgh, PA 15236, (412) 386-5225, (not a toll 
free number).

SUPPLEMENTARY INFORMATION: NIOSH seeks information about personal 
protective equipment (PPE) environmental storage conditions and 
inventory for federal, state, municipal, county, and hospital system 
stockpiles. Maintaining PPE stockpiles for public health emergencies is 
a significant cost and time investment for these various entities, 
which may include purchasing new products, maintaining inventory 
records, and lease or purchase of environmentally controlled storage 
space away from contaminated areas, dust, sun light, extreme 
temperatures, excessive moisture, and damaging chemicals. The 
information provided by respondents to this Notice will be used to 
inform a research study design where N95 respirators and high-
protection level surgical gowns are sampled from stockpiles and tested 
against established performance standards. The research study will be 
designed to obtain scientific data to assess (1) the potential to 
extend manufacturer-recommended shelf life and (2) the effect of 
common, albeit sometimes non-ideal, stockpile conditions on the 
protections provided by respirators and surgical gowns. NIOSH seeks to 
sample N95 respirators and high-protection level surgical gowns from a 
variety of stockpiles representing contemporary storage conditions from 
across the nation. To that end, the information sought in this Notice 
is aimed at ensuring that study findings are broadly applicable to U.S. 
stockpiles.
    Background: Various entities stockpile personal protective 
equipment (PPE) in preparation for public health responses to outbreaks 
of high consequence infectious diseases such as SARS, influenza, and 
Ebola, where PPE demand may outpace supply. Stockpiling PPE is a costly 
endeavor that includes PPE purchase, storage space, product rotation 
over time, and environmental controls for heat, humidity, dust, and 
sunlight. Resource limitations may lead facilities to stockpile PPE in 
environments that do not meet manufacturer storage recommendations or 
exceed shelf life, increasing the potential for PPE degradation. Even 
when resources exist to store PPE per manufacturer's environmental 
recommendations, the influence of long-term storage time alone on PPE 
performance has been questioned. Additionally, large quantities of 
stockpiled PPE obtained during previous nationwide responses may now be 
exceeding its shelf life and expected replacement costs will likely far 
exceed available budgets. Data is needed to better understand the 
potential impact upon worker health and safety.
    Information Needs: Information is needed to assist NIOSH in 
identifying important factors to focus the research study design. 
Information is needed from facilities that stockpile N95 respirators 
and high-level protective surgical gowns for use during public health 
emergencies. Please ensure the type of stockpile you are affiliated 
with is included in the responses to any of the below questions.
    1. Please describe the type of stockpile with which you are 
affiliated (e.g., federal, state, county). Please describe the end 
users of the stockpiled products (e.g., healthcare workers, public).
    2. Please describe the extent to which environmental controls are 
implemented and maintained. For example, does the stockpile employ 
controls against humidity, temperature, sunlight, dust, or chemical 
exposure? Please describe how these controls are implemented, 
monitored, regularity of monitoring, and what optimal conditions are. 
Available guidance documents used for the stockpile would

[[Page 15062]]

be welcome. What are the barriers to maintaining these controls? What 
factors are currently not being controlled that you feel are relevant 
to this effort?
    3. How do you monitor for N95 respirator and high-level protective 
surgical gown deterioration? What are signs of deterioration you 
consider (e.g., cosmetic, box damage, expiration dates)? What are 
barriers in determining deterioration?
    4. If applicable, please describe your process for PPE rotation. 
For example, please describe your process for ensuring new products are 
purchased upon expiration of shelf-life for currently stockpiled N95 
respirators/high-level surgical gowns. Quantity estimates of the 
stockpiled N95 respirator/surgical gown inventory exceeding the 
recommended shelf life would be valuable to the design of this study.
    5. If stockpiled N95 respirators/surgical gowns are purchased from 
a distributor (i.e. not directly from the manufacturer), please 
describe your process for obtaining information on storage practices 
from these distributors.
    6. What types of controls are available in the shipping 
environment? Do they instruct points-of-use on storage requirements? 
Other use limitations/instructions?
    7. Please provide information about the N95 respirator and high-
level surgical gown inventory available in the stockpile, including 
brands, models, and related estimated numbers to help us better 
understand the type and quantities of PPE that may be affected by this 
research.

