83_FR_25575 83 FR 25469 - Meeting of the Pain Management Best Practices Inter-Agency Task Force; Amendment

83 FR 25469 - Meeting of the Pain Management Best Practices Inter-Agency Task Force; Amendment

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Federal Register Volume 83, Issue 106 (June 1, 2018)

Page Range25469-25470
FR Document2018-11747

A notice was published in the Federal Register on Thursday, May 3, 2018, to announce the inaugural meeting of the Pain Management Best Practices Inter-Agency Task Force (Task Force) and to invite the public to provide public comments. The period for written comments is currently scheduled to end close of business on May 25, 2018. The notice is being amended to extend the written public comment period for two weeks to allow more time for interested individuals to submit comments.

Federal Register, Volume 83 Issue 106 (Friday, June 1, 2018)
[Federal Register Volume 83, Number 106 (Friday, June 1, 2018)]
[Notices]
[Pages 25469-25470]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-11747]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Meeting of the Pain Management Best Practices Inter-Agency Task 
Force; Amendment

AGENCY: Office of the Assistant Secretary for Health, Office of the 
Secretary, Department of Health and Human Services.

ACTION: Notice; amendment.

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

[[Page 25470]]

SUMMARY: A notice was published in the Federal Register on Thursday, 
May 3, 2018, to announce the inaugural meeting of the Pain Management 
Best Practices Inter-Agency Task Force (Task Force) and to invite the 
public to provide public comments. The period for written comments is 
currently scheduled to end close of business on May 25, 2018. The 
notice is being amended to extend the written public comment period for 
two weeks to allow more time for interested individuals to submit 
comments.

DATES: The written public comment period has been extended. All written 
comments are due to be submitted on or before June 15, 2018.

ADDRESSES: Individuals submitting written comments should submit their 
comments through the Federal eRulemaking Portal at http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Alicia Richmond Scott, Designated 
Federal Official, Pain Management Best Practices Inter-Agency Task 
Force, U.S. Department of Health and Human Services, Office of the 
Assistant Secretary for Health, 200 Independence Avenue SW, Room 736E, 
Washington, DC 20201. Email: [email protected]. Telephone: (240) 
453-2816.

    Dated: May 24, 2018.
Vanila M. Singh,
Chief Medical Officer, HHS Office of the Assistant Secretary for 
Health.
[FR Doc. 2018-11747 Filed 5-31-18; 8:45 am]
BILLING CODE 4150-28-P



                                                                                Federal Register / Vol. 83, No. 106 / Friday, June 1, 2018 / Notices                                                 25469

