[Unified Agenda of Federal Regulatory and Deregulatory Actions] [Department of Health and Human Services Semiannual Regulatory Agenda] [From the U.S. Government Printing Office, www.gpo.gov] [[Page 25387]] Part VIII Department of Health and Human Services _______________________________________________________________________ Semiannual Regulatory Agenda [[Page 25388]]DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 21 CFR Ch. I 42 CFR Chs. I-V 45 CFR Subtitle A, Chs. II, III, and XIII Unified Agenda of Federal Regulatory and Deregulatory Actions AGENCY: Office of the Secretary, HHS. ACTION: Semiannual regulatory agenda. _______________________________________________________________________ SUMMARY: The Regulatory Flexibility Act of 1980 and Executive Order 12866 require the semiannual publication of an agenda outlining all current and projected rulemakings. The purpose of this exercise is to inform the public about regulatory actions under development within the Department, and to provide an opportunity for all concerned with the impact of these regulations to participate in their development at an early stage. The last such agenda was published on November 30, 2000. FOR FURTHER INFORMATION CONTACT: Ann Stallion, Department of Health and Human Services, Washington, DC 20201, (202) 690-6824, or the contact person for a specific component of the Department as listed below. SUPPLEMENTARY INFORMATION: The regulatory actions capsulized below do not necessarily reflect the new policy perspectives of the Bush administration and HHS Secretary Thompson. The statutorily dictated timing of the regulatory agenda caused the Department to begin its efforts to put together information required for the agenda well before the new Administration came into place. The following agenda thus simply reflects ongoing efforts by HHS to comply with many longstanding statutory obligations, and/or to effect improvements at the program- implementation level based on the Department's experience in administering existing programs. The timing of the October 2001 agenda will, obviously, provide the Department with an opportunity to set out a regulatory agenda that does reflect the policy directions that Secretary Thompson desires to take. Public commentary is invited. Comments should be sent to the addresses listed below, depending on the specific agenda entry that is of interest. Comments may be sent to the Office of the Secretary if the responsible component of the Department is not apparent, or if a comment covers subjects crossing agency lines. Administration on Children and Families: Madeline Mocko, Director, Division of Policy and Legislation, 7th Floor, 370 L' Enfant Promenade SW., Washington, DC 20447; Phone 202-401-9223. Administration on Aging: Harry Posman, Executive Secretariat, Room 4753, 330 Independence Avenue SW., Washington, DC 20201; Phone 202-260-0669. Agency for Health Care Policy and Research: Nancy Werbel, 2101 East Jefferson Street, Suite 603, Rockville, Maryland 20852; Phone 301-594-1455. Centers for Disease Control: Thena Durham, Executive Secretariat, 1600 Clifton Road, Building 16, Atlanta, Georgia 30333; Phone 404-639-7120. Food and Drug Administration: Ed Dutra, Director, Regulatory Policy and Management Staff, 5600 Fishers Lane, Rockville, Maryland 20857; Phone 301-443-3480. Health Care Financing Administration: Anthony Mazzarella, Deputy Director, Operation Support Group, 7500 Security Boulevard, C4-26-05, Baltimore, Maryland 21244; Phone 410-786-7501. Health Resource Services Administration: Dolores R. Etherith, 5600 Fishers Lane, Room 14-A-08, Rockville, Maryland 20857; Phone 301-443-1786. Indian Health Service: Betty Gould, 12300 Twinbrook Parkway, Suite 450, Rockville, Maryland 20857; Phone 301-443-1116. National Institutes of Health: Jerry Moore, 9000 Rockville Pike, Building 31, Room 1B25, Bethesda, Maryland 20205; Phone 301- 496-4606. Substance Abuse and Mental Health Services Administration: Joe Faha, 5600 Fishers Lane, Room 12-A-17, Rockville, Maryland 20857; Phone 301-443-4640. Office of the Secretary: Ann C. Agnew, Executive Secretary to the Department, Room 603H, Hubert H. Humphrey Building, 200 Independence Avenue SW., Washington, DC 20201. Dated: March 14, 2001. Ann C. Agnew, Executive Secretary to the Department. Office of the Secretary--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 813 Governmentwide Debarment and Suspension (Nonprocurement) and Governmentwide 0991-AB12 Requirements for Drug-Free Workplace (Grants)....................................... ---------------------------------------------------------------------------------------------------------------- Office of the Secretary--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 814 Reproduction and Sale of Official Forms and Publications............................ 0991-AA83 815 Shared Risk Exception to the Safe Harbor Provisions................................. 0991-AA91 816 Civil Money Penalty Safe Harbor To Protect Payment of Medicare and Medigap Premiums 0991-AB04 for ESRD Beneficiaries.............................................................. 817 Safe Harbor for Ambulance Restocking................................................ 0991-AB05 [[Page 25389]] 818 Revisions and Technical Corrections to 42 CFR Chapter V............................. 0991-AB09 819 Amending the Regulations Governing Nondiscrimination on the Basis of Race, Color, 0991-AB10 National Origin, Handicap, Sex, and Age To Conform to the Civil Rights Restoration Act of 1987......................................................................... ---------------------------------------------------------------------------------------------------------------- Office of the Secretary--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 820 Civil Money Penalties for Medicare+Choice Organizations and Medicaid Managed Care 0991-AB03 Organizations....................................................................... 821 Safe Harbor for Arrangements Involving Federally Qualified Health Centers........... 0991-AB06 822 Definition of Terms; Substantially in Excess and Usual Charges and Clarification of 0991-AB13 the Good Cause Exception............................................................ ---------------------------------------------------------------------------------------------------------------- Office of the Secretary--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 823 Standards for Privacy of Individually Indentifiable Health Information.............. 0991-AB08 ---------------------------------------------------------------------------------------------------------------- Substance Abuse and Mental Health Services Administration--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 824 Substance Abuse Prevention and Treatment Block Grant Applications Due Date Change 0930-AA04 from March 31 to October 1 for FY 2001 and Beyond................................... ---------------------------------------------------------------------------------------------------------------- Substance Abuse and Mental Health Services Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 825 Final and Delegation of Authority To Implement SAMHSA's Accreditation Based System 0930-AA06 for Opiod Treatment Program Monitoring.............................................. ---------------------------------------------------------------------------------------------------------------- Centers for Disease Control and Prevention--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 826 Amendments to Quality Assurance and Administrative Provision for Approval of 0920-AA04 Respiratory Protective Devices...................................................... 827 Methods for Estimating Radiation Dose and Guidelines for Assessing Probability of 0920-AA05 Cancer for Energy Employees Occupational Illness Compensation Program............... ---------------------------------------------------------------------------------------------------------------- Centers for Disease Control and Prevention--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 828 Packaging and Handling of Infectious Substances and Select Agents................... 0920-AA02 829 Control of Communicable Diseases.................................................... 0920-AA03 ---------------------------------------------------------------------------------------------------------------- [[Page 25390]] Departmental Management--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 830 Implementation of the Equal Access to Justice Act in Agency Proceedings............. 0990-AA02 ---------------------------------------------------------------------------------------------------------------- Food and Drug Administration--Prerule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 831 Natural Rubber-Containing Drugs; User Labeling...................................... 0910-AB56 832 Implementation of the Import Tolerance Provisions of the Animal Drug Availability 0910-AB71 Act of 1996......................................................................... 833 Part 600-Biological Products: General (Section 610 Review).......................... 0910-AC06 ---------------------------------------------------------------------------------------------------------------- Food and Drug Administration--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 834 Over-the-Counter (OTC) Drug Review.................................................. 0910-AA01 835 Hearing Aids; Professional and Patient Labeling; Conditions for Sale................ 0910-AA39 836 Establishment Registration and Product Listing for Drugs and Biologics.............. 0910-AA49 837 Investigational New Drugs: Export Requirements for Unapproved New Drug Products..... 0910-AA61 838 Safety Reporting and Recordkeeping Requirements for Marketed OTC Drugs.............. 0910-AA86 839 Safety Reporting Requirements for Human Drug and Biological Products................ 0910-AA97 840 Radioactive Drugs for Basic Research................................................ 0910-AB00 841 Administrative Practices and Procedures; Advisory Opinions and Guidelines........... 0910-AB14 842 Current Good Tissue Practice for Manufacturers of Human Cellular and Tissue-Based 0910-AB28 Products............................................................................ 843 Applications for FDA Approval to Market a New Drug; Complete Response Letter; 0910-AB34 Amendments to Unapproved Applications............................................... 844 Expanded Access to Investigational Therapies........................................ 0910-AB37 845 Electronic Submission of Adverse Drug Reaction Reports.............................. 0910-AB42 846 Distinguishing Marks for Drug Products Containing Insulin........................... 0910-AB43 847 Pregnancy Labeling.................................................................. 0910-AB44 848 Positron Emission Tomography Drugs; Current Good Manufacturing Practices............ 0910-AB63 849 Current Good Manufacturing Practice for Medicated Feeds............................. 0910-AB70 850 Fixed-Combination Prescription and Over-the-Counter Drugs for Human Use............. 0910-AB79 851 Repackaging Approval Requirements................................................... 0910-AB81 852 Stability Testing of Drugs.......................................................... 0910-AB82 853 Current Good Manufacturing Practice in Manufacturing, Packing, or Holding Dietary 0910-AB88 Supplements......................................................................... 854 Submission in Electronic Format of Certain Labeling Information..................... 0910-AB91 855 Fees Relating to Drugs; Waiver and Reduction of Fees................................ 0910-AB92 856 Periodic Testing for Certain Human Drug, Veterinary Drug, and Biological Product 0910-AB93 Final Specifications................................................................ 857 Requirements Pertaining to Sampling Services and Private Laboratories Used in 0910-AB96 Connection with Imported Food....................................................... 858 Medical Devices, Medical Device Establishment Registration and Listing Requirements; 0910-AB99 Amendment........................................................................... 859 Availability for Public Disclosure and Submission to FDA for Public Disclosure of 0910-AC00 Certain Data and Information Related to Gene Therapy or Xenotransplantation......... 860 Reporting Information Regarding Potential Fabrication or Falsification of Data...... 0910-AC02 861 Status Reports for Quantity Marketed Information for Animal Drug Products Used in 0910-AC04 Food-Producing Animals.............................................................. 862 Labeling Dietary Supplements for Women Who Are or May Become Pregnant............... 0910-AC09 863 Overwrap for Inhalation Products Packaged in Low Density Polyethylene (LDPE) 0910-AC10 Containers.......................................................................... 864 Regulation of Carcinogenic Compounds Used in Food-Producing Animals; Definition of 0910-AC13 ``No Residue''...................................................................... 865 Control of Salmonella Enteritidis in Shell Eggs During Production and Retail........ 0910-AC14 866 Aluminum in Large and Small Volume Parenterals Used in Total Parenteral Nutrition... 0910-AC18 867 Use of Materials Derived from Ruminant Animals in FDA Regulated Products............ 0910-AC19 868 Postmarketing Reports of Substandard or Ineffective Bulk Ingredients and Bulk 0910-AC20 Ingredients from Unapproved Sources................................................. ---------------------------------------------------------------------------------------------------------------- [[Page 25391]] Food and Drug Administration--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 869 New Animal Drug Approval Process; Implementation of Title I of the Generic Animal 0910-AA02 Drug and Patent Term Restoration Act (GADPTRA)...................................... 870 Current Good Manufacturing Practice; Amendment of Certain Requirements for Finished 0910-AA45 Pharmaceuticals..................................................................... 871 Bioavailability and Bioequivalence Requirements..................................... 0910-AA51 872 Labeling for Human Prescription Drugs; Revised Format............................... 0910-AA94 873 Current Good Manufacturing Practice; Revision of Certain Labeling Controls.......... 0910-AA98 874 Use of Ozone-Depleting Substances................................................... 0910-AA99 875 Exports; Notification and Recordkeeping Requirements................................ 0910-AB16 876 Foreign Establishment Registration and Listing...................................... 0910-AB21 877 FDA Export Reform and Enhancement Act of 1996; Reporting and Recordkeeping 0910-AB24 Requirements for Unapproved or Violative Products Imported for Further Processing or Incorporation and Later Export...................................................... 878 Blood Initiative.................................................................... 0910-AB26 879 Antibiotic Drug Approval and Exclusivity............................................ 0910-AB33 880 Amendment of Regulations Regarding Certain Label Statements on Prescription Drugs... 0910-AB39 881 Supplements and Other Changes to Approved New Animal Drug Applications.............. 0910-AB49 882 Revisions to the General Safety Requirements for Biological Products; Direct Final 0910-AB51 Rule................................................................................ 883 Discontinuation of a Lifesaving Product............................................. 0910-AB60 884 Supplements and Other Changes to an Approved Application............................ 0910-AB61 885 Food Labeling: Trans Fatty Acids in Nutrition Labeling, Nutrient Content Claims, and 0910-AB66 Health Claims....................................................................... 886 Presubmission Conferences........................................................... 0910-AB68 887 Surgeon's and Patient Examination Gloves; Reclassification.......................... 0910-AB74 888 CGMPs for Blood and Blood Components: Notification of Consignees and Transfusion 0910-AB76 Recipients Receiving Blood and Blood Components at Increased Risk of Transmitting HCV (Lookback)...................................................................... 889 Antibiotic Resistance Labeling...................................................... 0910-AB78 890 180-Day Generic Drug Exclusivity for Abbreviated New Drug Applications.............. 0910-AB80 891 Food Additives: Food Contact Substances Notification System......................... 0910-AB94 892 State Certification of Mammography Facilities....................................... 0910-AB98 893 Examination of Administrative Record and Other Advisory Committee Records........... 0910-AC03 894 Efficacy Evidence Needed for Products to be Used Against Toxic Substances When Human 0910-AC05 Studies Are Unethical............................................................... 895 Additional Safeguards for Children in Clinical Investigations of FDA Regulated 0910-AC07 Products............................................................................ 896 Implementing Court Decisions, ANDA Approvals, and 180-Day Exclusivity............... 0910-AC11 897 Revocation of Conditions for Marketing Digoxin Products for Oral Use................ 0910-AC12 ---------------------------------------------------------------------------------------------------------------- Food and Drug Administration--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 898 Infant Formula: Good Manufacturing Practice, Quality Control Procedures, Quality 0910-AA04 Factors, Notification Requirements, and Records and Reports......................... 899 Food Labeling Review................................................................ 0910-AA19 900 Medical Foods....................................................................... 0910-AA20 901 Classification of Computer Software Programs That Are Medical Devices............... 0910-AA41 902 Reinventing FDA Food Regulations.................................................... 0910-AA58 903 Determination That Informed Consent Is Infeasible or Is Contrary to the Best 0910-AA89 Interest of Recipients.............................................................. 904 Direct-to-Consumer Promotion Regulations............................................ 0910-AA90 905 Investigational Use New Animal Drug Regulations (Section 610 Review)................ 0910-AB02 906 Suitability Determination for Donors of Human Cellular and Tissue-Based Products.... 0910-AB27 907 Requirements for Liquid Medicated Feed and Free-Choice Medicated Feed............... 0910-AB50 908 Bulk Drug Substances for Use in Pharmacy Compounding................................ 0910-AB57 909 Pharmacy and Physician Compounding of Drug Products................................. 0910-AB58 910 Drug Products That Present Demonstrable Difficulties for Compounding Because of 0910-AB59 Reasons of Safety or Effectiveness.................................................. 911 Mandatory HACCP Regulations for Manufacturers of Rendered Products.................. 0910-AB72 912 Citizen Petitions; Actions That Can Be Requested by Petition; Denials, Withdrawals, 0910-AB73 and Referrals for Other Administrative Action....................................... 913 Substances Prohibited From Use in Animal Food or Feed............................... 0910-AB90 [[Page 25392]] 914 Marking Requirements for and Prohibitions on the Reimportation of Imported Food 0910-AB95 Products That Have Been Refused Admission into the United States.................... 915 Addition to the List of Drug Products That Have Been Withdrawn From the Market for 0910-AC01 Reasons of Safety or Effectiveness.................................................. 916 Addition to the List of Drug Products That Have Been Withdrawn or Removed From the 0910-AC08 Market for Reasons of Safety or Effectiveness....................................... 917 Premarket Notice Concerning Bioengineered Foods..................................... 