Frank Hearl,
Chief of Staff, National Institute for Occupational Safety and Health, 
Centers for Disease Control and Prevention.
[FR Doc. 2017-05896 Filed 3-23-17; 8:45 am]
 BILLING CODE 4163-19-P



                                                                                  Federal Register / Vol. 82, No. 56 / Friday, March 24, 2017 / Notices                                          15061

                                                    Using average wage rates for relevant                 that stockpile N95 respirators and high-              by respirators and surgical gowns.
                                                  job categories from 2016 BLS data, the                  level protective surgical gowns.                      NIOSH seeks to sample N95 respirators
                                                  total annual costs associated with these                DATES: Electronic or written                          and high-protection level surgical
                                                  data collections per year are                           submissions must be received by [30                   gowns from a variety of stockpiles
                                                  $116,746.13 as shown in Table 2 above,                  days from FRN posting].                               representing contemporary storage
                                                  for a total cost for all three years of                 ADDRESSES: You may submit responses,                  conditions from across the nation. To
                                                  $350,238.39.                                            identified by CDC–2017–0024 and                       that end, the information sought in this
                                                                                                          docket number NIOSH–297, by any of                    Notice is aimed at ensuring that study
                                                  Request for Comments
                                                                                                          the following methods:                                findings are broadly applicable to U.S.
                                                    In accordance with the Paperwork                        • Federal eRulemaking Portal:                       stockpiles.
                                                  Reduction Act, comments on AHRQ’s                       www.regulations.gov. Follow the                          Background: Various entities
                                                  information collection are requested                    instructions for submitting comments.                 stockpile personal protective equipment
                                                  with regard to any of the following: (a)                  • Mail: National Institute for                      (PPE) in preparation for public health
                                                  Whether the proposed collection of                      Occupational Safety and Health, NIOSH                 responses to outbreaks of high
                                                  information is necessary for the proper                 Docket Office, 1090 Tusculum Avenue,                  consequence infectious diseases such as
                                                  performance of AHRQ health care                         MS C–34, Cincinnati, Ohio 45226–1998.                 SARS, influenza, and Ebola, where PPE
                                                  research and health care information                      Instructions: All information received              demand may outpace supply.
                                                  dissemination functions, including                      in response to this notice must include               Stockpiling PPE is a costly endeavor
                                                  whether the information will have                       the agency name and docket number                     that includes PPE purchase, storage
                                                  practical utility; (b) the accuracy of                  [CDC–2017–0024; NIOSH–297]. All                       space, product rotation over time, and
                                                  AHRQ’s estimate of burden (including                    relevant responses received will be                   environmental controls for heat,
                                                  hours and costs) of the proposed                        posted without change to                              humidity, dust, and sunlight. Resource
                                                  collection(s) of information; (c) ways to               www.regulations.gov, including any                    limitations may lead facilities to
                                                  enhance the quality, utility and clarity                personal information provided. For                    stockpile PPE in environments that do
                                                  of the information to be collected; and                 access to the docket to read background               not meet manufacturer storage
                                                  (d) ways to minimize the burden of the                  documents or information received, go                 recommendations or exceed shelf life,
                                                  collection of information upon the                      to www.regulations.gov. All information               increasing the potential for PPE
                                                  respondents, including the use of                       received in response to this notice will              degradation. Even when resources exist
                                                  automated collection techniques or                      also be available for public examination              to store PPE per manufacturer’s
                                                  other forms of information technology.                  and copying at the NIOSH Docket                       environmental recommendations, the
                                                    Comments submitted in response to                                                                           influence of long-term storage time
                                                                                                          Office, 1150 Tusculum Avenue, Room
                                                  this notice will be summarized and                                                                            alone on PPE performance has been
                                                                                                          155, Cincinnati, OH 45226–1998.
                                                  included in the Agency’s subsequent                                                                           questioned. Additionally, large
                                                                                                          FOR FURTHER INFORMATION CONTACT:
                                                  request for OMB approval of the                                                                               quantities of stockpiled PPE obtained
                                                  proposed information collection. All                    Kerri Wizner, NIOSH, National Personal
                                                                                                                                                                during previous nationwide responses