                                               ‘‘Confidential Submissions,’’ publicly                  Evaluation and Research, Food and                        This draft guidance is being issued
                                               viewable at https://www.regulations.gov                 Drug Administration, 10903 New                        consistent with FDA’s good guidance
                                               or at the Dockets Management Staff                      Hampshire Ave., Bldg. 22, Rm. 4418,                   practices regulation (21 CFR 10.115).
                                               between 9 a.m. and 4 p.m., Monday                       Silver Spring, MD 20993–0002, 301–                    The draft guidance, when finalized, will
                                               through Friday.                                         796–5162, email: Lubna.Merchant@                      represent the current thinking of FDA
                                                  • Confidential Submissions—To                        fda.hhs.gov; or Stephen Ripley, Center                on ‘‘Development of a Shared System
                                               submit a comment with confidential                      for Biologics Evaluation and Research,                REMS.’’ It does not establish any rights
                                               information that you do not wish to be                  Food and Drug Administration, 10903                   for any person and is not binding on
                                               made publicly available, submit your                    New Hampshire Ave., Bldg. 71, Rm.                     FDA or the public. You can use an
                                               comments only as a written/paper                        7301, Silver Spring, MD 20993–0002,                   alternative approach if it satisfies the
                                               submission. You should submit two                       240–402–7911.                                         requirements of the applicable statutes
                                               copies total. One copy will include the                 SUPPLEMENTARY INFORMATION:                            and regulations. This guidance is not
                                               information you claim to be confidential                                                                      subject to Executive Order 12866.
                                               with a heading or cover note that states                I. Background
                                               ‘‘THIS DOCUMENT CONTAINS                                                                                      II. Paperwork Reduction Act of 1995
                                                                                                          FDA is announcing the availability of
                                               CONFIDENTIAL INFORMATION.’’ The                         a draft guidance for industry entitled                  This draft guidance refers to
                                               Agency will review this copy, including                 ‘‘Development of a Shared System                      collections of information that are
                                               the claimed confidential information, in                REMS.’’ This guidance describes some                  subject to review by the Office of
                                               its consideration of comments. The                      of the possible benefits of shared system             Management and Budget (OMB) under
                                               second copy, which will have the                        REMS, and provides general principles                 the Paperwork Reduction Act of 1995
                                               claimed confidential information                        and recommendations to assist industry                (PRA) (44 U.S.C. 3501–3520). The
                                               redacted/blacked out, will be available                 with the development of these                         preparation and submission of a drug
                                               for public viewing and posted on                        programs.                                             master file (as described in 21 CFR
                                               https://www.regulations.gov. Submit                                                                           314.420) by applicants for their shared
                                                                                                          Section 505–l(i)(l)(B) of the Federal
                                               both copies to the Dockets Management                                                                         system REMS submissions has been
                                                                                                       Food, Drug, and Cosmetic Act (FD&C
                                               Staff. If you do not wish your name and                                                                       approved under OMB control number
                                                                                                       Act) (21 U.S.C. 355–1((i)(1)(B)) requires
                                               contact information to be made publicly                                                                       0910–0001. In accordance with the PRA,
                                                                                                       that a holder of an abbreviated new drug
                                               available, you can provide this                                                                               before publication of the final guidance
                                                                                                       application (ANDA) approved under
                                               information on the cover sheet and not                                                                        document, FDA intends to solicit public
                                                                                                       section 505(j) use a ‘‘single, shared
                                               in the body of your comments and you                                                                          comment and obtain OMB approval for
                                                                                                       system’’ with the reference listed drug
                                               must identify this information as
                                                                                                       (RLD) for any REMS with elements to                   any information collections
                                               ‘‘confidential.’’ Any information marked
                                                                                                       assure safe use (ETASU) unless FDA                    recommended in this guidance that are
                                               as ‘‘confidential’’ will not be disclosed
                                                                                                       waives this requirement.                              new or that would represent material
                                               except in accordance with 21 CFR 10.20
                                                                                                          The requirement under section 505–                 modifications to previously approved
                                               and other applicable disclosure law. For
                                                                                                       1(i)(1)(B) regarding a ‘‘single, shared               collections of information found in FDA
                                               more information about FDA’s posting
                                                                                                       system’’ only applies to ANDAs.                       regulations.
                                               of comments to public dockets, see 80
                                               FR 56469, September 18, 2015, or access                 However, FDA recognizes that it may be                III. Electronic Access
                                               the information at: https://www.gpo.gov/                in the interest of public health to have
                                               fdsys/pkg/FR-2015-09-18/pdf/2015-                       a shared system REMS in other cases                     Persons with access to the internet
                                               23389.pdf.                                              because it may increase efficiencies for              may obtain the draft guidance at either
                                                  Docket: For access to the docket to                  applicants and stakeholders. A shared                 http://www.fda.gov/Drugs/
                                               read background documents or the                        system REMS can encompass multiple                    GuidanceCompliance
                                               electronic and written/paper comments                   prescription drug products and can be                 RegulatoryInformation/Guidances/
                                               received, go to https://                                developed and implemented jointly by                  default.htm, https://www.fda.gov/
                                               www.regulations.gov and insert the                      two or more applicants. It can be a                   BiologicsBloodVaccines/Guidance
                                               docket number, found in brackets in the                 program shared by a drug that is the                  ComplianceRegulatoryInformation/
                                               heading of this document, into the                      subject of an ANDA and the listed drug,               Guidances/default.htm, or https://
                                               ‘‘Search’’ box and follow the prompts                   as required in section 505–1(i)(1)(B)                 www.regulations.gov.
                                               and/or go to the Dockets Management                     (described above). It can also involve                  Dated: May 24, 2018.
                                               Staff, 5630 Fishers Lane, Rm. 1061,                     multiple new drug applications,                       Leslie Kux,
                                               Rockville, MD 20852.                                    ANDAs, or biologics license
                                                                                                                                                             Associate Commissioner for Policy.
                                                  You may submit comments on any                       applications, approved under section
                                                                                                                                                             [FR Doc. 2018–11783 Filed 5–31–18; 8:45 am]
                                               guidance at any time (see 21 CFR                        505(b)(1), (b)(2), or (j) of the FD&C Act
                                                                                                       (21 U.S.C. 355(b)(1), (b)(2) or (j)) or               BILLING CODE 4164–01–P
                                               10.115(g)(5)).
                                                  Submit written requests for single                   section 351(a) or (k) of the PHS Act (42
                                               copies of the draft guidance to the                     U.S.C. 262(a) or (k)), respectively, that
                                               Division of Drug Information, Center for                                                                      DEPARTMENT OF HEALTH AND
                                                                                                       form a shared system voluntarily.
                                               Drug Evaluation and Research, Food                                                                            HUMAN SERVICES
                                                                                                          Elsewhere in this issue of the Federal
                                               and Drug Administration, 10001 New                      Register, FDA is announcing the                       Meeting of the Pain Management Best
                                               Hampshire Ave., Hillandale Building,                    availability of a draft guidance entitled             Practices Inter-Agency Task Force;
                                               4th Floor, Silver Spring, MD 20993–                     ‘‘Waivers of the Single, Shared System                Amendment
daltland on DSKBBV9HB2PROD with NOTICES