0910-AC15 918 Rescission of Substantially Equivalent Decisions and Rescission Appeal Procedures... 0910-AC16 919 Institutional Review Boards: Registration Requirements.............................. 0910-AC17 920 Chronic Wasting Disease: Control of Food Products and Cosmetics Derived from Exposed 0910-AC21 Animal Populations.................................................................. ---------------------------------------------------------------------------------------------------------------- Food and Drug Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 921 Biological Products: Reporting of Biological Product Deviations in Manufacturing.... 0910-AA12 922 Fruit and Vegetable Juices: Development of HACCP and Label Warning Statements for 0910-AA43 Juices.............................................................................. 923 Drugs Used for Treatment of Narcotic Addicts........................................ 0910-AA52 924 Establishment Registration and Listing of Human Cells, Tissues, and Cellular and 0910-AB05 Tissue-Based Products............................................................... 925 Veterinary Feed Directives.......................................................... 0910-AB09 926 Shell Eggs: Warning, Notice and Safe Handling Labeling Statements and Refrigeration 0910-AB30 Requirements........................................................................ 927 Postmarketing Studies for Human Drugs and Licensed Biological Products: Status 0910-AB83 Reports............................................................................. 928 Current Good Manufacturing Practice for Blood and Blood Components; Blood Labeling 0910-AB89 Standards........................................................................... ---------------------------------------------------------------------------------------------------------------- Health Resources and Services Administration--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 929 Designation of Medically Underserved Populations and Health Professional Shortage 0906-AA44 Areas............................................................................... 930 National Vaccine Injury Compensation Program: Revisions and Additions to the Vaccine 0906-AA55 Injury Table........................................................................ ---------------------------------------------------------------------------------------------------------------- Health Resources and Services Administration--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 931 National Practitioner Data Bank for Adverse Information on Physicians and Other 0906-AA41 Health Care Practitioners: Medical Malpractice Payments Reporting Requirements...... 932 Compliance Alternatives for Provision of Uncompensated Services..................... 0906-AA52 933 Final Rule for the Health Professions, Nursing, Public Health, and Allied Health 0906-AA53 Training Grant Programs Under 42 CFR Parts 57 and 58................................ ---------------------------------------------------------------------------------------------------------------- Health Resources and Services Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 934 Ricky Ray Hemophilia Relief Fund Program............................................ 0906-AA56 ---------------------------------------------------------------------------------------------------------------- [[Page 25393]] Indian Health Service--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 935 Tribal Self-Governance Amendments................................................... 0917-AA05 ---------------------------------------------------------------------------------------------------------------- Indian Health Service--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 936 Indian Child Protection and Family Violence Prevention Act Minimum Standards of 0917-AA02 Character........................................................................... ---------------------------------------------------------------------------------------------------------------- Indian Health Service--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 937 Contracts Under the Indian Self-Determination Act................................... 0917-AA04 ---------------------------------------------------------------------------------------------------------------- National Institutes of Health--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 938 National Institutes of Health AIDS Research Loan Repayment Program.................. 0925-AA02 939 Undergraduate Scholarship Program Regarding Professions Needed by the NIH........... 0925-AA10 940 National Cancer Institute Clinical Cancer Education Program......................... 0925-AA17 941 National Institutes of Health Loan Repayment Program for Research................... 0925-AA18 942 NIH Center Grants................................................................... 0925-AA24 943 National Institutes of Health Clinics Research Loan Repayment Program for 0925-AA25 Individuals from Disadvantaged Backgrounds.......................................... 944 NIH Loan Repayment Program for Minority Health Disparties Research.................. 0925-AA26 945 Pediatric Research Loan Repayment Program........................................... 0925-AA27 946 NIH Training Grants................................................................. 0925-AA28 ---------------------------------------------------------------------------------------------------------------- National Institutes of Health--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 947 National Research Service Awards.................................................... 0925-AA16 948 National Institute of Child Health and Human Development Contraception and 0925-AA19 Infertility Research Loan Repayment Program......................................... 949 Scientific Peer Review of Research Grant Applications and Research and Development 0925-AA20 Contract Projects................................................................... ---------------------------------------------------------------------------------------------------------------- National Institutes of Health--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 950 Traineeships........................................................................ 0925-AA11 951 Additional Protections for Pregnant Women and Human Fetuses Involved in Research, 0925-AA14 and Pertaining to Human In Vitro Fertilization...................................... 952 Federal Policy (Common Rule) for the Protection of Human Subjects................... 0925-AA21 ---------------------------------------------------------------------------------------------------------------- [[Page 25394]] Office of Public Health and Science--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 953 Public Health Service Standards for the Protection of Research Misconduct 0940-AA01 Whistleblowers...................................................................... 954 Federal Policy (Common Rule) for the Protection of Human Subjects................... 0940-AA03 ---------------------------------------------------------------------------------------------------------------- Office of Public Health and Science--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 955 Additional Protections for Pregnant Women and Human Fetuses Involved in Research, 0940-AA02 and Pertaining to Human In Vitro Fertilization...................................... ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 956 End Stage Renal Disease (ESRD) Conditions for Coverage (HCFA-3818-P) (Section 610 0938-AG82 Review)............................................................................. 957 Recognition of the American Osteopathic Association for Critical Access Hospitals 0938-AK84 (HCFA-2099-PN)...................................................................... ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 958 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities- 0938-AK47 Update (HCFA-1163-P)................................................................ ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 959 ''Without Fault'' and Beneficiary Waiver of Recovery As It Applies to Medicare 0938-AD95 Overpayment Liability (HCFA-6007-F)................................................. 960 Medicaid Payment for Covered Outpatient Drugs Under Rebate Agreements (HCFA-2046-FC) 0938-AF42 961 Revision of Medicare/Medicaid Hospital Conditions of Participation (HCFA-3745-F).... 0938-AG79 962 Home Health Agency (HHA) Conditions of Participation (HCFA-3819-F).................. 0938-AG81 963 Liability for Third Parties To Pay for Services (HCFA-2080-P)....................... 0938-AH01 964 Criteria for Approval of Facilities to Perform Covered Heart, Liver, Lung, Pancreas 0938-AH17 and Intestinal Transplants (HCFA-3835-P)............................................ 965 Hospice Care-Conditions of Participation (HCFA-3844-P).............................. 0938-AH27 966 Requirements for Enrollment of Medicaid Recipients Under Cost Effective Employer- 0938-AH48 Based Group Health Plans (HCFA-2047-F).............................................. 967 Terms, Definitions, and Addresses: Technical Amendments (HCFA-9877-FC).............. 0938-AH53 968 Requirements for Establishing and Maintaining Medicare Billing Privileges (HCFA-6002- 0938-AH73 P).................................................................................. 969 Update of Ratesetting Methodology, Payment Rates and the List of Covered Surgical 0938-AH81 Procedures for Ambulatory Surgical Centers (HCFA-1885-FC)........................... 970 Revisions to Conditions for Coverage for Ambulatory Surgical Centers (HCFA-3887-P).. 0938-AH83 971 National Standard for Identifiers of Health Plans (HCFA-4145-P)..................... 0938-AH87 972 Standard Unique Health Care Provider Identifier (HCFA-0045-F)....................... 0938-AH99 973 Medicaid: Medical Child Support (HCFA-2081-P)....................................... 0938-AI21 974 Surety Bond Requirements for Comprehensive Outpatient Rehabilitation Facilities, 0938-AI48 Rehabilitation Agencies (HCFA-6005-P)............................................... 975 Appeals of Carrier Determination That a Physician or Other Supplier Fails To Meet 0938-AI49 the Requirements for Medicare Billing Privileges (HCFA-6003-F)...................... 976 Security Standards (HCFA-0049-F).................................................... 0938-AI57 [[Page 25395]] 977 National Standard Employer Identifier (HCFA-0047-F)................................. 0938-AI59 978 Medicare Program; Advance Refunding of Debt and Methodology for Repayment of Loan 0938-AI75 (HCFA-1777-P)....................................................................... 979 Medicare Program; Medicare Coverage of and Payment for Bone Mass Measurements (HCFA- 0938-AI89 3004-F)............................................................................. 980 Medicare Program; Coverage and Administrative Policies for Clinical Diagnostic 0938-AI92 Laboratory Tests (HCFA-3250-F)...................................................... 981 Coverage of Religious Non-Medical Health Care Institutions (HCFA-1909-F)............ 0938-AI93 982 External Quality Review of Medicaid Managed Care Organizations (HCFA-2015-F)........ 0938-AJ06 983 Reporting Outcome and Assessment Information Set (OASIS) Data as Part of the 0938-AJ10 Conditions of Participation for Home Health Agencies (HCFA-3006-F).................. 984 Rural Health Clinics: Amendments to Participation Requirements and Payment 0938-AJ17 Provisions, and Establishment of a Quality Assessment and Improvement Program (HCFA- 1910-F)............................................................................. 985 Hospital Conditions of Participation: Laboratory Services (HCFA-3014-F)............. 0938-AJ29 986 Medicare Hospice Care Amendments (HCFA-1022-P)...................................... 0938-AJ36 987 Emergency Medical Treatment and Labor Act (EMTALA) (HCFA-1063-P).................... 0938-AJ39 988 Protection for Women Who Elect Reconstruction After a Mastectomy (HCFA-2040-IFC).... 0938-AJ44 989 Medicare Program: Prospective Payment System for Inpatient Rehabilitation Hospital 0938-AJ55 Services (HCFA-1069-F).............................................................. 990 DME Surety Bonds (HCFA-6006-P)...................................................... 0938-AJ64 991 State Health Insurance Assistance Program (SHIP) (HCFA-4005-F)...................... 0938-AJ67 992 HHA Surety Bond (HCFA-6001-P)....................................................... 0938-AJ81 993 Application of Inherent Reasonableness to All Part B Services Other Than Physician 0938-AJ97 Services (HCFA-1908-F).............................................................. 994 Supplier Standards Related to Training Requirements for Oxygen, Therapeutic Shoes 0938-AJ98 (HCFA-6010-NPRM).................................................................... 995 Non-Federal Governmental Plans Exempt From HIPAA (HCFA-2033-IFC).................... 0938-AK00 996 End Stage Renal Disease Bad Debt Payment (HCFA-1126-P).............................. 0938-AK02 997 Practice Expense Data Collection (HCFA-1111-IFC).................................... 0938-AK14 998 Payment for Clinical Psychology Training Programs (HCFA-1089-F)..................... 0938-AK15 999 Provisions of the Balanced Budget and Refinement Act of 1999; Hospital Inpatient 0938-AK20 Payments and Rates and Costs of Graduate Medical Education (HCFA-1131-IFC).......... 1000 Conditions of Participation of Intermediate Care Facilities for Persons With Mental 0938-AK23 Retardation (HCFA-3046-P)........................................................... 1001 Clinical Lab Requirements-Revisions to Regulations Implementing CLIA (HCFA-2226-F).. 0938-AK24 1002 Prospective Fee Schedule for Ambulance Services (HCFA-1002-F)....................... 0938-AK30 1003 Fire Safety Requirements for RNHCI, ASC, Hospices, PACE, Hospitals, and Long-Term 0938-AK35 Care Facilities (HCFA-3047-P)....................................................... 1004 Medicare Provider and Supplier Hearing Procedures (HCFA-2093-P)..................... 0938-AK39 1005 Hospital Conditions of Participation: Quality Assessment and Performance 0938-AK40 Improvements (HCFA-3050-F).......................................................... 1006 Requirements for the Recredentialing of Medicare+Choice Organizations Providers 0938-AK41 (HCFA-1160-F)....................................................................... 1007 Supplementary Medical Insurance Premium Surcharge Agreements (HCFA-4007-P).......... 0938-AK42 1008 Medical Devices Coverage Decisions Related to Health Care Technology (HCFA-3059-P).. 0938-AK43 1009 Medicaid Management Information System Revised Definition of ``Mechanized Claims 0938-AK44 Processing and Information Retrieval System'' (HCFA-2123-IFC)....................... 1010 Medicare Program; Reporting and Repayment of Overpayments (HCFA-6011-P)............. 0938-AK45 1011 Improvements to the Medicare+Choice Appeals and Grievance Procedures (HCFA-4024-F).. 0938-AK48 1012 Civil Money Penalties, Assessments, and Revised Sanction Authorities (HCFA-6145-FC). 0938-AK49 1013 Payment for Upgraded Durable Medical Equipment (HCFA-1084-F)........................ 0938-AK50 1014 Update to the Prospective Payment System for Home Health Agencies for FY 2002 (HCFA- 0938-AK51 1147-NC)............................................................................ 1015 Recognition of the American Osteopathic Association for Ambulatory Surgical Center 0938-AK53 Programs (HCFA-2079-FN)............................................................. 1016 Prospective Payment System for Hospital Outpatient Services (HCFA-1159-P)........... 0938-AK54 1017 Medicare as Secondary Payer-Recovery of Conditional Payments (HCFA-6009-P).......... 0938-AK55 1018 Five Year Review of Work Relative Value Units Under the Physician Fee Schedule 0938-AK56 Proposed Notice (HCFA-1170-PN)...................................................... 1019 Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 0938-AK57 2002 (HCFA-1169-P).................................................................. 1020 Changes to National Coverage Determinations and Local Coverage Determinations (HCFA- 0938-AK58 4019-FC)............................................................................ 1021 Revisions to the Prospective Payment System for Hospital Outpatient Services 0938-AK59 Mandated by BIPA (HCFA-1179-IFC).................................................... 1022 Challenges to National Coverage Determinations and Local Coverage Determinations 0938-AK60 (HCFA-3063-P)....................................................................... 1023 Revised Process for Making Medicare Coverage Decisions (HCFA-3062-N)................ 0938-AK61 1024 Claims Attachment Standard (HCFA-0050-P)............................................ 0938-AK62 1025 Standards for Electronic Signatures (HCFA-0051-F)................................... 0938-AK63 1026 Health Insurance Reform: Modifications to Standards for Electronic Transaction (HCFA- 0938-AK64 0003-IFC)........................................................................... 1027 Replacement of Reasonable Charge Methodology by Fee Schedule (HCFA-1010-F).......... 0938-AK66 [[Page 25396]] 1028 Physicians' Referrals to Health Care Entities With Which They Have Financial 0938-AK67 Relationships-Phase II (HCFA-1810-FC)............................................... 1029 Increase in the Rate of Reimbursement of Photocopy Expenses for Prospective Payment 0938-AK68 System Providers (HCFA-3055-P)...................................................... 1030 Long Term Care Prospective Payment System for FY 2003 (HCFA-1177-P)................. 0938-AK69 1031 Modifications to Managed Care Rules Based on Provisions of BIPA and Technical 0938-AK71 Corrections (HCFA-1180-P)........................................................... 1032 Changes to the Hospital Inpatients Prospective Payment System for Fiscal Year 2002 0938-AK73 Rates (HCFA-1158-P)................................................................. 1033 Changes to Inpatient BIPA for Fiscal Year 2001 (HCFA-1178-IFC)...................... 0938-AK74 1034 Medicare+Choice ESRD Rates (HCFA-1182-PN)........................................... 0938-AK75 1035 Revisions to Transaction and Code Set Standards for Electronic Transactions (HCFA- 0938-AK76 0005-IFC)........................................................................... 1036 Medicare Inpatient Disproportionate Share Hospital Adjustment Calculation (HCFA-1171- 0938-AK77 IFC)................................................................................ 1037 Statement of Intent (HCFA-1185-P)................................................... 0938-AK79 1038 Procedures for Public Consultations for Coding and Payment Determinations for New 0938-AK80 Laboratory Tests (HCFA-1186-N)...................................................... 1039 Organ Procurement Organization Condition for Coverage (HCFA-3064-P)................. 0938-AK81 1040 Qualification Requirements for Directors of Laboratories Performing High Complexity 0938-AK83 Testing (HCFA-2094-NPRM)............................................................ 1041 Protection and Promotion of Resident Rights (HCFA-3065-P)........................... 0938-AK85 1042 Standards for Electronic Transactions-Elimination of NDC Coding Standards (HCFA-0006- 0938-AK86 P).................................................................................. 1043 Hospital Reference Laboratory and Medicare Secondary Payer (HCFA-1187-P)............ 0938-AK87 1044 Portability in the Group Health Insurance Market (HCFA-2048-F)...................... 0938-AK88 ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 1045 Changes to Peer Review Organization Regulations (HCFA-3135-F)....................... 0938-AD38 1046 Protection of Income and Resources for Community Spouses of Institutionalized 0938-AE12 Individuals (HCFA-2023-P)........................................................... 1047 Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services (HCFA-2028- 0938-AE72 F).................................................................................. 