                                                  comments will become a matter of                        Protective Technology Laboratory,
                                                                                                                                                                may now be exceeding its shelf life and
                                                  public record.                                          Research Branch, 626 Cochrans Mill
                                                                                                                                                                expected replacement costs will likely
                                                                                                          Road, Building 19A, Pittsburgh, PA
                                                  Sharon B. Arnold,
                                                                                                                                                                far exceed available budgets. Data is
                                                                                                          15236, (412) 386–5225, (not a toll free
                                                                                                                                                                needed to better understand the
                                                  Acting Director.                                        number).
                                                                                                                                                                potential impact upon worker health
                                                  [FR Doc. 2017–05839 Filed 3–23–17; 8:45 am]             SUPPLEMENTARY INFORMATION: NIOSH                      and safety.
                                                  BILLING CODE 4160–90–P                                  seeks information about personal                         Information Needs: Information is
                                                                                                          protective equipment (PPE)                            needed to assist NIOSH in identifying
                                                                                                          environmental storage conditions and                  important factors to focus the research
                                                  DEPARTMENT OF HEALTH AND                                inventory for federal, state, municipal,              study design. Information is needed
                                                  HUMAN SERVICES                                          county, and hospital system stockpiles.               from facilities that stockpile N95
                                                                                                          Maintaining PPE stockpiles for public                 respirators and high-level protective
                                                  Centers for Disease Control and                         health emergencies is a significant cost
                                                  Prevention                                                                                                    surgical gowns for use during public
                                                                                                          and time investment for these various                 health emergencies. Please ensure the
                                                  [Docket Number CDC–2017–0024, NIOSH–                    entities, which may include purchasing                type of stockpile you are affiliated with
                                                  297]                                                    new products, maintaining inventory                   is included in the responses to any of
                                                                                                          records, and lease or purchase of                     the below questions.
                                                  Effect of Stockpiling Conditions on the                 environmentally controlled storage                       1. Please describe the type of
                                                  Performance of Medical N95                              space away from contaminated areas,                   stockpile with which you are affiliated
                                                  Respirators and High-Level Protective                   dust, sun light, extreme temperatures,                (e.g., federal, state, county). Please
                                                  Surgical Gowns                                          excessive moisture, and damaging                      describe the end users of the stockpiled
                                                  AGENCY:  National Institute for                         chemicals. The information provided by                products (e.g., healthcare workers,
                                                  Occupational Safety and Health                          respondents to this Notice will be used               public).
                                                  (NIOSH) of the Centers for Disease                      to inform a research study design where                  2. Please describe the extent to which
                                                  Control and Prevention (CDC),                           N95 respirators and high-protection                   environmental controls are
                                                  Department of Health and Human                          level surgical gowns are sampled from                 implemented and maintained. For
                                                                                                          stockpiles and tested against established             example, does the stockpile employ
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                  Services (HHS).
                                                  ACTION: Request for information.                        performance standards. The research                   controls against humidity, temperature,
                                                                                                          study will be designed to obtain                      sunlight, dust, or chemical exposure?
                                                  SUMMARY:   The National Institute for                   scientific data to assess (1) the potential           Please describe how these controls are
                                                  Occupational Safety and Health                          to extend manufacturer-recommended                    implemented, monitored, regularity of
                                                  (NIOSH) of the Centers for Disease                      shelf life and (2) the effect of common,              monitoring, and what optimal
                                                  Control and Prevention announces the                    albeit sometimes non-ideal, stockpile                 conditions are. Available guidance
                                                  request for information about facilities                conditions on the protections provided                documents used for the stockpile would


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                                                  15062                           Federal Register / Vol. 82, No. 56 / Friday, March 24, 2017 / Notices