                                               0002. Send one self-addressed adhesive                  REMS Requirement.’’ Among other
                                               label to assist that office in processing               things, that guidance describes how                   AGENCY:  Office of the Assistant
                                               your requests. See the SUPPLEMENTARY                    FDA will consider granting a waiver of                Secretary for Health, Office of the
                                               INFORMATION section for electronic                      the requirement in section 505–1(i) of                Secretary, Department of Health and
                                               access to the draft guidance document.                  the FD&C Act that the applicant for an                Human Services.
                                               FOR FURTHER INFORMATION CONTACT:                        ANDA and its RLD use a single, shared
                                                                                                                                                             ACTION:   Notice; amendment.
                                               Lubna Merchant, Center for Drug                         system for REMS with ETASU.


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                                               25470                            Federal Register / Vol. 83, No. 106 / Friday, June 1, 2018 / Notices

                                               SUMMARY:   A notice was published in the                during the first week of each month. If                 In accordance with the Mandatory
                                               Federal Register on Thursday, May 3,                    any laboratory or IITF certification is               Guidelines dated January 23, 2017 (82
                                               2018, to announce the inaugural                         suspended or revoked, the laboratory or               FR 7920), the following HHS-certified
                                               meeting of the Pain Management Best                     IITF will be omitted from subsequent                  laboratories and IITFs meet the
                                               Practices Inter-Agency Task Force (Task                 lists until such time as it is restored to            minimum standards to conduct drug
                                               Force) and to invite the public to                      full certification under the Mandatory                and specimen validity tests on urine
                                               provide public comments. The period                     Guidelines.                                           specimens:
                                               for written comments is currently                          If any laboratory or IITF has
                                                                                                       withdrawn from the HHS National                       HHS-Certified Instrumented Initial
                                               scheduled to end close of business on
                                                                                                       Laboratory Certification Program (NLCP)               Testing Facilities
                                               May 25, 2018. The notice is being
                                               amended to extend the written public                    during the past month, it will be listed              Dynacare, 6628 50th Street NW,
                                               comment period for two weeks to allow                   at the end and will be omitted from the                 Edmonton, AB Canada T6B 2N7, 780–
                                               more time for interested individuals to                 monthly listing thereafter.                             784–1190, (Formerly: Gamma-
                                               submit comments.                                           This notice is also available on the                 Dynacare Medical Laboratories)
                                               DATES: The written public comment                       internet at http://www.samhsa.gov/
                                                                                                       workplace.                                            HHS-Certified Laboratories
                                               period has been extended. All written
                                               comments are due to be submitted on or                  FOR FURTHER INFORMATION CONTACT:                      ACM Medical Laboratory, Inc., 160
                                               before June 15, 2018.                                   Giselle Hersh, Division of Workplace                    Elmgrove Park, Rochester, NY 14624,
                                               ADDRESSES: Individuals submitting                       Programs, SAMHSA/CSAP, 5600                             844–486–9226
                                               written comments should submit their                    Fishers Lane, Room 16N03A, Rockville,                 Alere Toxicology Services, 1111 Newton
                                               comments through the Federal                            Maryland 20857; 240–276–2600 (voice).                   St., Gretna, LA 70053, 504–361–8989/
                                               eRulemaking Portal at http://                           SUPPLEMENTARY INFORMATION: The                          800–433–3823, (Formerly: Kroll
                                               www.regulations.gov.                                    Department of Health and Human                          Laboratory Specialists, Inc.,
                                                                                                       Services (HHS) notifies federal agencies                Laboratory Specialists, Inc.)
                                               FOR FURTHER INFORMATION CONTACT:
                                                                                                       of the laboratories and Instrumented                  Alere Toxicology Services, 450
                                               Alicia Richmond Scott, Designated                                                                               Southlake Blvd., Richmond, VA
                                               Federal Official, Pain Management Best                  Initial Testing Facilities (IITF) currently
                                                                                                       certified to meet the standards of the                  23236, 804–378–9130, (Formerly:
                                               Practices Inter-Agency Task Force, U.S.                                                                         Kroll Laboratory Specialists, Inc.,
                                               Department of Health and Human                          Mandatory Guidelines for Federal
                                                                                                       Workplace Drug Testing Programs                         Scientific Testing Laboratories, Inc.;