1048 Payment for Nursing and Allied Health Science Education (HCFA-1685-F)............... 0938-AE79 1049 Coverage of Screening Pap Smears (HCFA-3705-F)...................................... 0938-AE98 1050 Referral to Child Support Enforcement Agencies of Medicaid Families (HCFA-2051-F)... 0938-AF68 1051 Disclosure of Confidential PRO and ESRD Network Organization Information for 0938-AG33 Research Purposes (HCFA-3208-P)..................................................... 1052 Effect of Change of Ownership on Provider and Supplier Penalties, Sanctions, 0938-AG59 Underpayments and Overpayments (HCFA-2215-P)........................................ 1053 Optional Coverage of Certain Tuberculosis to TB-Related Services, TB-Infected 0938-AG72 Individuals (HCFA-2082-P)........................................................... 1054 Physicians' Referrals to Health Care Entities With Which They Have Financial 0938-AG80 Relationships-Expanded to Designated Health Services (HCFA-1809-FC)................. 1055 Distinct Part Requirements for Nursing Homes and Prohibition on Financial Screening 0938-AG84 of Applicants for Nursing Home Admission (HCFA-3815-P).............................. 1056 CLIA Program: Categorization of Waived Tests (HCFA-2225-FC)......................... 0938-AG99 1057 Additional Supplier Standards (HCFA-6004-FC)........................................ 0938-AH19 1058 State Plan Amendment (SPA) Reconsideration Process (HCFA-2096-P).................... 0938-AH24 1059 Medicare Coverage of Services of Speech-Language Pathologists and Audiologists (HCFA- 0938-AH37 1843-P)............................................................................. 1060 Medicaid; Estate Recoveries (HCFA-2083-P)........................................... 0938-AH63 1061 Individual Market Health Insurance Reform: Portability From Group to Individual 0938-AH75 Coverage; Federal Rules for Access in the Individual Market; State Alternative Mechanisms to Federal Rules (HCFA-2882-F)........................................... 1062 Disclosure of Peer Review Organization Information in Response to Beneficiary 0938-AH85 Complaints (HCFA-3241-P)............................................................ 1063 Medicaid Program; Amendment to the Preadmission Screening and Annual Resident Review 0938-AH89 Program (HCFA-2107-P)............................................................... 1064 Medically Needy Determinations Under Welfare Reform (HCFA-2109-IFC)................. 0938-AH92 1065 Medicaid Program; Coverage and Payment for Federally Qualified Health Center 0938-AH95 Services (HCFA-2043-P).............................................................. 1066 Nondiscrimination in Health Coverage in the Group Market (HCFA-2022-F).............. 0938-AI08 1067 Medicare Program; Improvements to the Appeals Process for Medicare Beneficiaries 0938-AI11 Enrolled in HMOs, CMPs, and HCPPs (HCFA-4024-P)..................................... 1068 Medicare Program; Adjustments to Cost Limits for Skilled Nursing Facility Inpatient 0938-AI14 Routine Service Costs (HCFA-1896-FN)................................................ [[Page 25397]] 1069 Medicare/Medicaid Program; User Fees for Information, Products, and Services (HCFA- 0938-AI46 6021-P)............................................................................. 1070 Prospective Payment System for Hospital Outpatient Services (HCFA-1005-F)........... 0938-AI56 1071 State Plan Requirements for Durable Medical Equipment Providers (HCFA-2007-P)....... 0938-AI63 1072 Medicaid Program; Home and Community-Based Services (HCFA-2010-FC).................. 0938-AI67 1073 Medicaid Managed Care; Regulatory Program To Implement Certain Medicaid Provisions 0938-AI70 of the Balanced Budget Act of 1997 (HCFA-2001-F).................................... 1074 Prospective Fee Schedule for Ambulance Services (HCFA-1002-P)....................... 0938-AI72 1075 Revision of Procedures for Requesting Exceptions to Cost Limits for SNFs and 0938-AI80 Elimination of Reclassifications (HCFA-1883-F)...................................... 1076 Expanded Coverage for Diabetes Outpatient Self-Management Training Services (HCFA- 0938-AI96 3002-F)............................................................................. 1077 Medicare Program; Criteria and Standards for Evaluating Intermediary and Carrier 0938-AJ15 Performance: Millennium Compliance (HCFA-4002-GNC).................................. 1078 Medicare/Medicaid and CLIA Programs: Clinical Laboratory Improvement Amendments of 0938-AJ47 1988 Exemption of Laboratories in the State of California (HCFA-2245-N)............. 1079 Medicare Program: Criteria for Making National Coverage Decision (HCFA-3432-P)...... 0938-AJ54 1080 Medicare Program; Sustainable Growth Rate for Fiscal Year 2000 (HCFA-1110-N)........ 0938-AJ60 1081 Medicare and Medicaid Programs; Programs for All-Inclusive Care for the Elderly 0938-AJ63 (PACE) (HCFA-1903-P)................................................................ 1082 Clinical Social Worker Services (HCFA-1088-F)....................................... 0938-AJ71 1083 Medicaid Disproportionate Share Hospital Payments-Institutions for Mental Disease 0938-AJ74 (HCFA-2062-N)....................................................................... 1084 The Children's Health Insurance Program: Implementing the Balanced Budget Act of 0938-AJ75 1997 (HCFA-2006-F).................................................................. 1085 Medicare Program Update of Ambulatory Surgical Center Payment Rates Effective for 0938-AJ86 Services On or After October 1, 1999 (HCFA-1085-N).................................. 1086 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities- 0938-AJ93 Update (HCFA-1112-F)................................................................ 1087 Use of Restraint and Seclusion in Residential Treatment Facilities Providing 0938-AJ96 Inpatient Psychiatric Services to Individuals Under Age 21 (HCFA-2065-F)............ 1088 Conditions of Participation for Intermediate Care Facilities for the Mentally 0938-AJ99 Retarded............................................................................ 1089 Flexibility in Payment Methods for Services of Hospitals, Nursing Facilities, and 0938-AK04 Intermediate Care Facilities for the Mentally Retarded (HCFA-2004-F)................ 1090 Hospital Conditions of Participation; Anesthesia Services (HCFA-3049-F)............. 0938-AK08 1091 Changes to the Appeals Process for Beneficiaries Receiving Home Health Services in 0938-AK10 the Fee For Service Program (HCFA-4006-P)........................................... 1092 Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 0938-AK11 2001 (HCFA-1120-F).................................................................. 1093 Revisions to Medicaid Upper Payment Limit Requirements for Hospital, Nursing 0938-AK12 Facility, Intermediate Care Facility Services for the Mentally Retarded and Clinic Services (HCFA-2071-F).............................................................. 1094 Hospice Wage Index (HCFA-1135-N).................................................... 0938-AK13 1095 HIPAA Program; Bona Fide Wellness Programs (HCFA-2078-F)............................ 0938-AK19 1096 Application of Federal Financial Participation Limits (HCFA-2086-F)................. 0938-AK22 1097 Prospective Payment System for Hospital Outpatient Services: Exception to the 0938-AK25 Provider-Based Location Criteria for PPS-Exempt Facilities (HCFA-1143-F)............ 1098 Criteria and Standards for Evaluating Intermediary and Carrier Performance During FY 0938-AK26 2001 (HCFA-4010-GNC)................................................................ 1099 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance 0938-AK27 Amounts for Calendar Year 2001 (HCFA-8007-N)........................................ 1100 Mandatory Transmission of OASIS for Non-Medicare/Medicaid Patients in Home Health 0938-AK28 Agencies and Continued Delay of Requirements for Patients Receiving Personal Care Services (HCFA-2070-N).............................................................. 1101 Removal of the Requirements for the Cardiac Pacemaker Registry (HCFA-3045-F)........ 0938-AK29 1102 Physicians' Referrals to Health Care Entities With Which They Have Financial 0938-AK31 Relationships-Phase II (HCFA-1810-FC)............................................... 1103 Elimination of Application of Federal Financial Participation Limits (HCFA-2086-P).. 0938-AK32 1104 Conforming Regulations Changes and Statutory Revisions for Approval and Oversight of 0938-AK36 Accreditation Organizations (HCFA-2088-P)........................................... ---------------------------------------------------------------------------------------------------------------- Administration for Children and Families--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 1105 Program Performance Standards for the Operation of Head Start Programs.............. 0970-AB99 1106 Safeguarding Child Support and Expanded FPLS Information............................ 0970-AC01 [[Page 25398]] 1107 Developmental Disabilities and Bill of Rights Act................................... 0970-AC07 ---------------------------------------------------------------------------------------------------------------- Administration for Children and Families--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 1108 Construction and Major Renovation of Head Start and Early Head Start Facilities..... 0970-AB54 1109 Child Support Enforcement for Indian Tribes......................................... 0970-AB73 1110 Child Support Enforcement Program Omnibus Conforming Regulation..................... 0970-AB81 1111 Family Child Care Program Option for Head Start Programs............................ 0970-AB90 1112 Technical Revision of Head Start Regulations To Make Them Conform to Recent 0970-AC00 Statutory Revisions................................................................. 1113 High Performance Bonus Awards Under the TANF Program................................ 0970-AC06 1114 Individual Development Accounts..................................................... 0970-AC08 ---------------------------------------------------------------------------------------------------------------- Administration for Children and Families--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 1115 Standards for Safe Transportation................................................... 0970-AB24 1116 Incentive Payments and Audit Penalties to States and Political Subdivisions......... 0970-AB85 1117 State Self-Assessments To Determine Compliance With Federal Regulations............. 0970-AB96 1118 National Medical Support Notice..................................................... 0970-AB97 ---------------------------------------------------------------------------------------------------------------- Administration on Aging--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identification Number Number ---------------------------------------------------------------------------------------------------------------- 1119 Grants for State and Community Programs on Aging, Intrastate Funding Formulas; 0985-AA00 Training, Research and Discretionary Programs; Vulnerable Elder Rights; and Grants to Indians and Native Hawaiians..................................................... 1120 Grants for State and Community Programs on Aging, Family Caregivers, American 0985-AA01 Indians, and Native Hawaiians (Section 610 Review).................................. ---------------------------------------------------------------------------------------------------------------- _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Office of the Secretary (OS) _______________________________________________________________________ 813. GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) AND GOVERNMENTWIDE REQUIREMENTS FOR DRUG-FREE WORKPLACE (GRANTS) Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Legal Authority: 5 USC 301; 41 USC 701 et seq, sec 2455; PL 103-355; 31 USC 6101 note; EO 12859 CFR Citation: 45 CFR 76; 45 CFR 82 Legal Deadline: None Abstract: This proposed common rule is revised to simplify and streamline nonprocurement debarment and suspension requirements, as well as correspond to procurement regulations where possible. The revision will separate the debarment and suspension and Drug-Free Workplace regulations, and will be written in the plain language format. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Diane Osterhus, Federal Assistance Policy Specialist, Department of Health and Human Services, Office of the Secretary, Room 517D, Office of Grants and Acquisition Management, 200 Independence Avenue SW., Washington, DC 20201 Phone: 202 690-6901 Fax: 202 690-5729 [[Page 25399]] Email: [email protected] RIN: 0991-AB12 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Final Rule Stage Office of the Secretary (OS) _______________________________________________________________________ 814. REPRODUCTION AND SALE OF OFFICIAL FORMS AND PUBLICATIONS Priority: Info./Admin./Other Legal Authority: 42 USC 1320b-10 CFR Citation: 45 CFR 101 Legal Deadline: None Abstract: This interim final rule with comment period will establish procedures for implementation of section 312 of the Social Security Independence Act. It amends existing prohibitions against ``misuse of symbols, emblems, or names in reference to Social Security or Medicare.'' Section 312 also prohibits the ``unauthorized reproduction, reprinting, or distribution for fee'' of a ``form, application, or other publication of the Social Security Administration or of the Department of Health and Human Services.'' It requires prior written authorization for any such activity in accordance with the Secretary's regulations. The Department plans to distinguish between forms and publications that potentially involve misuse in contrast to benign or desirable reproductions and distributions, and to provide pre- authorization for the latter. The rule will be developed in consultation with the Social Security Administration. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Interim Final Rule 11/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Michael Herrell, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, Office of the Secretary, 200 Independence Avenue SW., Washington, DC 20201 Phone: 202 690-5739 RIN: 0991-AA83 _______________________________________________________________________ 815. SHARED RISK EXCEPTION TO THE SAFE HARBOR PROVISIONS Priority: Substantive, Nonsignificant Legal Authority: 42 USC 1302; 42 USC 1320a-7b; 42 USC 1395hh; PL 104- 191, sec 216(b) CFR Citation: 42 CFR 1001 Legal Deadline: Final, Statutory, January 1, 1997. Abstract: This final rule establishes a new statutory exception for risk-sharing arrangements under the Federal health care programs' anti- kickback provisions. The rule sets forth an exception from liability for remuneration between an eligible organization and an individual or entity providing items or services in accordance with a written agreement between these parties. The rule allows remuneration between an organization and an individual or entity if a written agreement places the individual or entity at ``substantial financial risk'' for the cost or utilization of the items or services that the individual or entity is obligated to provide. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 05/23/97 62 FR 28410 ANPRM Comment Period End 06/09/97 Interim Final Rule 11/19/99 64 FR 63504 Final Rule 08/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AA91 _______________________________________________________________________ 816. CIVIL MONEY PENALTY SAFE HARBOR TO PROTECT PAYMENT OF MEDICARE AND MEDIGAP PREMIUMS FOR ESRD BENEFICIARIES Priority: Substantive, Nonsignificant Legal Authority: Social Security Act, sec 1128A(a)(5) CFR Citation: 42 CFR 1003 Legal Deadline: None Abstract: This final rule will set forth in the OIG's civil money penalty provisions in 42 CFR part 1003 a new safe harbor for unlawful inducements to beneficiaries to provide protection for independent dialysis facilities that pay, in whole or in part, premiums for Supplementary Medical Insurance (Medicare part B) or Medicare Supplemental Health Insurance policies (Medigap) for financially needy Medicare beneficiaries with end-stage renal disease (ESRD). This safe harbor specifically establishes various standards that, if met, would result in the particular arrangement being protected from civil penalties under section 1128A(a)(5) of the Social Security Act. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/02/00 65 FR 25460 NPRM Comment Period End 07/03/00 Final Action 10/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AB04 _______________________________________________________________________ 817. SAFE HARBOR FOR AMBULANCE RESTOCKING Priority: Substantive, Nonsignificant Legal Authority: PL 100-93, sec 14(a) [[Page 25400]] CFR Citation: 42 CFR 1001 Legal Deadline: None Abstract: This rule will set forth acceptable restocking arrangements between municipal and nonprofit ambulance companies and hospitals. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/22/00 65 FR 32060 NPRM Comment Period End 07/21/00 Final Action 10/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AB05 _______________________________________________________________________ 818. REVISIONS AND TECHNICAL CORRECTIONS TO 42 CFR CHAPTER V Priority: Substantive, Nonsignificant Legal Authority: 42 USC 1302; 42 USC 1320a-7; 42 USC 1320a-7a; 42 USC 1320a-7b; 42 USC 1320a-7d(b); 42 USC 1395u CFR Citation: 42 CFR 1001; 42 CFR 1003; 42 CFR 1008 Legal Deadline: None Abstract: This final rule sets forth several miscellaneous revisions and technical corrections to the OIG regulations codified in 42 CFR chapter V. Among other revisions, this rule makes revisions or clarifications to the term ``item or service'' contained in part 1003 of this chapter, to the reinstatement procedures relating to exclusions resulting from the default on health education or scholarship obligations set forth in part 1001, and to the statute of limitations for the OIG to impose an exclusion under part 1001. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/20/00 65 FR 63035 NPRM Comment Period End 12/20/00 Final Action 09/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: Undetermined Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AB09 _______________________________________________________________________ 819. AMENDING THE REGULATIONS GOVERNING NONDISCRIMINATION ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, HANDICAP, SEX, AND AGE TO CONFORM TO THE CIVIL RIGHTS RESTORATION ACT OF 1987 Priority: Other Significant Legal Authority: PL 100-259, Civil Rights Restoration Act of 1987 CFR Citation: 45 CFR 80; 45 CFR 84; 45 CFR 86; 45 CFR 90; 45 CFR 91 Legal Deadline: None Abstract: The Secretary proposes to amend the Department's regulations implementing title VI of the Civil Rights Act of 1964, as amended, section 504 of the Rehabilitation Act of 1973, as amended, title IX of the Education Amendments of 1972, and the Age Discrimination Act of 1975, as amended. The principal proposed conforming change is to amend the regulations to add the definitions of ``program or activity'' or ``program'' that correspond to the statutory definitions enacted under the Civil Rights Restoration Act of 1987. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/26/00 65 FR 64194 NPRM Comment Period End 11/27/00 Final Action 11/00/01 Final Action Effective 01/00/02 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Federal Agency Contact: Roinsue Frohboese, Department of Health and Human Services, Office of the Secretary Phone: 202 619-0403 RIN: 0991-AB10 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Long-Term Actions Office of the Secretary (OS) _______________________________________________________________________ 820. CIVIL MONEY PENALTIES FOR MEDICARE+CHOICE ORGANIZATIONS AND MEDICAID MANAGED CARE ORGANIZATIONS Priority: Substantive, Nonsignificant Legal Authority: 42 USC 1320a-7a; 42 USC 1395mm; 42 USC 1395w-27; 42 USC 1396b; 42 USC 1396u-2 CFR Citation: 42 CFR 1003 Legal Deadline: None Abstract: This proposed rule would reflect OIG's authority to impose civil money penalties against Medicare+Choice organizations that engage in certain abusive practices, including failure to provide medically necessary care and discriminatory enrollment procedures. This rule would specifically address the Medicare+Choice provisions set forth in Public Law 105-33, the Balanced Budget Act of 1997, and the Medicaid managed care provisions. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector [[Page 25401]] General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AB03 _______________________________________________________________________ 821. SAFE HARBOR FOR ARRANGEMENTS INVOLVING FEDERALLY QUALIFIED HEALTH CENTERS Priority: Substantive, Nonsignificant Legal Authority: PL 100-93, sec 14(a) CFR Citation: 42 CFR 1001 Legal Deadline: None Abstract: This rule would set forth a new anti-kickback safe harbor addressing remuneration between Federal Qualified Health Centers and certain service providers where a significant community benefit exists. Timetable: Next Action Undetermined Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AB06 _______________________________________________________________________ 822. DEFINITION OF TERMS; SUBSTANTIALLY IN EXCESS AND USUAL CHARGES AND CLARIFICATION OF THE GOOD CAUSE EXCEPTION Priority: Substantive, Nonsignificant Legal Authority: Sec. 1128(b)(A) of the Social Security Act CFR Citation: 42 CFR 1001 Legal Deadline: None Abstract: This proposed rule would amend the OIG exclusion regulations at 42 CFR 1001.701, addressing excessive claims, by including definitions for the terms ``substantially in excess'' and ``usual charges'', and by clarifying the ``good cause'' exception set forth in this section. Timetable: Next Action Undetermined Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AB13 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Completed Actions Office of the Secretary (OS) _______________________________________________________________________ 823. STANDARDS FOR PRIVACY OF INDIVIDUALLY INDENTIFIABLE HEALTH INFORMATION Priority: Economically Significant. Major under 5 USC 801. CFR Citation: 45 CFR 160; 45 CFR 164 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Final Rule 12/28/00 65 FR 82462 Delay of Effective Date To 04/ 14/2001 02/26/01 66 FR 12434 Comment Period Extended 03/30/01 66 FR 12738 Regulatory Flexibility Analysis Required: Yes Government Levels Affected: State, Local, Tribal, Federal Federalism: This action may have federalism implications as defined in EO 13132. Agency Contact: Roxanne Gibson Phone: 202 260-5083 RIN: 0991-AB08 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Long-Term Actions Substance Abuse and Mental Health Services Administration (SAMHSA) _______________________________________________________________________ 824. SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT APPLICATIONS DUE DATE CHANGE FROM MARCH 31 TO OCTOBER 1 FOR FY 2001 AND BEYOND Priority: Routine and Frequent Legal Authority: Not Yet Determined CFR Citation: 45 CFR 96; 45 CFR 96.122(d); 45 CFR 96.130(e); 45 CFR 96.134(d) Legal Deadline: None Abstract: The Substance Abuse and Mental Health Services Administration (SAMHSA) (formerly, the Alcohol, Drug Abuse and Mental Health Administration (ADAMHA)) has permitted applicants for its Substance Abuse Prevention and Treatment (SAPT) Block Grant program to submit an application for a grant as late as March 31 of the fiscal year for which it is applying. Starting with the fiscal year 2001 applications, SAMHSA is proposing a new date for receipt of the applications for SAPT Block Grants of October 1 of the fiscal year for which Block Grant funding is being requested. However, the deadline for two application components required to be submitted by that due date may be extended for a limited period, not to extend beyond December 31 of the same fiscal year when good cause is demonstrated. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 02/04/00 65 FR 5474 NPRM Comment Period End 03/20/00 Next Action Undetermined Regulatory Flexibility Analysis Required: No Government Levels Affected: State Federalism: This action may have federalism implications as defined in EO 13132. [[Page 25402]] Agency Contact: Thomas Reynolds, Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Room 13C-20, Parklawn, Rockville, MD 20857 Phone: 301 443-0179 RIN: 0930-AA04 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Completed Actions Substance Abuse and Mental Health Services Administration (SAMHSA) _______________________________________________________________________ 825. FINAL AND DELEGATION OF AUTHORITY TO IMPLEMENT SAMHSA'S ACCREDITATION BASED SYSTEM FOR OPIOD TREATMENT PROGRAM MONITORING Priority: Other Significant CFR Citation: 42 CFR 8 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Final Rule 01/17/01 66 FR 4075 60-Day Delay of Effective Date To 05/18/2001 03/19/01 66 FR 15347 Regulatory Flexibility Analysis Required: Yes Government Levels Affected: None Agency Contact: Joseph D. Faha Phone: 301 443-4640 RIN: 0930-AA06 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Centers for Disease Control and Prevention (CDC) _______________________________________________________________________ 826. AMENDMENTS TO QUALITY ASSURANCE AND ADMINISTRATIVE PROVISION FOR APPROVAL OF RESPIRATORY PROTECTIVE DEVICES Priority: Other Significant Legal Authority: 29 USC 651 et seq; 30 USC 3; 30 USC 5; 30 USC 7; 30 USC 811; 30 USC 842(h); 30 USC 844 CFR Citation: 42 CFR 84 Legal Deadline: None Abstract: NIOSH plans to propose the Administrative/Quality Assurance sections of 42 CFR part 84, Approval of Respiratory Protective Devices. Areas for potential modification in this module are: 1) upgrade of Quality Assurance requirements; 2) ability to use private sector quality auditors and private sector testing laboratories in the approval program; 3) revised approval label requirements; 4) updated and restructured fee schedule; and 5) fee retention in the Respirator program. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Larry Elliott, Acting Director, Office of Compensation Analysis and Support, Department of Health and Human Services, Centers for Disease Control and Prevention, NIOSH, R44, 5555 Ridge Avenue, Cincinnati, OH 45213 Phone: 513 841-4400 RIN: 0920-AA04 _______________________________________________________________________ 827. METHODS FOR ESTIMATING RADIATION DOSE AND GUIDELINES FOR ASSESSING PROBABILITY OF CANCER FOR ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM Priority: Other Significant Legal Authority: PL 106-398, sec 3623 CFR Citation: Not Yet Determined Legal Deadline: None Abstract: Pursant to Executive Order 13179, which implements section 3623 of the Energy Employees Occupational Illness Compensation Program Act, Public Law 106-398, NIOSH plans to propose and finalize regulations, to establish: 1) Guidelines to assess the likelihood that an individual with cancer sustained that cancer in the performance of duty at a Department of Energy facility or an atomic weapons employer facility, as defined in that Act; and 2) Methods for arriving at and providing reasonable estimates of the radiation doses received by individuals applying for assistance under this program for whom there are inadequate records of radiation exposure. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: Undetermined Agency Contact: Roland Berry Ann, Team Leader, Policy Development, Respirator Branch, Department of Health and Human Services, Centers for Disease Control and Prevention, NIOSH, P04, 1095 Willowdale Road, Morgantown, WV 26505 Phone: 304 285-5907 RIN: 0920-AA05 [[Page 25403]] _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Long-Term Actions Centers for Disease Control and Prevention (CDC) _______________________________________________________________________ 828. PACKAGING AND HANDLING OF INFECTIOUS SUBSTANCES AND SELECT AGENTS Priority: Other Significant Legal Authority: 42 USC 264; 42 USC 271; 42 USC 262 note; 31 USC 9701; 18 USC 3559; 18 USC 3571 CFR Citation: 42 CFR 72.6 (Renumbered); 42 CFR 72.7 (Renumbered); 42 CFR 72.1-5 (Revision) Legal Deadline: None Abstract: The purpose of this NPRM is to update regulations governing the packaging, labeling, and shipment of infectious agents. Materials must be packaged in such a way as to prevent damage and leakage during transport in order to protect workers and the public from exposure. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/28/99 64 FR 58022 Next Action Undetermined Regulatory Flexibility Analysis Required: No Government Levels Affected: None Federalism: Undetermined Agency Contact: Dr. Jonathan Y. Richmond, Director, Office on Health and Safety, Department of Health and Human Services, Centers for Disease Control and Prevention, MS F05, 1600 Clifton Road NE, Atlanta, GA 30333 Phone: 404 639-2453 RIN: 0920-AA02 _______________________________________________________________________ 829. CONTROL OF COMMUNICABLE DISEASES Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Legal Authority: 42 USC 216; 42 USC 243; 42 USC 264; 42 USC 271 CFR Citation: 42 CFR 70; 42 CFR 71 Legal Deadline: None Abstract: CDC proposes to modify certain regulatory responsibilities of 42 CFR 70 and 42 CFR 71 that relate to quarantine in order to bring the regulations up to date regarding modern communicable disease concerns. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Final Rule To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: State Federalism: Undetermined Agency Contact: Chuck Gollmar, Deputy Director, Department of Health and Human Services, Centers for Disease Control and Prevention, MS D23, 1600 Clifton Road NE., Atlanta, GA 30333 Phone: 404 639-7070 Email: [email protected] RIN: 0920-AA03 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Departmental Management (HHSDM) _______________________________________________________________________ 830. IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN AGENCY PROCEEDINGS Priority: Substantive, Nonsignificant Legal Authority: 5 USC 504(c)(1) CFR Citation: 45 CFR 13 Legal Deadline: None Abstract: The Equal Access to Justice Act requires agencies to pay fees to parties prevailing against the Government in certain administrative proceedings. The Act has been amended several times since its 1980 enactment, most recently by the Contract with America Advancement Act of 1996, which increased the amount of the hourly fees payable. The proposed rule revises 45 CFR part 13 (HHS' regulation implementing the Equal Access to Justice Act) to conform with statutory changes. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/19/87 52 FR 23311 NPRM Comment Period End 08/17/87 Second NPRM 08/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Timothy M. White, Associate General Counsel, Business and Administrative Law Division, Department of Health and Human Services, Room 5362, HHS Cohen Building, 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0150 RIN: 0990-AA02 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Prerule Stage Food and Drug Administration (FDA) _______________________________________________________________________ 831. NATURAL RUBBER-CONTAINING DRUGS; USER LABELING Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 374; 21 USC 379; 42 USC 216; 42 USC 241; 42 USC 262; 42 USC 264; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 371 CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The advance notice of proposed rulemaking requests comments on requirements under consideration for labeling statements on products regulated as drugs (including combination products regulated under drug labeling provisions) that contain natural rubber that contacts humans. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined [[Page 25404]] Agency Contact: Carol Drew, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB56 _______________________________________________________________________ 832. IMPLEMENTATION OF THE IMPORT TOLERANCE PROVISIONS OF THE ANIMAL DRUG AVAILABILITY ACT OF 1996 Priority: Substantive, Nonsignificant Unfunded Mandates: Undetermined Legal Authority: 21 USC 360b CFR Citation: 21 CFR 556 Legal Deadline: None Abstract: Section 4 of the Animal Drug Availability Act of 1996 (ADAA) (Pub. L. 104-250) permits the Secretary of HHS to establish tolerances for animal drugs used or intended for use in animals grown in an exporting nation from which an edible portion is imported into the United States. The standards used to establish tolerances are to be similar to the food safety criteria used by the Secretary to establish tolerances for drugs administered to animals grown in the United States. The data used for establishing the tolerances may be from the manufacturer and include data upon which a foreign approval is based or data available to an international organization such as the Codex Alimentarius Commission. This rule would implement the provisions in ADAA. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 07/00/01 NPRM 02/00/02 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: George A. (``Bert'') Mitchell, Associate Director for Policy and Regulations, Office of the Director, Department of Health and Human Services, Food and Drug Administration, HFV-1, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-2957 RIN: 0910-AB71 _______________________________________________________________________ 833. PART 600-BIOLOGICAL PRODUCTS: GENERAL (SECTION 610 REVIEW) Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 360(i); 21 USC 371; 21 USC 374; 42 USC 216; 42 USC 262; 42 USC 263(a); 42 USC 264; 42 USC 300aa-25 CFR Citation: Not Yet Determined Legal Deadline: None Abstract: 21 CFR parts 600 through 680 describe regulations applicable to biological products. Part 600 describes regulations for general establishment standards, establishment inspections, and the reporting of adverse experiences applicable to manufacturers of licensed biological products. FDA is initiating a review under section 610 of the Regulatory Flexibility Act for the regulations in part 600. The purpose of this review is to determine if any of the regulations in part 600 should be continued without change, or should be amended or rescinded, to minimize adverse economic impacts on small entities. FDA will consider, and solicit comments on the following: (1) the continued need for a regulation in part 600; (2) the nature of complaints or comments received concerning a regulation in part 600; (3) the complexity of a regulation in part 600; (4) the extent to which a regulation in part 600 overlaps, duplicates, or conflicts with other Federal, State, or government rules; and (5) the degree to which technology, economic conditions or other factors have changed in the area affected by a regulation in part 600. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Begin Review of Current Regulation 04/03/00 End Review 04/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Steven F. Falter, Director, Regulations and Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 200N (HFM-17), Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852-1448 Phone: 301 827-6210 Fax: 301 594-1944 Email: [email protected] RIN: 0910-AC06 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Food and Drug Administration (FDA) _______________________________________________________________________ 834. OVER-THE-COUNTER (OTC) DRUG REVIEW Priority: Routine and Frequent Legal Authority: 21 USC 321p; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360a; 21 USC 371a; 21 USC 331; 21 USC 360; 21 USC 360b; 21 USC 361; 21 USC 371 CFR Citation: 21 CFR 310; 21 CFR 340; 21 CFR 341; 21 CFR 342; 21 CFR 343; 21 CFR 344; 21 CFR 345; 21 CFR 330; 21 CFR 333; 21 CFR 334; 21 CFR 335; 21 CFR 336; 21 CFR 337; 21 CFR 338; 21 CFR 339; ... Legal Deadline: None Abstract: The OTC drug review establishes conditions under which OTC drugs are considered generally recognized as safe and effective and not misbranded. After a final monograph (i.e., final rule) is issued, only OTC drugs meeting the conditions of the monograph, or having an approved new drug application, may be legally marketed. NOTE: NPRM for ``Antidotes, Toxic Ingestion Products'' was combined with NPRM for ``Emetic [[Page 25405]] Products'' and reproposed as ``Poison Treatment Products.'' NPRM for ``Astringent (Wet Dressings) Products'' was included in the NPRM for ``Skin Protectant Products.'' NPRM for ``Diaper Rash Products'' was included in NPRMs for ``Antifungal,'' ``Antimicrobial,'' ``External Analgesic'' and ``Skin Protectant Products.'' NPRM for ``Fever Blister/ Cold Sore Products (External)'' was included in NPRMs for ``External Analgesic'' and ``Skin Protectant Products.'' NPRM for ``Insect Bites and Stings (Relief) Products'' was included in NPRMs for ``External Analgesic'' and ``Skin Protectant Products.'' ``Poison Ivy/Oak/Sumac Prevention'' was included in NPRMs for ``External Analgesic'' and ``Skin Protectant Products.'' NPRM for ``Mercurial (Topical) Products'' was included in revised NPRM for ``Antimicrobial Products.'' NPRM for ``Alcohol (Topical) Products'' was included in revised NPRM for ``Antimicrobial Products.'' The NPRM for ``Antimicrobial Products'' was updated and split into two sections: First Aid Products and Health Care Antiseptic Products. SMALL ENTITIES AFFECTED: The effects, if any, vary depending on the individual rulemaking. However, the Agency anticipates that the rules would not have a significant economic impact on a substantial number of small entities as defined by the Regulatory Flexibility Act. Timetable: ________________________________________________________________________ Acne (Topical) Products ANPRM 03/23/82 (47 FR 12430) NPRM 01/15/85 (50 FR 2172) NPRM (Amendment) 08/07/91 (56 FR 37622) Final Action 08/ 16/91 (56 FR 41008) Alcohol (Oral) in OTC Drug Products NPRM 10/21/93 (58 FR 54466) Final Action 03/13/95 (60 FR 13590) NPRM (Amendment) 05/10/96 (61 FR 21392) Final Action (Amendment) 11/18/96 (61 FR 58629) Anorectal Products ANPRM 05/27/80 (45 FR 35576) NPRM 08/15/88 (53 FR 30756) Final Action 08/03/90 (55 FR 31776) Final Action (LYCD) 09/02/ 93 (58 FR 46746) Final Action (Witch Hazel) 06/03/94 (59 FR 28766) Antacid Drug Products ANPRM 04/05/73 (38 FR 8714) NPRM 11/12/73 (38 FR 31260) Final Action 06/04/74 (39 FR 9862) NPRM (Amendment) (Overindulgence) 12/24/91 (56 FR 66754) Final Action (Amendment) (Warning) 08/26/93 (58 FR 45204) NPRM (Amendment) (Testing) 09/23/93 (58 FR 49826) NPRM (Amendment)(Sodium Bicarb.) 02/02/94 (59 FR 5060) Final Action (Technical Amendment) 11/25/94 (59 FR 60555) Final Action (Amendment) (Testing) 02/08/96 (61 FR 4822) Final Action (Amendment) (Overindulgence) 12/00/01 Final Action (Amendment)(Sodium B.) 06/00/02 Anthelmintic Products ANPRM 09/09/80 (45 FR 59541) NPRM 08/24/82 (47 FR 37062) Final Action 08/01/86 (51 FR 27756) Antibiotic First Aid Products ANPRM 04/01/77 (42 FR 17642) NPRM 07/ 09/82 (47 FR 29986) Final Action 12/11/87 (52 FR 47312) NPRM (Amendment) 08/18/89 (54 FR 34188) Final Action 03/15/90 (55 FR 9721) NPRM (Amendment) 05/11/90 (55 FR 19868) NPRM (Amendment) 06/08/ 90 (55 FR 23450) Final Action (Amendment) 10/03/90 (55 FR 40379) Final Action (Amendment) 12/05/90 (55 FR 50171) NPRM (Amendment) (Warning) 02/14/96 (61 FR 5918) Final Action (Amendment)(Warning) 11/15/96 (61 FR 58471) Anticaries Products ANPRM 03/28/80 (45 FR 20666) NPRM 09/30/85 (50 FR 39854) NPRM 06/15/88 (53 FR 22430) Final Action 10/06/95 (60 FR 52474) Final Action (Technical Amendment) 10/07/96 (61 FR 52285) Antidiarrheal Products ANPRM 03/21/75 (40 FR 12924) NPRM 04/30/86 (51 FR 16138) NPRM (Amendment)(Trav. Diar.) 12/00/01 Final Action 12/00/ 01 Antidotes, Toxic Ingestion Prdts (New Poison Treatment Prdts) ANPRM 01/05/82 (47 FR 444) Antiemetic Products ANPRM 03/21/75 (40 FR 12934) NPRM 07/13/79 (44 FR 41064) Final Action 04/30/87 (52 FR 15886) NPRM (Amendment) 08/26/93 (58 FR 45216) Final Action 04/11/94 (59 FR 16981) NPRM (Amendment)(Warning) 08/29/97 (62 FR 45767) Final Action (Amendment) (Warning) 12/00/01 Antiflatulent Drug Products NPRM 11/12/73 (38 FR 31260) Final Action 06/04/74 (39 FR 19877) NPRM (Amendment) 01/29/88 (53 FR 2716) Final Action (Amendment) 03/05/96 (61 FR 8836) Antifungal (Topical) Products ANPRM 03/23/82 (47 FR 12480) NPRM 12/ 12/89 (54 FR 51136) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25240) Final Action (Amdt.)