                                                  be welcome. What are the barriers to                    SUMMARY: The Administration for                       Wisconsin Avenue, Bethesda, MD 20892
                                                  maintaining these controls? What                        Community Living published a                          (Telephone Conference Call).
                                                  factors are currently not being                         proposed collection of information                      Contact Person: Greg Bissonette, Ph.D.,
                                                  controlled that you feel are relevant to                document in the Federal Register on                   Scientific Review Officer, National Institute
                                                  this effort?                                            March 13, 2017. (82 FR 13457 and                      on Aging, National Institutes of Health,
                                                    3. How do you monitor for N95                         13458) The document title and                         Gateway Building, Suite 2W200, 7201
                                                                                                          summary incorrectly stated that no                    Wisconsin Avenue, Bethesda, Md 20892,
                                                  respirator and high-level protective
                                                                                                          changes were proposed to the currently                301–402–1622, bissonettegb@mail.nih.gov.
                                                  surgical gown deterioration? What are
                                                  signs of deterioration you consider (e.g.,              approved collection.                                  (Catalogue of Federal Domestic Assistance
                                                  cosmetic, box damage, expiration                        FOR FURTHER INFORMATION CONTACT:                      Program Nos. 93.866, Aging Research,
                                                  dates)? What are barriers in determining                Heather Menne at 202–795–7733 or                      National Institutes of Health, HHS)
                                                  deterioration?                                          Heather.Menne@acl.hhs.gov.                              Dated: March 20, 2017.
                                                    4. If applicable, please describe your                                                                      Melanie J. Pantoja,
                                                                                                          Corrections
                                                  process for PPE rotation. For example,                                                                        Program Analyst, Office of Federal Advisory
                                                  please describe your process for                          The Title of the Notice should read:                Committee Policy.
                                                  ensuring new products are purchased                     Agency Information Collection                         [FR Doc. 2017–05837 Filed 3–23–17; 8:45 am]
                                                  upon expiration of shelf-life for                       Activities; Proposed Collection; Public
                                                                                                                                                                BILLING CODE 4140–01–P
                                                  currently stockpiled N95 respirators/                   Comment Request; Proposed Extension
                                                  high-level surgical gowns. Quantity                     with Modifications of a Currently
                                                  estimates of the stockpiled N95                         Approved Collection; National Survey
                                                                                                                                                                DEPARTMENT OF HEALTH AND
                                                  respirator/surgical gown inventory                      of Older Americans Act Participants.
                                                                                                                                                                HUMAN SERVICES
                                                  exceeding the recommended shelf life                    Under the SUMMARY section, page 13457,
                                                  would be valuable to the design of this                 column two, correct the last sentence in              National Institutes of Health
                                                  study.                                                  the section to read: ‘‘This notice solicits
                                                    5. If stockpiled N95 respirators/                     comments on a proposed extension with                 National Institute of Allergy and
                                                  surgical gowns are purchased from a                     modifications to a currently approved                 Infectious Diseases; Notice of Closed
                                                  distributor (i.e. not directly from the                 collection.’’                                         Meeting
                                                  manufacturer), please describe your                       Dated: March 20, 2017.
                                                  process for obtaining information on                    Daniel P. Berger,                                       Pursuant to section 10(d) of the
                                                  storage practices from these distributors.              Acting Administrator and Assistant Secretary          Federal Advisory Committee Act, as
                                                    6. What types of controls are available               for Aging.                                            amended (5 U.S.C. App.), notice is
                                                  in the shipping environment? Do they                    [FR Doc. 2017–05827 Filed 3–23–17; 8:45 am]
                                                                                                                                                                hereby given of the following meeting.
                                                  instruct points-of-use on storage                       BILLING CODE 4154–01–P                                  The meeting will be closed to the
                                                  requirements? Other use limitations/                                                                          public in accordance with the
                                                  instructions?                                                                                                 provisions set forth in sections
                                                    7. Please provide information about                   DEPARTMENT OF HEALTH AND                              552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
                                                  the N95 respirator and high-level                       HUMAN SERVICES                                        as amended. The grant applications and