                                               Services, Office of the Assistant                                                                               Kroll Scientific Testing Laboratories,
                                               Secretary for Health, 200 Independence                  (Mandatory Guidelines). The Mandatory
                                                                                                       Guidelines were first published in the                  Inc.)
                                               Avenue SW, Room 736E, Washington,
                                                                                                       Federal Register on April 11, 1988 (53                Baptist Medical Center-Toxicology
                                               DC 20201. Email: paintaskforce@
                                                                                                       FR 11970), and subsequently revised in                  Laboratory, 11401 I–30, Little Rock,
                                               hhs.gov. Telephone: (240) 453–2816.
                                                                                                       the Federal Register on June 9, 1994 (59                AR 72209–7056, 501–202–2783,
                                                 Dated: May 24, 2018.                                  FR 29908); September 30, 1997 (62 FR                    (Formerly: Forensic Toxicology
                                               Vanila M. Singh,                                        51118); April 13, 2004 (69 FR 19644);                   Laboratory Baptist Medical Center)
                                               Chief Medical Officer, HHS Office of the                November 25, 2008 (73 FR 71858);                      Clinical Reference Laboratory, Inc., 8433
                                               Assistant Secretary for Health.                         December 10, 2008 (73 FR 75122); April                  Quivira Road, Lenexa, KS 66215–
                                               [FR Doc. 2018–11747 Filed 5–31–18; 8:45 am]             30, 2010 (75 FR 22809); and on January                  2802, 800–445–6917
                                               BILLING CODE 4150–28–P                                  23, 2017 (82 FR 7920).                                DrugScan, Inc., 200 Precision Road,
                                                                                                          The Mandatory Guidelines were                        Suite 200, Horsham, PA 19044, 800–
                                                                                                       initially developed in accordance with                  235–4890
                                               DEPARTMENT OF HEALTH AND                                Executive Order 12564 and section 503                 Dynacare,* 245 Pall Mall Street,
                                               HUMAN SERVICES                                          of Public Law 100–71. The ‘‘Mandatory                   London, ONT, Canada N6A 1P4, 519–
                                                                                                       Guidelines for Federal Workplace Drug
                                               Substance Abuse and Mental Health                       Testing Programs,’’ as amended in the                   * The Standards Council of Canada (SCC) voted
                                               Services Administration                                 revisions listed above, requires strict               to end its Laboratory Accreditation Program for
                                                                                                       standards that laboratories and IITFs                 Substance Abuse (LAPSA) effective May 12, 1998.
                                               Current List of HHS-Certified                                                                                 Laboratories certified through that program were
                                                                                                       must meet in order to conduct drug and
                                               Laboratories and Instrumented Initial                                                                         accredited to conduct forensic urine drug testing as
                                                                                                       specimen validity tests on urine                      required by U.S. Department of Transportation
                                               Testing Facilities Which Meet Minimum
                                                                                                       specimens for federal agencies.                       (DOT) regulations. As of that date, the certification
                                               Standards To Engage in Urine Drug                                                                             of those accredited Canadian laboratories will
                                                                                                          To become certified, an applicant
                                               Testing for Federal Agencies                                                                                  continue under DOT authority. The responsibility
                                                                                                       laboratory or IITF must undergo three                 for conducting quarterly performance testing plus
                                               AGENCY: Substance Abuse and Mental                      rounds of performance testing plus an                 periodic on-site inspections of those LAPSA-
                                               Health Services Administration, HHS.                    on-site inspection. To maintain that                  accredited laboratories was transferred to the U.S.
                                                                                                       certification, a laboratory or IITF must              HHS, with the HHS’ NLCP contractor continuing to
                                               ACTION: Notice.
                                                                                                                                                             have an active role in the performance testing and
                                                                                                       participate in a quarterly performance                laboratory inspection processes. Other Canadian
                                               SUMMARY:    The Department of Health and                testing program plus undergo periodic,                laboratories wishing to be considered for the NLCP
                                               Human Services (HHS) notifies federal                   on-site inspections.                                  may apply directly to the NLCP contractor just as
                                               agencies of the laboratories and                           Laboratories and IITFs in the                      U.S. laboratories do.
                                               Instrumented Initial Testing Facilities                 applicant stage of certification are not to             Upon finding a Canadian laboratory to be
daltland on DSKBBV9HB2PROD with NOTICES