                                                  surgical gown inventory available in the                                                                      the discussions could disclose
                                                  stockpile, including brands, models,                    National Institutes of Health                         confidential trade secrets or commercial
                                                  and related estimated numbers to help                                                                         property such as patentable material,
                                                                                                          National Institute on Aging; Notice of                and personal information concerning
                                                  us better understand the type and
                                                                                                          Closed Meeting                                        individuals associated with the grant
                                                  quantities of PPE that may be affected
                                                  by this research.                                         Pursuant to section 10(d) of the                    applications, the disclosure of which
                                                                                                          Federal Advisory Committee Act, as                    would constitute a clearly unwarranted
                                                  Frank Hearl,
                                                                                                          amended (5 U.S.C. App.), notice is                    invasion of personal privacy.
                                                  Chief of Staff, National Institute for
                                                  Occupational Safety and Health, Centers for
                                                                                                          hereby given of the following meeting.                  Name of Committee: National Institute of
                                                  Disease Control and Prevention.                           The meeting will be closed to the                   Allergy and Infectious Diseases; Special
                                                  [FR Doc. 2017–05896 Filed 3–23–17; 8:45 am]
                                                                                                          public in accordance with the                         Emphasis Panel NIAID Investigator Initiated
                                                                                                          provisions set forth in sections                      Program Project Applications (P01)
                                                  BILLING CODE 4163–19–P
                                                                                                          552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,              Date: April 18–19, 2017.
                                                                                                          as amended. The grant applications and                  Time: 9:00 a.m. to 5:00 p.m.
                                                  DEPARTMENT OF HEALTH AND                                the discussions could disclose                          Agenda: To review and evaluate grant
                                                                                                          confidential trade secrets or commercial              applications.
                                                  HUMAN SERVICES
                                                                                                          property such as patentable material,                   Place: National Institutes of Health, 5601
                                                  Administration for Community Living                     and personal information concerning                   Fishers Lane, Rockville, MD 20892
                                                                                                          individuals associated with the grant                 (Telephone Conference Call)
                                                  Agency Information Collection                           applications, the disclosure of which                   Contact Person: Geetanjali Bansal, Ph.D.,
                                                  Activities; Proposed Collection; Public                 would constitute a clearly unwarranted                Scientific Reviewer Officer, Scientific Review
                                                  Comment Request; Proposed                               invasion of personal privacy.                         Program, Division of Extramural Activities,
                                                  Extension With Modifications of a                                                                             Room 3G49, National Institutes of Health/
                                                                                                            Name of Committee: National Institute on
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                  Currently Approved Collection;                                                                                NIAID, 5601 Fishers Lane, MSC 9834,
                                                                                                          Aging Special Emphasis Panel; Brain                   Bethesda, MD 20892–9834, (240) 669–5073,
                                                  National Survey of Older Americans                      Lymphatics and Alzheimer’s Disease.                   geetanjali.bansal@nih.gov.
                                                  Act Participants; Correction                              Date: April 18, 2017.
                                                                                                            Time: 12:00 p.m. to 5:00 p.m.                       (Catalogue of Federal Domestic Assistance
                                                  AGENCY:  Administration for Community                     Agenda: To review and evaluate grant                Program Nos. 93.855, Allergy, Immunology,
                                                  Living, HHS.                                            applications.                                         and Transplantation Research; 93.856,
                                                                                                            Place: National Institute on Aging,                 Microbiology and Infectious Diseases
                                                  ACTION: Notice of correction.
                                                                                                          Gateway Building, Suite 2W200, 7201                   Research, National Institutes of Health, HHS)



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Document Created: 2018-02-01 15:10:37
Document Modified: 2018-02-01 15:10:37
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionRequest for information.
DatesElectronic or written submissions must be received by [30 days from FRN posting].
ContactKerri Wizner, NIOSH, National Personal Protective Technology Laboratory, Research Branch, 626 Cochrans Mill Road, Building 19A, Pittsburgh, PA 15236, (412) 386-5225, (not a toll free number).
FR Citation82 FR 15061 

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