                                                                                                                                                             qualified, HHS will recommend that DOT certify
                                               (IITF) currently certified to meet the                  be considered as meeting the minimum                  the laboratory (Federal Register, July 16, 1996) as
                                               standards of the Mandatory Guidelines                   requirements described in the HHS                     meeting the minimum standards of the Mandatory
                                               for Federal Workplace Drug Testing                      Mandatory Guidelines. A HHS-certified                 Guidelines published in the Federal Register on
                                               Programs (Mandatory Guidelines).                        laboratory or IITF must have its letter of            January 23, 2017 (82 FR 7920). After receiving DOT
                                                                                                                                                             certification, the laboratory will be included in the
                                                  A notice listing all currently HHS-                  certification from HHS/SAMHSA                         monthly list of HHS-certified laboratories and
                                               certified laboratories and IITFs is                     (formerly: HHS/NIDA), which attests                   participate in the NLCP certification maintenance
                                               published in the Federal Register                       that it has met minimum standards.                    program.



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Document Created: 2018-06-01 01:30:08
Document Modified: 2018-06-01 01:30:08
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; amendment.
DatesThe written public comment period has been extended. All written comments are due to be submitted on or before June 15, 2018.
ContactAlicia Richmond Scott, Designated Federal Official, Pain Management Best Practices Inter-Agency Task Force, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health, 200 Independence Avenue SW, Room 736E, Washington, DC 20201. Email: [email protected] Telephone: (240) 453-2816.
FR Citation83 FR 25469 

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