(Diaper Rash) 12/18/92 (57 FR 60430) Final Action (Partial) 09/02/93 (58 FR 46744) Final Action 09/23/93 (58 FR 49890) NPRM (Amendment) (Indications) 07/22/99 (64 FR 39452) Final Action 08/29/00 (65 FR 52302) NPRM (Amendment) Clotrimazole 05/00/01 Antimicrobial Products ANPRM 09/13/74 (39 FR 33103) NPRM 01/06/78 (43 FR 1210) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25246) Final Action (Diaper Rash) 03/00/04 Antiperspirant Products ANPRM 10/10/78 (43 FR 46694) NPRM 08/20/82 (47 FR 36492) Final Action 04/00/02 Aphrodisiac Products ANPRM 10/01/82 (47 FR 43572) NPRM 01/15/85 (50 FR 2168) Final Action 07/07/89 (54 FR 28780) Astringent (Wet Dressings) Prdts (Merged w/other rulemkg) ANPRM 09/07/ 82 (47 FR 39436) Benign Prostatic Hypertrophy Products ANPRM 10/01/82 (47 FR 43566) NPRM 02/20/87 (52 FR 5406) Final Action 02/27/90 (55 FR 6926) Boil Ointments ANPRM 06/29/82 (47 FR 28306) NPRM 01/26/88 (53 FR 2198) Final Action 11/15/93 (58 FR 60332) Camphorated Oil Drug Products ANPRM 09/26/80 (45 FR 63869) Final Action 09/21/82 (47 FR 41716) Cholecystokinetic Products ANPRM 02/12/80 (45 FR 9286) NPRM 08/24/82 (47 FR 37068) Final Action 06/10/83 (48 FR 27004) NPRM (Amendment) 08/15/88 (53 FR 30786) Final Action (Amendment) 02/28/89 (54 FR 8320) Corn and Callus Remover Products ANPRM 01/05/82 (47 FR 522) NPRM 02/ 20/87 (52 FR 5412) Final Action 08/14/90 (55 FR 33258) Cough/Cold (Anticholinergic) Products ANPRM 09/09/76 (41 FR 38312) NPRM 07/09/82 (47 FR 30002) Final Action 11/08/85 (50 FR 46582) [[Page 25406]] Cough/Cold (Antihistamine) Products ANPRM 09/09/76 (41 FR 38312) NPRM 01/15/85 (50 FR 2200) NPRM (Amendment) 08/24/87 (52 FR 31892) Final Action 12/09/92 (57 FR 58356) Final Action (Amendment)(Warning) 01/28/ 94 (59 FR 4216) NPRM (Amendment)(Warning) 08/29/97 (62 FR 45767) Reopen Record (Common Cold) 08/25/00 (65 FR 51780) Final Action (Amendment)(Warning) 12/00/01 Final Action 12/00/02 Cough/Cold (Antitussive) Products ANPRM 09/09/76 (41 FR 38312) NPRM 10/19/83 (48 FR 48576) Final Action 08/12/87 (52 FR 30042) NPRM (Amendment) (Warning) 07/06/89 (54 FR 28442) NPRM (Amendment) 10/02/89 (54 FR 40412) Final Action (Amendment) (Warning) 07/06/90 (55 FR 27806) Final Action (Amendment) 10/03/90 (55 FR 40381) NPRM (Amendment)(Warning) 06/19/92 (57 FR 27666) NPRM (Amendment)(Ingredients) 12/09/92 (57 FR 58378) Final Action (Amendment)(Warning) 10/20/93 (58 FR 54232) Final Action (Amdt.)(Ingredients) 06/03/94 (59 FR 29172) NPRM (Amendment)(Warning) 08/29/97 (62 FR 45767) NPRM (Amendment)(Flammability) 07/20/98 (63 FR 38762) Final Action (Amendment)(Flammability) 08/01/00 (65 FR 46864) Final Action (Amendment)(Warning) 12/00/01 Cough/Cold (Bronchodilator) Products ANPRM 09/09/76 (41 FR 38312) NPRM 10/26/82 (47 FR 47520) Final Action 10/02/86 (51 FR 35326) NPRM (Amendment)(Warning) 06/19/92 (57 FR 27662) Final Action (Amendment)(Warning) 10/20/93 (58 FR 54238) NPRM (Amendment)(MDI) 03/ 09/95 (60 FR 13014) NPRM (Amendment)(Ephedrine) 07/27/95 (60 FR 38643) Final Action (Amendment) (MDI) 05/20/96 (61 FR 25142) Final Action (Amendment) (Ephedrine) 12/00/01 Cough/Cold (Combination) Products ANPRM 09/09/76 (41 FR 38312) NPRM 08/12/88 (53 FR 30522) NPRM (Amendment)(DPH Combinations) 02/23/95 (60 FR 10286) Final Action (Theophylline) 07/27/95 (60 FR 38636) NPRM (Amendment) (Ephedrine Combo) 12/00/01 Final Action 12/00/01 Cough/Cold (Diphenhydramine) Products Final Action/Enforcement Policy 04/09/96 (61 FR 15700) Cough/Cold (Expectorant) Products ANPRM 09/09/76 (41 FR 38312) NPRM 07/09/82 (47 FR 30002) Final Action 02/28/89 (54 FR 8494) Final Action (Technical Changes) 06/30/92 (57 FR 29176) Cough/Cold (Expectorant/Ipecac) Products ANPRM 09/09/76 (41 FR 38312) NPRM 07/09/82 (47 FR 30002) Final Action 09/14/92 (57 FR 41857) Cough/Cold (Nasal Decongestant) Products ANPRM 09/09/76 (41 FR 38312) NPRM 01/15/85 (50 FR 2220) NPRM (Amendment) 06/19/92 (57 FR 27658) Final Action 08/23/94 (59 FR 43386) Final Action; Partial Stay 03/08/96 (61 FR 9570) Final Action (Amendment)(Levmetamfetamine) 07/ 30/98 (63 FR 40647) NPRM (Phenylpropanolamine) 06/00/01 Dandruff, Seborrheic Dermatitis and Psoriasis Control Products ANPRM 12/03/82 (47 FR 54646) NPRM 07/30/86 (51 FR 27346) Final Action 12/ 04/91 (56 FR 63554) NPRM (Amendment) 04/05/93 (58 FR 17554) Final Action 01/28/94 (59 FR 4000) Daytime Sedatives ANPRM 12/08/75 (40 FR 57292) NPRM 06/13/78 (43 FR 25544) Final Action 06/22/79 (44 FR 36378) Diaper Rash Products (Merged w/other rulemkg) ANPRM 09/07/82 (47 FR 39406) Digestive Aid Products ANPRM 01/05/82 (47 FR 454) NPRM 01/29/88 (53 FR 2706) Final Action 10/21/93 (58 FR 54450) Eligibility Criteria for Additional Conditions ANPRM 10/03/96 (61 FR 51625) NPRM 12/20/99 (64 FR 71062) Final Action 06/00/01 Emetic Products ANPRM 03/21/75 (40 FR 12939) NPRM 09/05/78 (43 FR 39544) Exocrine Pancreatic Insufficiency Products ANPRM 12/21/79 (44 FR 75666) NPRM 11/08/85 (50 FR 46594) NPRM (Reproposed) 07/15/91 (56 FR 32282) Final Action 04/24/95 (60 FR 20162) External Analgesic Products ANPRM 12/04/79 (44 FR 69768) NPRM 02/08/ 83 (48 FR 5852) NPRM (Amendment) (Dandruff) 07/30/86 (51 FR 27360) NPRM (Amendment) (Anorectal) 08/25/88 (53 FR 32592) NPRM (Amendment) (Poison Ivy) 10/03/89 (54 FR 40818) NPRM (Amendment) (Fvr Blister/Ext) 01/31/90 (55 FR 3370) NPRM (Amendment) (1%Hydrocortisone) 02/27/90 (55 FR 6932) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25234) Final Action (Diaper Rash) 12/18/92 (57 FR 60426) NPRM (Amendment)(Warning) 08/29/97 (62 FR 45767) Final Action (Amendment)(Warning) 12/00/01 Fever Blister Products (Internal) ANPRM 01/05/82 (47 FR 502) NPRM 06/ 17/85 (50 FR 25156) Final Action 06/30/92 (57 FR 29166) First Aid Antiseptic ANPRM 09/13/74 (39 FR 33103) NPRM 01/06/78 (43 FR 1210) NPRM (Revised) 07/22/91 (56 FR 33644) Final Action 12/00/02 Fvr Blister/Cold Sore Prdts (Ext.) (To be merged w/other rulemkg) ANPRM 09/07/82 (47 FR 39436) Hair Grower and Hair Loss Prevention Products ANPRM 11/07/80 (45 FR 73955) NPRM 01/15/85 (50 FR 2190) Final Action 07/07/89 (54 FR 28772) Healthcare Antiseptic Products ANPRM 09/13/74 (39 FR 33103) NPRM 01/ 06/78 (43 FR 1210) NPRM (Revised) 06/17/94 (59 FR 31402) Final Action 12/00/01 Hormone (Topical) Products ANPRM 01/05/82 (47 FR 430) NPRM 10/02/89 (54 FR 40618) Final Action 09/09/93 (58 FR 57608) Hypo/Hyperphosphatemia Products ANPRM 12/09/80 (45 FR 81154) NPRM 01/ 15/85 (50 FR 2160) Final Action 05/11/90 (55 FR 19852) Ingrown Toenail Relief Products ANPRM 10/17/80 (45 FR 69128) NPRM 09/ 03/82 (47 FR 39120) Final Action 09/09/93 (58 FR 47602) NPRM 12/00/01 Insect Bite & Sting (Relief) Prdts (Merged w/other rulemkg) ANPRM 09/ 07/82 (47 FR 39412) Insect Repellent Drug Products (Internal) ANPRM 01/05/82 (47 FR 424) NPRM 06/10/83 (48 FR 26986) Final Action 06/17/85 (50 FR 25170) [[Page 25407]] Internal Analgesic Products ANPRM 07/08/77 (42 FR 35346) NPRM 11/16/ 88 (53 FR 46204) NPRM (Amendment) (Overindulgence) 12/24/91 (56 FR 66762) NPRM 10/20/93 (58 FR 54224) NPRM (Amendment)(Sodium Bicarbonate) 02/02/94 (59 FR 5068) NPRM (Prof. Labeling)(Acute MI) 06/ 13/96 (61 FR 30002) NPRM (Amendment)(Alcohol Warning) 11/14/97 (62 FR 61041) Final Action (Alcohol Warning) 10/23/98 (63 FR 56789) Final Action (Aspirin Prof. Label) 10/23/98 (63 FR 56802) NPRM (Amendment)(Ibuprofen) 10/00/01 Final Action 12/00/01 Final Action (Amendment)(Overindulgence) 12/00/01 Final Action (Sodium Bicarbonate) 06/00/02 Internal Deodorant Products ANPRM 01/05/82 (47 FR 512) NPRM 06/17/85 (50 FR 25162) Final Action 05/11/90 (55 FR 19862) Labeling of Drug Products for OTC Human Use NPRM (Sodium Labeling) 04/ 25/91 (56 FR 19222) NPRM 04/05/93 (58 FR 17553) Final Action 01/28/94 (59 FR 3998) NPRM (Do not mix drugs) 08/03/94 (59 FR 39499) NPRM (Amendment) (Do not mix drugs) 10/04/95 (60 FR 52058) NPRM (Unless a doctor tells you) 03/04/96 (61 FR 8450) Final Action (Sodium Labeling) 04/22/96 (61 FR 17798) NPRM (Calcium/Magnesium/Potassium) 04/22/96 (61 FR 17807) Withdrawal (Unless a doctor tells you) 02/27/97 (62 FR 9024) Final Action (Format/Examples) 03/17/99 (64 FR 13254) Final Action (Technical Amendment) 01/03/00 (65 FR 7) Final Action (Ca/Mg/K/ Na) 07/00/01 Laxative Products ANPRM 03/21/75 (40 FR 12902) NPRM 01/15/85 (50 FR 2124) NPRM (Amendment) (Directions/Bulk) 10/01/86 (51 FR 35136) NPRM (Amendment) (Docusate Salts) 09/02/93 (58 FR 46589) NPRM (Amendment)(Sodium Phosphates) 03/31/94 (59 FR 15139) NPRM (Phenolphthalein) 09/02/97 (62 FR 46223) Final Action (Sodium Phosphates) 05/21/98 (63 FR 27836) NPRM (Amendment)(Phosphates Label) 05/21/98 (63 FR 27886) NPRM (Amendment)(Stim. Laxative) 06/19/98 (63 FR 33592) Final Action; stay (Na Phos. Enema) 12/07/98 (63 FR 67399) Part. With. (Na Phos. Prof. Lab.) 12/09/98 (63 FR 67817) Final Action (Phenolphthalein) 01/29/99 (64 FR 4535) Final Action 01/00/ 02 Final Action (Stim. Laxative) 12/00/03 Leg Muscle Cramps (Nocturnal Relief) Products ANPRM 10/01/82 (47 FR 43562) NPRM 11/08/85 (50 FR 46588) Final Action 08/22/94 (59 FR 43234) Male Genital Desensitizer Products ANPRM 09/07/82 (47 FR 39412) NPRM 10/02/85 (50 FR 40260) Final Action 06/19/92 (57 FR 27654) Menstrual Products ANPRM 12/07/82 (47 FR 55075) NPRM 11/16/88 (53 FR 46194) Final Action 12/00/01 Mercurial (Topical) Products (To be merged w/other rulemkg) ANPRM 01/ 05/82 (47 FR 436) NDA Labeling Exclusivity (Merged with other rulemaking) NPRM 11/09/93 (58 FR 59622) Nailbiting/Thumbsucking Deterrent Products ANPRM 10/17/80 (45 FR 69122) NPRM 09/03/82 (47 FR 39096) Final Action 09/02/93 (58 FR 46749) Nighttime Sleep Aid Products ANPRM 12/08/75 (40 FR 57292) NPRM 06/13/ 78 (43 FR 25544) Final Action 02/14/89 (54 FR 6814) NPRM (Amendment) 08/26/93 (58 FR 45217) Final Action (Amendment) 04/11/94 (59 FR 16982) NPRM (Amendment)(Warning) 08/29/97 (62 FR 45767) Final Action (Amendment)(Warning) 12/00/01 Ophthalmic Products ANPRM 05/06/80 (45 FR 30002) NPRM 06/28/83 (48 FR 29788) Final Action 03/04/88 (53 FR 7076) Final Action (Anti- infective) 12/18/92 (57 FR 60416) NPRM (Amendment) (Warning) 02/23/98 (63 FR 8888) Final Action 06/21/00 (65 FR 38426) Oral Discomfort (Relief) Products ANPRM 05/25/82 (47 FR 22712) NPRM 09/24/91 (56 FR 48302) Final Action 06/00/02 Oral Health Care Products ANPRM 05/25/82 (47 FR 22760) NPRM 01/27/88 (53 FR 2436) NPRM (Amendment) (Antimicrobials) 02/09/94 (59 FR 6084) NPRM 04/00/01 ANPRM (Plaque/Gingivitis) 12/00/01 Oral Wound Healing Products ANPRM 11/02/79 (44 FR 63270) NPRM 07/26/ 83 (48 FR 33984) Final Action 07/18/86 (51 FR 26112) Otic Products (Dry Water-Clogged Ears) NPRM (Amendment) 08/17/99 (64 FR 44671) Final Action 08/10/00 (65 FR 48902) Otic Products (Earwax) NPRM 07/09/82 (47 FR 30012) Final Action 08/ 08/86 (51 FR 28656) Otic Products (Swimmers Ear) NPRM 07/30/86 (51 FR 27366) Final Action 02/15/95 (60 FR 8916) Final Action Partial Stay 08/16/95 (60 FR 42435) Overindulgence Remedies ANPRM 10/01/82 (47 FR 43540) NPRM 12/24/91 (56 FR 66742) Final Action 12/00/01 Overindulgence Remedies/Prevention of Inebriation ANPRM 10/01/82 (47 FR 43540) Final Action 07/19/83 (48 FR 32872) Pediculicide Products ANPRM 06/29/82 (47 FR 28312) NPRM 04/03/89 (54 FR 13480) Final Action 12/14/93 (58 FR 65452) NPRM (Labeling Amendment) 12/00/01 Phenylpropanolamine Products (Labeling) NPRM 02/14/96 (61 FR 3912) Poison Ivy/Oak/Sumac Prevention (Merged w/other rulemkg) ANPRM 09/07/ 82 (47 FR 39412) Poison Treatment Products NPRM 01/15/85 (50 FR 2244) Final Action 12/ 00/01 NPRM (Amendment) 12/00/01 Quinine for Malaria NPRM 04/19/95 (60 FR 19650) Final Action 03/20/98 (63 FR 13526) Salicylate (Reye Syndrome) NPRM (Amendment)(Warning) 05/05/93 (58 FR 26886) ANPRM 10/20/93 (58 FR 54228) Final Action (Warning) 12/00/01 Skin Bleaching Products ANPRM 11/03/78 (43 FR 51546) NPRM 09/03/82 (47 FR 39108) NPRM (Reproposed) 01/00/03 [[Page 25408]] Skin Protectant Products ANPRM 08/04/78 (43 FR 34628) NPRM 02/15/83 (48 FR 6820) NPRM (Amendment) (Astringent) 04/03/89 (54 FR 13490) NPRM (Amendment) (Poison Ivy) 10/03/89 (54 FR 40808) NPRM (Amendment) (Fvr Blister/Ext) 01/31/90 (55 FR 3362) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25204) Final Action (Astringent) 10/21/ 93 (58 FR 54466) Final Action (Witch Hazel) 06/03/94 (59 FR 28767) Final Action (Astringent) 07/00/01 Final Action (Poison Ivy) 07/00/01 Final Action 07/00/01 Smoking Deterrent Products ANPRM 01/05/82 (47 FR 490) NPRM 07/03/85 (50 FR 27552) Final Action 06/01/93 (58 FR 31236) Status of Certain Category II and III Ingredients NPRM 05/16/90 (55 FR 20434) Final Action 11/07/90 (55 FR 46914) NPRM 08/25/92 (57 FR 38568) Final Action 05/10/93 (58 FR 27636) Final Action 04/22/98 (63 FR 19799) Final Action 08/24/98 (63 FR 44996) Final Action 12/00/01 Stimulant (Overindulgence) Products NPRM (Amendment) 12/24/91 (56 FR 66758) Final Action 12/00/01 Stimulant Products ANPRM 12/08/75 (40 FR 57292) NPRM 06/13/78 (43 FR 25544) Final Action 02/29/88 (53 FR 6100) Stomach Acidifier Products ANPRM 10/19/79 (44 FR 60316) NPRM 01/15/85 (50 FR 2184) Final Action 08/17/88 (53 FR 31270) Sunscreen Products ANPRM 08/25/78 (43 FR 38206) NPRM 05/12/93 (58 FR 28194) NPRM (Amendment) 06/08/94 (59 FR 29706) NPRM (Amendment)(Avobenzone) 09/16/96 (61 FR 48645) Final Action (Avobenzone Enf. Pol.) 04/30/97 (62 FR 23350) Final Action 05/21/99 (64 FR 27666) ANPRM (and Insect Repellant) 08/00/01 NPRM (UVA/UVB) 09/00/01 Sweet Spirits of Nitre ANPRM 02/22/80 (45 FR 11846) Final Action 06/ 27/80 (45 FR 43400) Topical Drug Products Containing Benzoyl Peroxide (Labeling) NPRM 02/ 17/95 (60 FR 9554) Final Action 07/00/02 Vaginal Contraceptive Products ANPRM 12/12/80 (45 FR 82014) NPRM 02/ 03/95 (60 FR 6892) NPRM (Amendment) 12/00/01 Vaginal Drug Products ANPRM 10/13/83 (48 FR 46694) Withdrawal 02/03/ 95 (60 FR 5226) NPRM (Douches) 12/00/01 Vitamin/Mineral Products ANPRM 03/16/79 (44 FR 16126) Withdrawal 11/ 27/81 (46 FR 57914) Wart Remover Products ANPRM 10/03/80 (45 FR 65609) NPRM 09/03/82 (47 FR 39102) NPRM (Amendment) 03/27/87 (52 FR 9992) Final Action 08/14/ 90 (55 FR 33246) NPRM (Amendment)(Directions) 01/28/94 (59 FR 4015) Final Action (Amdt.)(Directions) 11/23/94 (59 FR 60315) Water Soluble Gums NPRM 10/30/90 (55 FR 45782) Final Action 08/26/93 (58 FR 45194) NPRM 01/00/02 Weight Control Products ANPRM 02/26/82 (47 FR 8466) NPRM 10/30/90 (55 FR 45788) Final Action 08/08/91 (56 FR 37792) NPRM (Phenylpropanolamine) 06/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Gerald M. Rachanow, Regulatory Counsel, Division of Over-the-Counter Drug Products, Department of Health and Human Services, Food and Drug Administration, HFD-560, Center for Drug Evaluation and Research, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-2222 RIN: 0910-AA01 _______________________________________________________________________ 835. HEARING AIDS; PROFESSIONAL AND PATIENT LABELING; CONDITIONS FOR SALE Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: This action may affect State, local or tribal governments and the private sector. Legal Authority: 21 USC 351; 21 USC 352; 21 USC 360d; 21 USC 371; 21 USC 360j(e) CFR Citation: 21 CFR 801.420; 21 CFR 801.421 Legal Deadline: None Abstract: FDA is considering revising its present regulation governing the labeling and conditions for sale of hearing aids. The present rule requires an examination by a physician before purchase of a hearing aid, but permits an informed adult to waive that requirement. There is some evidence that this waiver provision is being misused. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/10/93 58 FR 59695 ANPRM Comment Period End 01/10/94 NPRM 12/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State Federalism: This action may have federalism implications as defined in EO 13132. Agency Contact: Joseph M. Sheehan, Chief, Regulations Staff, Department of Health and Human Services, Food and Drug Administration, HFZ-215, Center for Devices and Radiological Health, 1350 Piccard Drive, Rockville, MD 20850 Phone: 301 827-2974 RIN: 0910-AA39 _______________________________________________________________________ 836. ESTABLISHMENT REGISTRATION AND PRODUCT LISTING FOR DRUGS AND BIOLOGICS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360; 21 USC 360b; 21 USC 371; 21 USC 374; 42 USC 262 CFR Citation: 21 CFR 207 Legal Deadline: None Abstract: The proposed rule would revise the regulations under part 207 to clarify the requirements for registration and listing and to consolidate and reorganize the regulations. The proposal would also require the electronic submission of establishment registration and product listing information. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Howard P. Muller, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD- [[Page 25409]] 7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA49 _______________________________________________________________________ 837. INVESTIGATIONAL NEW DRUGS: EXPORT REQUIREMENTS FOR UNAPPROVED NEW DRUG PRODUCTS Priority: Routine and Frequent Legal Authority: 21 USC 321; 21 USC 381; 21 USC 382; 21 USC 393; 42 USC 241; 42 USC 243; 42 USC 262; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371 CFR Citation: 21 CFR 312.110 Legal Deadline: None Abstract: The proposed rule would amend the regulations on the exportation of unapproved new drug products, including biological products, for investigational use. In general, the proposed rule would provide four different routes for exporting an unapproved new drug product for investigational use. One route would permit exportation, if the drug is the subject of an investigational new drug application (IND) and is being exported for use in the investigation. A second route would permit exportation, without prior Food and Drug Administration (FDA) approval and without an IND, if the product is to be exported for use in a clinical investigation and has received marketing authorization in certain developed countries. The third route would permit exportation, without prior FDA approval and without an IND, if the product is to be exported for use in a clinical investigation in certain specified developed countries. The fourth route would permit exportation without an IND, to any country provided that the exporter sends a written certification to FDA at the time the drug is first exported. Drugs exported under any of the first three routes would, however, be subject to certain statutory requirements, such as not conflicting with the foreign country's laws and not being sold or offered for sale in the United States. Drugs exported under either the second or third routes would be subject to additional statutory requirements, such as being in substantial conformity with the current good manufacturing practices and certain labeling requirements. These provisions would implement recent changes in FDA's export authority resulting from the FDA Export Reform and Enhancement Act of 1996. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 827-4774 Email: [email protected] RIN: 0910-AA61 _______________________________________________________________________ 838. SAFETY REPORTING AND RECORDKEEPING REQUIREMENTS FOR MARKETED OTC DRUGS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 374; 21 USC 375; 21 USC 379; 42 USC 216; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 371 CFR Citation: 21 CFR 201; 21 CFR 211; 21 CFR 327; 21 CFR 330 Legal Deadline: None Abstract: The proposed rule would require manufacturers of marketed nonprescription human drug products to report to FDA information they receive about adverse drug reactions, maintain records of adverse drug reactions, and permit access by FDA to adverse drug reaction records. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Audrey Thomas, Regulatory Policy Analyst, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA86 _______________________________________________________________________ 839. SAFETY REPORTING REQUIREMENTS FOR HUMAN DRUG AND BIOLOGICAL PRODUCTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 42 USC 216; 42 USC 241; 42 USC 242a; 42 USC 262; 42 USC 263; 42 USC 263a-n; 42 USC 264; 42 USC 300aa; 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 360; 21 USC 360b-j; 21 USC 361a; 21 USC 371; 21 USC 374; 21 USC 375; 21 USC 379e; 21 USC 381 CFR Citation: 21 CFR 310; 21 CFR 312; 21 CFR 314; 21 CFR 600; 21 CFR 320; 21 CFR 601; 21 CFR 606 Legal Deadline: None Abstract: The proposed rule would amend the expedited and periodic safety reporting regulations for human drugs and biological products to revise certain definitions and reporting formats as recommended by the International Conference on Harmonization and to define new terms; to add to or revise current reporting requirements; to revise certain reporting time frames; and to make other revisions to these regulations to enhance the quality of safety reports received by FDA. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Audrey Thomas, Regulatory Policy Analyst, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 [[Page 25410]] Fax: 301 827-5562 RIN: 0910-AA97 _______________________________________________________________________ 840. RADIOACTIVE DRUGS FOR BASIC RESEARCH Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 42 USC 262 CFR Citation: 21 CFR 361 Legal Deadline: None Abstract: The proposed rule would update FDA's regulations on the use of radioactive drugs for basic research to reflect technological changes in the field of radiopharmaceuticals. The proposed rule would also clarify and correct certain provisions. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB00 _______________________________________________________________________ 841. ADMINISTRATIVE PRACTICES AND PROCEDURES; ADVISORY OPINIONS AND GUIDELINES Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 15 USC 1451 to 1461; 42 USC 262; 42 USC 263b; 42 USC 264; 21 USC 41 to 50; 21 USC 141 to 149; 21 USC 321 to 394; 21 USC 467f; 21 USC 679; 21 USC 821; 21 USC 1034; 42 USC 201 CFR Citation: 21 CFR 10; 21 CFR 808 Legal Deadline: None Abstract: This proposed rule would amend FDA regulations in 21 CFR part 10 concerning advisory opinions. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Andrea C. Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB14 _______________________________________________________________________ 842. CURRENT GOOD TISSUE PRACTICE FOR MANUFACTURERS OF HUMAN CELLULAR AND TISSUE-BASED PRODUCTS Priority: Other Significant Legal Authority: 42 USC 216; 42 USC 243; 42 USC 263a; 42 USC 264; 42 USC 271 CFR Citation: 21 CFR 1271 Legal Deadline: None Abstract: As part of implementing the proposed regulatory approach to human cellular and tissue-based products, the Food and Drug Administration (FDA) is proposing to require manufacturers of human cells and tissue to follow current good tissue practice (GTP), which includes proper handling, processing, and storage of human cells and tissue, recordkeeping, and the maintenance of a quality program. FDA is also proposing to amend the current good manufacturing practice regulations that apply to medical device products and biological products containing human cells or tissues in order to incorporate the new GTP requirements into existing good manufacturing practice regulations. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/08/01 66 FR 1508 NPRM Comment Period End 05/08/01 Final Action 01/00/03 Regulatory Flexibility Analysis Required: No Small Entities Affected: Businesses Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Paula S. McKeever, Regulatory Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Suite 200N (HFM-17), Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852-1448 Phone: 301 827-6210 RIN: 0910-AB28 _______________________________________________________________________ 843. APPLICATIONS FOR FDA APPROVAL TO MARKET A NEW DRUG; COMPLETE RESPONSE LETTER; AMENDMENTS TO UNAPPROVED APPLICATIONS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 312; 21 CFR 314 Legal Deadline: None Abstract: The proposed rule would amend the regulations on marketing approval of new drugs to discontinue the use of approvable and not approvable letters when taking action on a marketing application and instead use complete response letters. The proposed rule would also amend the regulations on extension of the review clock because of amendments to applications. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy [[Page 25411]] Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB34 _______________________________________________________________________ 844. EXPANDED ACCESS TO INVESTIGATIONAL THERAPIES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 360bbb CFR Citation: 21 CFR 312 Legal Deadline: None Abstract: The proposed rule would revise the investigational new drug regulations to clarify the conditions under which individual patients may receive investigational drugs for treatment use; to clarify the conditions under which a small group of patients may receive investigational drugs for treatment use under an expanded access protocol; and to clarify the criteria under which sponsors can recover costs for providing investigational drugs to patients for certain treatment uses. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Joseph Griffin, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, (HFD-40), Center for Drug Evaluation and Research, 1451 Rockville Pike, Suite 6021, Rockville, MD 20852 Phone: 301 594-6758 Fax: 301 594-5298 RIN: 0910-AB37 _______________________________________________________________________ 845. ELECTRONIC SUBMISSION OF ADVERSE DRUG REACTION REPORTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 216; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 262; 21 USC 263; 21 USC 263a; 21 USC 264; 21 USC 300aa; 21 USC 321; 21 USC 331; 21 USC 251 to 353 CFR Citation: 21 CFR 20; 21 CFR 310; 21 CFR 312; 21 CFR 314; 21 CFR 600 Legal Deadline: None Abstract: The proposed rule would set forth requirements on the electronic submission of adverse drug reaction reports using international medical terminology, electronic data format, and electronic transmission standards. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/05/98 63 FR 59746 ANPRM Comment Period End 02/03/99 NPRM 11/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Audrey Thomas, Regulatory Policy Analyst, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB42 _______________________________________________________________________ 846. DISTINGUISHING MARKS FOR DRUG PRODUCTS CONTAINING INSULIN Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 360gg to 360ss; 21 USC 371; 21 USC 374; 21 USC 379e; 42 USC 216; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The proposed rule would set forth a new system of distinctive colors and marks to identify different types of insulin-containing drug products. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Howard P. Muller, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB43 _______________________________________________________________________ 847. PREGNANCY LABELING Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 360gg to 360ss; 21 USC 371; 21 USC 374; 21 USC 379e; 42 USC 216; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The proposed rule would revise the regulatory requirements for the pregnancy labeling subsection of the labeling requirements for human drugs and biologics. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Virginia G. Beakes, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and [[Page 25412]] Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB44 _______________________________________________________________________ 848. POSITRON EMISSION TOMOGRAPHY DRUGS; CURRENT GOOD MANUFACTURING PRACTICES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 121 CFR Citation: 21 CFR 220 Legal Deadline: Final, Statutory, November 21, 1999. Abstract: Positron emission tomography (PET) is a medical imaging modality involving the use of a unique type of radiopharmaceutical drug. PET drugs are usually injected intravenously into patients for diagnostic purposes. Most PET drugs are produced using cyclotrons at locations that are in close proximity to the patients to whom the drugs are administered (e.g., in hospitals or academic institutions). Each PET drug is compounded under a physician's prescription and, due to the short half-lives of PET drugs, is administered to the patient within a few minutes or hours. Under section 501(a)(2)(B) of the Federal Food, Drug, and Cosmetic Act (the Act) (21 U.S.C. 351(a)(2)(B)), a drug is adulterated if the methods used in, or the facilities or controls used for, its manufacture, processing, packing, or holding do not conform to or are not operated or administered in conformity with current good manufacturing practice (CGMP) to assure that the drug meets the requirements of the Act as to safety and has the identity and strength, and meets the quality and purity characteristics, that it purports or is represented to possess. FDA's CGMP requirements for drug products are set forth in 21 CFR parts 210 and 211. On November 21, 1997, the President signed into law the Food and Drug Administration Modernization Act (Modernization Act) (Pub. L. 105-115). Section 121 of the Modernization Act contains several provisions affecting the regulation of PET drugs. Section 121(c)(1)(A) of the Modernization Act directs FDA to establish, within two years after enactment, appropriate approval procedures and CGMP requirements for PET drugs. Section 121(c)(1)(B) requires FDA to consult with patient advocacy groups, professional associations, manufacturers, and other interested persons as the agency develops PET drug CGMP requirements and approval procedures. FDA's proposed rule on PET drug CGMP's will be designed to reflect the unique nature of PET drug products. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB63 _______________________________________________________________________ 849. CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 351; 21 USC 352; 21 USC 360b; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 225 Legal Deadline: None Abstract: This proposal is in response to a citizen petition request to merge the separate requirements of the current good manufacturing practice (CGMP) regulations, 21 CFR part 225 applicable to licensed and unlicensed feed manufacturing facilities, respectively. The merger would produce a single set of updated, streamlined CGMPs that apply to all medicated feed manufacturers. This consolidation of existing CGMPs would preserve and strengthen food safety, be more appropriate given the changing structure of the medicated feed industry, and enhance uniformity and enforcement. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: George Graber, Director, Division of Animal Feeds, Department of Health and Human Services, Food and Drug Administration, HFV-220, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6651 Email: [email protected] RIN: 0910-AB70 _______________________________________________________________________ 850. FIXED-COMBINATION PRESCRIPTION AND OVER-THE-COUNTER DRUGS FOR HUMAN USE Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 361; 21 USC 371 CFR Citation: 21 CFR 300.50; 21 CFR 330.10 Legal Deadline: None Abstract: The proposed rule would amend 21 CFR 300.50 and 21 CFR 330.10(a)(4)(iv), which state the conditions under which two or more drugs (for a prescription drug) or active ingredients (for an over-the- counter drug) may be combined in a single dosage form. The proposed rule would state how this provision will apply to products derived from natural sources, including animal and botanical raw materials. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined [[Page 25413]] Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB79 _______________________________________________________________________ 851. REPACKAGING APPROVAL REQUIREMENTS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: The proposed rule would set forth requirements for FDA prior approval of certain types of repackaging of approved drug products by persons who are not holders of approved applications for the products. The proposed rule would ensure that FDA approves changes to drug product containers and closure systems by both application holders and repackagers. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/00/02 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB81 _______________________________________________________________________ 852. STABILITY TESTING OF DRUGS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: The proposed rule would specify required stability data that must be submitted with new drug applications. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Christine Rogers, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Suite 3059 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB82 _______________________________________________________________________ 853. CURRENT GOOD MANUFACTURING PRACTICE IN MANUFACTURING, PACKING, OR HOLDING DIETARY SUPPLEMENTS Priority: Economically Significant. Major under 5 USC 801. Unfunded Mandates: This action may affect the private sector under PL 104-4. Legal Authority: 21 USC 321; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 371; 21 USC 374; 21 USC 381; 21 USC 393; 42 USC 264 CFR Citation: 21 CFR 111 Legal Deadline: None Abstract: The Food and Drug Administration (FDA) announced in an advance notice of proposed rulemaking (ANPRM) of February 6, 1997 (62 FR 5700), its plans to consider developing regulations establishing current good manufacturing practices (CGMP) for dietary supplements and dietary ingredients. The ANPRM was published in order for FDA to solicit comments on whether it should initiate action to establish CGMP regulations and if so, what constitutes CGMP for these products. FDA announced that this effort was in response to the section of the Federal Food, Drug, and Cosmetic Act (the Act) that provides authority to the Secretary of Health and Human Services to promulgate CGMP regulations and to a submission from the dietary supplement industry asking that FDA consider an industry-proposed CGMP framework as a basis for CGMP regulations. The ANPRM also responds to concerns that such regulations are necessary to ensure that consumers are provided with dietary supplement products which have not been adulterated as a result of manufacturing, packing, or holding; which have the identity and provide the quantity of dietary ingredients declared in labeling; and which meet the quality specifications that the supplements are represented to meet. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 02/06/97 62 FR 5700 ANPRM Comment Period End 06/06/97 NPRM 06/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Karen Strauss, Consumer Safety Officer, Department of Health and Human Services, Food and Drug Administration, (HFS-820), 200 C Street SW, Washington, DC 20204 Phone: 202 205-4168 Fax: 202 205-5295 Email: [email protected] RIN: 0910-AB88 _______________________________________________________________________ 854. SUBMISSION IN ELECTRONIC FORMAT OF CERTAIN LABELING INFORMATION Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 350; 21 USC 351; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e; ... [[Page 25414]] CFR Citation: 21 CFR 314.50; 21 CFR 314.81; 21 CFR 314.94 Legal Deadline: None Abstract: The Food and Drug Administration is proposing to amend its regulations governing the format in which certain labeling in new drug applications, abbreviated new drug applications, supplements, and annual reports is required to be submitted. The proposal would require that certain labeing content described under sections 201.56 and 201.57 be submitted to FDA in electronic format. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Andrea C. Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB91 _______________________________________________________________________ 855. FEES RELATING TO DRUGS; WAIVER AND REDUCTION OF FEES Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 379g; 21 USC 379h CFR Citation: Not Yet Determined Legal Deadline: None Abstract: Sections 735 and 736 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. sections 379g and 379h) require FDA to assess and collect fees related to human drug applications. Section 736(d) of the Act (21 U.S.C. 379h(d)) authorizes the agency to grant a waiver or reduction of such fees in certain circumstances. This proposed rule would establish FDA's criteria for determining whether to grant a waiver or reduction of fees. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Andrea C. Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB92 _______________________________________________________________________ 856. PERIODIC TESTING FOR CERTAIN HUMAN DRUG, VETERINARY DRUG, AND BIOLOGICAL PRODUCT FINAL SPECIFICATIONS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360(b); 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 211.165; 21 CFR 314; 21 CFR 514; 21 CFR 601; 21 CFR 610 Legal Deadline: None Abstract: The proposed rule requests comments on when certain finished product laboratory tests to determine satisfactory conformance to final specifications for new human drug, animal drug, animal drugs and biological products may be performed on a periodic basis. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Carol Drew, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB93 _______________________________________________________________________ 857. REQUIREMENTS PERTAINING TO SAMPLING SERVICES AND PRIVATE LABORATORIES USED IN CONNECTION WITH IMPORTED FOOD Priority: Routine and Frequent Legal Authority: 21 USC 331; 21 USC 333; 21 USC 334; 21 USC 335b; 21 USC 335c; 21 USC 342; 21 USC 343; 21 USC 351; 21 USC 352; 21 USC 361; 21 USC 362; 21 USC 371; 21 USC 372; 21 USC 374; 21 USC 376; 21 USC 381 CFR Citation: 21 CFR 59 Legal Deadline: None Abstract: The proposed rule would establish requirements for importers and other persons who use sampling services and private laboratories in connection with imported food. For example, the proposal would pertain to persons who use sample collection services and private laboratories and would describe some responsibilities for such persons, sample collection services, and private laboratories. These responsibilities might include recordkeeping requirements to ensure that the correct sample is collected and analyzed, and a notification requirement if a person intends to use a private laboratory in connection with imported food. The proposed rule is intended to help insure the integrity and scientific validity of data and results submitted to FDA. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: Undetermined Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 [[Page 25415]] Phone: 301 827-3380 Fax: 301 827-4774 Email: [email protected] RIN: 0910-AB96 _______________________________________________________________________ 858. MEDICAL DEVICES, MEDICAL DEVICE ESTABLISHMENT REGISTRATION AND LISTING REQUIREMENTS; AMENDMENT Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 360; 21 USC 360c; 21 USC 360e; 21 USC 360i; 21 USC 360j; 21 USC 371; 21 USC 374 CFR Citation: Not Yet Determined Legal Deadline: None Abstract: FDA is considering revising its present establishment registration and device listing regulations. More particularly, FDA is considering whether to: (1) merge establishment registration and device listing into a single system and single reporting form; (2) encourage the electronic submission of the establishment registration and device listing information; (3) require premarket submission application numbers; (4) amend time frames for providing and updating registration and listing data; and (5) require notification of transfer of ownership for all premarket applications. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Agency Contact: Bryan H. Benesch, Special Assistant to the Director, Office of Compliance, Department of Health and Human Services, Food and Drug Administration, HFZ-300, Center for Devices and Radiological Health, 2094 Gaither Road, Rockville, MD 20850 Phone: 301 549-4699 Fax: 301 594-4715 Email: [email protected] RIN: 0910-AB99 _______________________________________________________________________ 859. AVAILABILITY FOR PUBLIC DISCLOSURE AND SUBMISSION TO FDA FOR PUBLIC DISCLOSURE OF CERTAIN DATA AND INFORMATION RELATED TO GENE THERAPY OR XENOTRANSPLANTATION Priority: Other Significant Legal Authority: 5 USC 552; 21 USC 331(j); 18 USC 1905; 21 USC 355(i); 21 USC 371(a); 42 USC 264 CFR Citation: 21 CFR 20.100; 21 CFR 312.42; 21 CFR 312.130; 21 CFR 601.50; 21 CFR 601.51; 21 CFR 601.52; 21 CFR 601.53 Legal Deadline: None Abstract: The proposed regulation would require sponsors of human trials involving human gene therapy or xenotransplantation to submit a redacted version for public disclosure of an investigational new drug application (IND), an amendment to an IND, or other related documents. The submission would be redacted to exclude trade secret information and personal information, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. FDA would then make the redacted documents available to the general public and the information would be able to be discussed in open session at scientific advisory committee meetings and at other suitable fora. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/18/01 66 FR 4688 NPRM Comment Period End 04/18/01 Final Action 02/00/02 Regulatory Flexibility Analysis Required: No Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Steven F. Falter, Director, Regulations and Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 200N (HFM-17), Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852-1448 Phone: 301 827-6210 Fax: 301 594-1944 Email: [email protected] RIN: 0910-AC00 _______________________________________________________________________ 860. REPORTING INFORMATION REGARDING POTENTIAL FABRICATION OR FALSIFICATION OF DATA Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 349; 21 USC 352; 21 USC 355i; 21 USC 360b; 21 USC 360c; 21 USC 360e; 21 USC 360i; 21 USC 360j; 21 USC 360k; 21 USC 371; 21 USC 379e; 42 USC 262 CFR Citation: 21 CFR 70.3; 21 CFR 71.1; 21 CFR 170.3; 21 CFR 171.1; 21 CFR 312.3; 21 CFR 312.56; 21 CFR 510.3; 21 CFR 511.1; 21 CFR 812.46 Legal Deadline: None Abstract: The proposed rule would require sponsors to promptly report any information indicating that any person has or may have falsified data in the course of proposing, designing, performing, recording, supervising, or reviewing research, or in reporting research results. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Agency Contact: Christine Rogers, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Suite 3059 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AC02 _______________________________________________________________________ 861. STATUS REPORTS FOR QUANTITY MARKETED INFORMATION FOR ANIMAL DRUG PRODUCTS USED IN FOOD-PRODUCING ANIMALS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 360b CFR Citation: 21 CFR 524 Legal Deadline: None Abstract: After approving a new animal drug application, the Food and Drug Administration (FDA) requires the [[Page 25416]] sponsor to submit adverse experience and use information on the product. The currently submitted distribution data are insufficient to provide the use information needed by FDA. Because of concern about the effect of the use of antimicrobial drugs in food-producing animals on the development rate and extent of resistance in human pathogens, FDA published a document describing a proposed framework for evaluating and protecting human health. The Framework Document describes the need for more detailed drug distribution information to permit the evaluation of a correlation between changes in resistance and the use of antimicrobial drugs in food-producing animals. The regulatory proposal would require the reporting of the total number of distributed units of each size, strength, or potency (distribution data or quantity marketed data) and provide FDA with the more detailed information needed to assess the correlation between resistance in human pathogens and the use of antimicrobial drugs in food-producing animals. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 02/00/02 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: Businesses Government Levels Affected: None Federalism: Undetermined Agency Contact: William Keller, Division Director, Division of Surveillance, Department of Health and Human Services, Food and Drug Administration, (HFV-210), Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6642 RIN: 0910-AC04 _______________________________________________________________________ 862. LABELING DIETARY SUPPLEMENTS FOR WOMEN WHO ARE OR MAY BECOME PREGNANT Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321(n); 21 USC 342(f); 21 USC 343(a)(1); 21 USC 343(r)(6); 21 USC 371(a) CFR Citation: Not Yet Determined Legal Deadline: None Abstract: The Food and Drug Administration (FDA) is proposing to require manufacturers to label their dietary supplements with a caution statement for women who are or may become pregnant unless there is evidence demonstrating that use in pregnancy is safe. FDA is including in this proposal a list of products that would not require this caution statement, as well as a petition process by which a product may be exempted from bearing the caution statement. FDA is also proposing to regulate manufacturers of dietary supplements that bear a claim about an effect on a condition associated with pregnancy to maintain and permit FDA inspection of certain records. FDA is proposing this rule because of the special safety concerns associated with use of any product during pregnancy. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AC09 _______________________________________________________________________ 863. OVERWRAP FOR INHALATION PRODUCTS PACKAGED IN LOW DENSITY POLYETHYLENE (LDPE) CONTAINERS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 358; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 375 CFR Citation: 21 CFR 200 Legal Deadline: None Abstract: The proposed rule would require overwrap on all inhalation products packaged in low density polyethylene (LDPE) containers to prevent ingress of contaminates. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: None Agency Contact: Carol Drew, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AC10 _______________________________________________________________________ 864. REGULATION OF CARCINOGENIC COMPOUNDS USED IN FOOD-PRODUCING ANIMALS; DEFINITION OF ``NO RESIDUE'' Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321; 21 USC 331; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 360b; 21 USC 371 CFR Citation: 21 CFR 500.82; 21 CFR 500.84; 21 CFR 500.88 Legal Deadline: None Abstract: The Food and Drug Administration (FDA) is proposing to amend its regulations relating to the operational definition of the term ``no residue.'' The definition is used in determining whether any residue of carcinogenic compounds used in food-producing animals would ``be found in food produced from those animals under conditions of use reasonably certain to be followed in practice'' (21 CFR 500.80(a)). Under the current operational definition of no residue, it is possible for a residue detected by a method approved by FDA to be considered ``no residue.'' FDA is revising its regulations to make them consistent with a 1995 Department of Justice opinion regarding this definition. The proposed changes would revise the definition of ``no residue'' to mean that no residue is detected with an approved regulatory method. FDA would propose several conditions that sponsors of [[Page 25417]] carcinogenic compounds must satisfy with respect to the sponsors' proposed regulatory methods. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Steven Brynes, Regulatory Scientist, Department of Health and Human Services, Food and Drug Administration, HFV-151, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6975 Email: [email protected] RIN: 0910-AC13 _______________________________________________________________________ 865. CONTROL OF SALMONELLA ENTERITIDIS IN SHELL EGGS DURING PRODUCTION AND RETAIL Priority: Economically Significant. Major under 5 USC 801. Unfunded Mandates: This action may affect the private sector under PL 104-4. Legal Authority: 21 USC 321; 21 USC 342; 21 USC 371; 21 USC 381; 21 USC 393; 42 USC 264; 42 USC 343; 42 USC 264; 42 USC 271 CFR Citation: 21 CFR 116; 21 CFR 118 Legal Deadline: None Abstract: The President's Council on Food Safety was established in August 1998 to improve the safety of the food supply through science- based regulations and well-coordinated inspection, enforcement, research, and education programs. The Council has identified egg safety as one component of the public health issue of food safety that warrants immediate Federal, interagency action. In July 1999, FDA and FSIS committed to developing an action plan to address the presence of salmonella enteritidis (SE) in shell eggs and egg products using a farm-to-table approach. FDA and FSIS held a public meeting on August 26, 1999, to obtain stakeholder input on the draft goals, as well as to further develop the objectives and action items for the action plan. The Egg Safety Action Plan was announced by the President on December 11, 1999. The goal of the Action Plan is to reduce egg-related SE illnesses by 50 percent by 2005 and eliminate egg-related SE illnesses by 2010. The Egg Safety Action Plan consists of eight objectives covering all stages of the farm-to-table continuum as well as support functions. On March 30, 2000 (Columbus, OH), and April 6, 2000 (Sacramento, CA), joint public meetings were held by FDA and FSIS to solicit and discuss information related to the implementation of the objectives in the Egg Safety Action Plan. In accordance with discussions at the public meetings, FDA intends to publish a proposed rule to require that shell eggs be produced under an SE risk reduction plan that is designed to prevent transovarian SE from contaminating eggs at the farm during production. Because egg safety is a farm-to-table effort, FDA intends to include in its proposal certain provisions of the 1999 Food Code that are relevant to how eggs are handled, prepared, and served at retail establishments. In addition, the agency intends to propose specific requirements for retail establishments that serve populations most at-risk of egg- related illness (i.e., the elderly, children, and the immunocompromised). Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Rebecca Buckner, Consumer Safety Officer, Department of Health and Human Services, Food and Drug Administration, HFS-306, Center for Food Safety and Applied Nutrition, 200 C Street SW., Washington, DC 20204 Phone: 202 205-4081 Fax: 202 205-4422 Email: [email protected] Nancy Bufano, Consumer Safety Officer, Department of Health and Human Services, Food and Drug Administration, HFS-306, Center for Food Safety and Applied Nutrition, 200 C Street SW., Washington, DC 20204 Phone: 202 401-2022 Fax: 202 205-4422 Email: [email protected] RIN: 0910-AC14 _______________________________________________________________________ 866. ALUMINUM IN LARGE AND SMALL VOLUME PARENTERALS USED IN TOTAL PARENTERAL NUTRITION Priority: Other Significant Legal Authority: 21 USC 352; 21 USC 321(n); 21 USC 371(a); 21 CFR 201.51; 21 CFR 201.100; 21 CFR 314.125 CFR Citation: 21 CFR 201.323(c) Legal Deadline: None Abstract: The proposed rule would revise 21 CFR 323(c) to permit small volume parenterals and pharmacy bulk packages that contain less than 25 ug/L of aluminum to state ``contains less than 25ug/L'' rather than the exact amount of aluminum. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: None Agency Contact: Christine Rogers, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Suite 3059 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AC18 _______________________________________________________________________ 867. USE OF MATERIALS DERIVED FROM RUMINANT ANIMALS IN FDA REGULATED PRODUCTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Legal Authority: Not Yet Determined CFR Citation: Not Yet Determined Legal Deadline: None Abstract: The U.S. Department of Agriculture's Animal and Plant Health Inspection Service maintains, by regulation in 9 CFR 94.18(a), a list of countries: (1) where bovine spongiform encephalopathy (BSE) exists; and (2) that present an undue risk of introducing BSE into the United States. This proposed rule would restrict, in FDA regulated products, the use of [[Page 25418]] most materials derived from ruminant animals born, raised, or slaughtered in a country listed in 9 CFR 94.18(a). In addition, there would be a waiver provision that could be used under appropriate criteria. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Andrea C. Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AC19 _______________________________________________________________________ 868. POSTMARKETING REPORTS OF SUBSTANDARD OR INEFFECTIVE BULK INGREDIENTS AND BULK INGREDIENTS FROM UNAPPROVED SOURCES Priority: Info./Admin./Other Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: Not Yet Determined Legal Deadline: None Abstract: The proposed rule would address reporting and other issues relating to the importation or receipt of bulk ingredients that are substandard, ineffective, or come from unapproved sources. The proposal is intended to enhance FDA's ability to help ensure that human drug products have the strength, quality, and purity appropriate for an approved human drug product. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Federalism: Undetermined Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 827-4774 Email: [email protected] RIN: 0910-AC20 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Final Rule Stage Food and Drug Administration (FDA) _______________________________________________________________________ 869. NEW ANIMAL DRUG APPROVAL PROCESS; IMPLEMENTATION OF TITLE I OF THE GENERIC ANIMAL DRUG AND PATENT TERM RESTORATION ACT (GADPTRA) Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 360b; 21 USC 371; 21 USC 379e; 21 USC 381 CFR Citation: 21 CFR 514 Legal Deadline: Final, Statutory, November 16, 1989, The deadline applies to the GADPTRA sections. There is no deadline relating to the other sections. Abstract: On December 17, 1991, the Agency published a proposed revision of the existing regulations that is consistent with the current procedural regulations for human drugs, where appropriate. The New Animal Drug Application (NADA) revisions articulate general requirements in regulations containing performance standards and would complement these regulations through detailed guidance on, among other matters, appropriate ways of meeting requirements for submission of chemistry, pharmacology, and statistical data that would better address the intricate scientific issues involved. A separate proposed rule for reporting requirements for marketed animal drugs also was published on that date. The agency intends to repropose the NADA proposed rule to incorporate some recent changes in procedure. The NADA revisions are expected to include regulations to implement the provisions of the Animal Drug Availability Act of 1996, specifically the definition of flexible labeling, and implement parts of the President's National Performance Report ``Reinventing the Regulation of Animal Drugs,'' May 1996. In the reinventing regulations report, FDA proposed to revise its regulations to reflect numerous new process changes and programs that will maintain the safety and effectiveness of new animal drugs and enable a more streamlined animal drug application review and approval process which will result in less regulatory burden upon industry and FDA. The Agency also proposes to amend its regulations to implement title I of the Generic Animal Drug and Patent Term Restoration Act, which established new standards for marketing approval of generic copies of animal drugs approved after 1962. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/21/96 61 FR 59209 ANPRM Comment Period End 01/21/97 New Animal Drug Approval Process NPRM 12/17/91 (56 FR 65544) NPRM To Be Determined Records and Reports Concerning Experience with Approved New Animal Drugs NPRM 12/17/91 (56 FR 65581) Final Action 05/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Additional Information: For information concerning reporting requirements for marketed animal drugs, contact William C. Keller, Director, Division of Surveillance, Center for Veterinary Medicine, Food and Drug Administration, 7500 Standish Place, Rockville, MD 20855, 301 827-6642. For further information concerning generic animal drugs, contact Lonnie W. Luther, Chief, Quality Assurance [[Page 25419]] Support Team, Center for Veterinary Medicine, Food and Drug Administration, 7500 Standish Place, Rockville, MD 20855, 301 827-0209. Agency Contact: Claire Lathers, Director, Office of New Animal Drug Evaluation, Department of Health and Human Services, Food and Drug Administration, HFV-100, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 594-1620 RIN: 0910-AA02 _______________________________________________________________________ 870. CURRENT GOOD MANUFACTURING PRACTICE; AMENDMENT OF CERTAIN REQUIREMENTS FOR FINISHED PHARMACEUTICALS Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321; 21 USC 351 to 352; 21 USC 355; 21 USC 360b; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 210.3; 21 CFR 211.113; 21 CFR 211.160; 21 CFR 211.165; 21 CFR 211.166; 21 CFR 211.180; 21 CFR 211.192; 21 CFR 211.220; 21 CFR 211.222; 21 CFR 211.240; 21 CFR 211.22; 21 CFR 211.68; 21 CFR 211.82; 21 CFR 211.84; 21 CFR 211.101; 21 CFR 211.103; 21 CFR 211.110; 21 CFR 211.111; ... Legal Deadline: None Abstract: FDA is finalizing revisions to the current good manufacturing practice (CGMP) regulations at 21 CFR parts 210 and 211 regarding finished pharmaceuticals. The new regulations codify certain current agency policies or current industry practices. In addition, among other things, the rule will create or clarify requirements for process and methods validation, appropriate laboratory testing procedures, and protection against contamination. The rule is designed to update the CGMP regulations in response to technological changes and the agency's experience with the regulations. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/03/96 61 FR 20104 NPRM Comment Period End 09/30/96 Final Action 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Agency Contact: Howard P. Muller, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA45 _______________________________________________________________________ 871. BIOAVAILABILITY AND BIOEQUIVALENCE REQUIREMENTS Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 371 CFR Citation: 21 CFR 320 Legal Deadline: None Abstract: The final rule revises and clarifies certain sections of parts 314 and 320 and eliminates duplication and inconsistencies. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/19/98 63 FR 64222 NPRM Comment Period End 02/02/99 Final Action 07/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Christine Rogers, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Suite 3059 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA51 _______________________________________________________________________ 872. LABELING FOR HUMAN PRESCRIPTION DRUGS; REVISED FORMAT Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 360gg to 360ss; 21 USC 371; 21 USC 374; 21 USC 379e; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b; 42 USC 216; 42 USC 241; 42 USC 262; 42 USC 264 CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The proposed regulation would amend the regulations governing the format and content of professional labeling for human prescription drug and biologic products, 21 CFR 201.56 and 201.57. The proposal would require that professional labeling include a section containing highlights of prescribing information, and a section containing an index to prescribing information; reorder currently required information and make minor changes to its content, and establish minimum graphical requirements for professional labeling. The proposal would also eliminate certain unnecessary statements that are currently required to appear on prescription drug labels and move certain information to professional labeling. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/22/00 65 FR 81082 Final Action 02/00/02 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Lee D. Korb, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Nancy M. Ostrove, Division of Drug Marketing, Advertising, and Communications, Department of Health and Human Services, Food and Drug Administration, (HFD-42), Center for Drug Evaluation and Research, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-2828 RIN: 0910-AA94 [[Page 25420]] _______________________________________________________________________ 873. CURRENT GOOD MANUFACTURING PRACTICE; REVISION OF CERTAIN LABELING CONTROLS Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 210; 21 CFR 211 Legal Deadline: None Abstract: The final rule amends the labeling control provisions in the current good manufacturing practice regulations to make the provisions less burdensome while still reducing the frequency of drug product mislabeling and drug product recalls associated with cut labeling. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/29/97 62 FR 40489 NPRM Comment Period End 10/27/97 Final Action 10/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Howard P. Muller, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA98 _______________________________________________________________________ 874. USE OF OZONE-DEPLETING SUBSTANCES Priority: Other Significant Legal Authority: 15 USC 402; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 361; 21 USC 371; 15 USC 409; 21 USC 321; 21 USC 331; 21 USC 335; 21 USC 342; 21 USC 346a; 21 USC 348; 21 USC 351 CFR Citation: 21 CFR 2 Legal Deadline: None Abstract: FDA is amending the regulation that permits the use of ozone- depleting substances in particular circumstances to set the standard FDA will use to determine when the use of ozone-depleting substances (ODS) is no longer essential under the Clean Air Act (CAA) and set a new standard to determine when a new essential-use designation should be granted after the effective date of the rule. FDA is also amending the regulations to better conform to other statutes and regulations relating to ozone-depleting substances to eliminate potential confusion and conflicts. FDA is eliminating out-of-date transitional provisions and making other nonsubstantive housekeeping changes to its regulations on ozone-depleting substances. The intended effect of the rule is to protect the health and safety of medical product users while complying with the CAA and the Montreal Protocol. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 03/06/97 62 FR 10242 ANPRM Comment Period End 05/05/97 NPRM 09/01/99 64 FR 47719 NPRM Comment Period End 11/30/99 Final Action 05/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Wayne H. Mitchell, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AA99 _______________________________________________________________________ 875. EXPORTS; NOTIFICATION AND RECORDKEEPING REQUIREMENTS Priority: Routine and Frequent Legal Authority: 15 USC 1453 to 1455; 21 USC 382; 21 USC 393; 42 USC 216; 42 USC 241; 42 USC 243; 42 USC 262; 21 USC 321; 21 USC 343; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 362; 21 USC 371; 21 USC 381 CFR Citation: 21 CFR 1.101 Legal Deadline: None Abstract: The final rule would establish the notification recordkeeping requirements for persons exporting human drugs, animal drugs, biological products, and devices under the FDA Export Reform and Enhancement Act. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/02/99 64 FR 15944 Extension 06/17/99 64 FR 32442 NPRM Comment Period End 07/16/99 Final Action 06/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 827-4774 Email: [email protected] RIN: 0910-AB16 _______________________________________________________________________ 876. FOREIGN ESTABLISHMENT REGISTRATION AND LISTING Priority: Routine and Frequent Legal Authority: 21 USC 321; 21 USC 374; 42 USC 216; 42 USC 262; 21 USC 331; 21 USC 352; 21 USC 355; 21 USC 360; 21 USC 360b to 360c; 21 USC 360e; 21 USC 360i to 360j; 21 USC 371 CFR Citation: 21 CFR 207; 21 CFR 607; 21 CFR 807 Legal Deadline: None Abstract: The final rule would amend the establishment registration and product listing regulations for human drugs, biological products, animal drugs, and devices to require foreign establishments engaged in the manufacture, preparation, propagation, compounding, or processing of such products that are imported or offered for import into the United States to register and to register the name of a United States agent for the foreign establishment. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/14/99 64 FR 26330 NPRM Comment Period Reopen 08/09/99 NPRM Comment Period End 10/08/99 Final Action 06/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None [[Page 25421]] Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 827-4774 Email: [email protected] RIN: 0910-AB21 _______________________________________________________________________ 877. FDA EXPORT REFORM AND ENHANCEMENT ACT OF 1996; REPORTING AND RECORDKEEPING REQUIREMENTS FOR UNAPPROVED OR VIOLATIVE PRODUCTS IMPORTED FOR FURTHER PROCESSING OR INCORPORATION AND LATER EXPORT Priority: Substantive, Nonsignificant Legal Authority: 15 USC 1453 to 1455; 21 USC 381; 21 USC 382; 21 USC 393; 42 USC 216; 21 USC 321; 21 USC 343; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 362; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 1.84 Legal Deadline: None Abstract: The final rule would establish reporting and recordkeeping requirements to implement sections 801(d)(3) and 801(d)(4) of the Federal Food, Drug, and Cosmetic Act (the Act) as amended by the Food and Drug Administration (FDA) Export Reform and Enhancement Act of 1996. Section 801(d)(3) of the Act provides that, under prescribed conditions, drug and device components, food and color additives, and dietary supplements may be imported if they are to be further processed or incorporated into products that are to be exported from the United States in accordance with sections 801(e) or 802 of the Act or section 351(h) of the Public Health Service (PHS) Act. Section 801(d)(4) of the Act provides that blood, blood components, source plasma, or source leukocytes, or a component, accessory, or part thereof, may not be imported under section 801(d)(3) of the Act unless the importation complies with section 351(a) of the PHS Act or FDA permits the importation under FDA-determined appropriate circumstances and conditions. Additionally, section 801(d)(4) of the Act prohibits the importation of tissue or a component or part of tissue under section 801(d)(3) of the Act unless the importation complies with section 361 of the PHS Act. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/24/98 63 FR 64930 NPRM Comment Period End 02/08/99 Final Action 09/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 827-4774 Email: [email protected] RIN: 0910-AB24 _______________________________________________________________________ 878. BLOOD INITIATIVE Priority: Other Significant. Major status under 5 USC 801 is undetermined. Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 371; 21 USC 374; 42 USC 216; 42 USC 262; 42 USC 263; 42 USC 263a; 42 USC 264 CFR Citation: 21 CFR 600; 21 CFR 601; 21 CFR 606; 21 CFR 607; 21 CFR 610; 21 CFR 640; 21 CFR 660; 21 CFR 680 Legal Deadline: None Abstract: In multiple rulemakings, the Food and Drug Administration is amending the biologics regulations by removing, revising, or updating specific regulations applicable to blood, blood components, Source Plasma and blood derivative products to be more consistent with current practices and to remove unnecessary or outdated requirements. This action is based on a comprehensive review of the regulations that has been performed by FDA. It is also based on reports by the U.S. House of Representatives Committee on Government Reform and Oversight, Subcommittee on House Resources and Intergovernmental Relations; the General Accounting Office; the Institute of Medicine, as well as public comments. Some of the subjects intended to be addressed in the rulemakings include: 1) labeling; 2) notification of consignees and end users of product safety information for plasma derivative products; 3) notification of deferred donors; 4) requirements for donor suitability and testing; and 5) infectious agent clearance. These actions are intended to help ensure the continued safety of the Nation's blood supply. Timetable: ________________________________________________________________________ Albumin (Human), Plasma Protein Fraction (Human) and Immune Globulin (Human); Rev. of Reqs. Direct Final Rule 05/14/99 (64 FR 26282) NPRM 05/14/99 (64 FR 26344) DFR: Confirmation in Part and Tech. Amendment 03/14/00 (65 FR 13678) Final Action 08/28/00 (65 FR 52016) Current Good Manufacturing Practice for Blood and Blood Components; Blood Labeling Standards NPRM 12/00/01 Gen. Reqs. for Blood, Blood Compon., and Plasma Derivatives; Notification of Deferred Donors NPRM 08/19/99 (64 FR 45355) Final Action 05/00/01 Infectious Agent Clearance NPRM 06/00/02 Plasma Derivatives and Other Blood-Derived Products; Reqs. for Tracking and Notification ANPRM 08/19/99 (64 FR 45383) NPRM 06/00/02 Reqs. for Testing Human Blood Donors for Evid. of Infection Due to Communicable Disease Agents NPRM 08/19/99 (64 FR 45340) Final Action 05/00/01 Rev. to the Requirements Applicable to Blood, Blood Components, and Source Plasma Direct Final Rule 08/19/99 (64 FR 45366) NPRM 08/19/99 (64 FR 45375) Final Action 05/00/01 Suitability Reqs. for Whole Blood and Source Plasma Donors NPRM 12/00/ 01 Regulatory Flexibility Analysis Required: No Small Entities Affected: Businesses Government Levels Affected: None Additional Information: See RIN 0910-AB76. CGMP for Blood and Blood Components; Blood Labeling Standards formerly listed under 0910-AB89 Agency Contact: Steven F. Falter, Director, Regulations and Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 200N (HFM-17), Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852-1448 Phone: 301 827-6210 Fax: 301 594-1944 [[Page 25422]] Email: [email protected] RIN: 0910-AB26 _______________________________________________________________________ 879. ANTIBIOTIC DRUG APPROVAL AND EXCLUSIVITY Priority: Substantive, Nonsignificant Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 125 CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: The final rule would implement the incorporation of antibiotics, which were formerly regulated under authority of section 507 of the Federal Food, Drug, and Cosmetic Act, into the new drug regulatory scheme under section 505 of the Act. The regulation will describe which antibiotics are excepted under section 125(d) of the Food and Drug Administration Modernization Act of 1997 from certain provisions in section 505, including the exclusivity provisions under sections 505(c) and 505(j) of the Act. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/24/00 65 FR 3623 NPRM Comment Period End 04/24/00 Final Action 10/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Paul C. Varki, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037, (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Email: [email protected] RIN: 0910-AB33 _______________________________________________________________________ 880. AMENDMENT OF REGULATIONS REGARDING CERTAIN LABEL STATEMENTS ON PRESCRIPTION DRUGS Priority: Substantive, Nonsignificant Legal Authority: PL 105-115, sec 126 CFR Citation: 21 CFR 201; 21 CFR 250; 21 CFR 310; 21 CFR 329; 21 CFR 361; 21 CFR 369; 21 CFR 290 Legal Deadline: None Abstract: This final rule revises 21 CFR parts 10, 201, 250, 310, 329, 361, 606, and 610 by removing the requirement that prescription drugs be labeled ``Caution: Federal law prohibits dispensing without prescription'' and substituting a requirement that prescription drugs be labeled ``Rx only.'' The rule also revises 21 CFR parts 201, 329, and 369 by removing the requirement that certain habit-forming drugs bear the statement ``Warning--May be habit forming.'' The rule also revises 21 CFR part 290 to clarify that drugs that are controlled substances under the Federal Controlled Substances Act are prescription drugs. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/21/00 65 FR 21378 Final Action 08/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Christine Rogers, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Suite 3059 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB39 _______________________________________________________________________ 881. SUPPLEMENTS AND OTHER CHANGES TO APPROVED NEW ANIMAL DRUG APPLICATIONS Priority: Other Significant Legal Authority: 21 USC 356a CFR Citation: 21 CFR 514.8 Legal Deadline: None Abstract: Section 116 of the Food and Drug Administration Modernization Act of 1997 added a new section to the Federal Food, Drug, and Cosmetic Act that sets forth categories for the reporting of manufacturing changes to a drug product (21 U.S.C. 356a). These categories are based on the potential of the change to adversely affect the identity, strength, quality, purity, and potency of the drug as they may relate to the safety and effectiveness of the drug. The rulemaking will establish the procedures for determining what information the agency would require before drugs manufactured subject to these changes may be distributed. The Center for Veterinary Medicine is amending the regulations regarding supplementary new animal drug regulations to incorporate the requirements of section 116. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/01/99 64 FR 53281 Final Rule 12/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: Businesses Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: William Marnane, Director, Division of Manufacturing Technologies, Department of Health and Human Services, Food and Drug Administration, HFV-140, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6966 RIN: 0910-AB49 _______________________________________________________________________ 882. REVISIONS TO THE GENERAL SAFETY REQUIREMENTS FOR BIOLOGICAL PRODUCTS; DIRECT FINAL RULE Priority: Substantive, Nonsignificant Legal Authority: 42 USC 351 CFR Citation: 21 CFR 610.11(g) Legal Deadline: None Abstract: The Food and Drug Administration (FDA) issued a direct final rule and companion proposed rule to amend the biologics regulations by adding ``cellular therapy products'' to the list of products excepted from the general safety test (GST) and by adding an administrative procedure for obtaining an exemption from the GST requirements for other biological products. Because the agency received significant adverse comment on the administrative procedure portion of the direct final rule, FDA withdrew that portion of the rule and confirmed the remaining portion. FDA intends to finalize the companion proposed rule to respond to the significant adverse comment on the administrative procedure portion of the rule. FDA is taking this action because the GST may not be relevant or necessary for all biological products, including cellular therapy products, currently in various [[Page 25423]] stages of development. This action is part of FDA's continuing effort to achieve the objectives of the ``Reinventing Government'' initiative, and is intended to reduce the burden of unnecessary regulations on biological products without diminishing the protection of the public health. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Direct Final Rule 04/20/98 63 FR 19399 Proposed Rule - Companion Document to Direct Final Rule 04/20/98 63 FR 19431 Direct Final Rule Confirmation in Part 08/05/98 63 FR 41718 Direct Final Rule Withdrawn in Part 08/05/98 63 FR 41718 Final Action 10/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Stephen M. Ripley, Team Leader, Department of Health and Human Services, Food and Drug Administration, Suite 200N (HFM-17), Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852-1448 Phone: 301 827-6210 RIN: 0910-AB51 _______________________________________________________________________ 883. DISCONTINUATION OF A LIFESAVING PRODUCT Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 356(c) CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: Section 131 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 506C to the Food, Drug, and Cosmetic Act (21 U.S.C. 356c). This proposed rule would set forth requirements on issues related to the implementation of section 131, which requires that the sole manufacturer of certain drug products notify the Secretary of the discontinuance of the manufacture of the product at least six months prior to the discontinuance of the drug. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/07/00 65 FR 66665 Final Action 06/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Andrea C. Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB60 _______________________________________________________________________ 884. SUPPLEMENTS AND OTHER CHANGES TO AN APPROVED APPLICATION Priority: Other Significant Legal Authority: 21 USC 356a CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: Section 116 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 506A to the Food, Drug, and Cosmetic Act (21 U.S.C. 356a). Pursuant to section 116, the rulemaking will revise current procedures for approving manufacturing changes and generally classify such changes into four categories. Major manufacturing changes, which are of a type determined by the Secretary to have a substantial potential to adversely affect the identity, strength, quality, purity, and potency of the drug as they may relate to the safety and effectiveness of a drug, require prior approval of a supplemental application. A second category of changes may be made if FDA has not notified the company within 30 days after the submission of a supplement that prior approval is required. A third category of changes may be made upon submission of a supplement to the agency. The rule will also identify another category of changes that may be made without the submission of a supplement but which must be reported in an annual report. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/28/99 64 FR 34608 Final Action 10/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Howard P. Muller, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB61 _______________________________________________________________________ 885. FOOD LABELING: TRANS FATTY ACIDS IN NUTRITION LABELING, NUTRIENT CONTENT CLAIMS, AND HEALTH CLAIMS Priority: Economically Significant. Major under 5 USC 801. Unfunded Mandates: This action may affect the private sector under PL 104-4. Legal Authority: 21 USC 321; 21 USC 331; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 371 CFR Citation: 21 CFR 101 Legal Deadline: None Abstract: Section 403(q) of the Federal Food, Drug, and Cosmetic Act, which was added by the Nutrition Labeling and Education Act of 1990, requires that the label or labeling of food products bear nutrition information. Among other things, section 403(q) authorizes the Food and Drug Administration (FDA) to add or delete nutrients that are to be declared on the labels or labeling of food products by regulation if it finds such action necessary to assist consumers in maintaining healthy dietary practices. FDA issued final regulations implementing these provisions in 1993. FDA subsequently received a citizen petition requesting that FDA amend its regulations on food labeling to require that the amount of trans fatty acids be listed in the nutrition label and be limited wherever saturated fat limits are placed on nutrient content claims, health claims, or disqualifying levels and disclosure levels. In response to this petition and based on new evidence, FDA proposed the actions requested in the petition on November 17, 1999 (64 FR 62746). In addition, FDA proposed to define the claim ``trans fat free.'' Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/17/99 64 FR 62746 [[Page 25424]] NPRM Comment Period Reopened 12/05/00 65 FR 75887 Final Rule 09/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Susan Thompson, Chemist, Department of Health and Human Services, Food and Drug Administration, (HFS-832), Center for Food Safety and Applied, Nutrition, 200 C Street SW, Washington, DC 20204 Phone: 202 205-5587 Email: [email protected] RIN: 0910-AB66 _______________________________________________________________________ 886. PRESUBMISSION CONFERENCES Priority: Substantive, Nonsignificant Legal Authority: 21 USC 360b CFR Citation: 21 CFR 514 Legal Deadline: None Abstract: This rule will implement section 512(b)(3) of the Federal Food, Drug, and Cosmetic Act (the Act). This section of the Act states that any person intending to file a new animal drug application or supplemental new animal drug application, or to investigate a new animal drug is entitled to one or more conferences with the agency prior to submission to reach an agreement establishing a submission or investigational requirement. This rule would describe how to request a presubmission conference and describe the procedures for the conduct of presubmission conferences. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/25/00 65 FR 51782 Final Rule 09/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Federalism: Undetermined Agency Contact: Gail Schmerfeld, Special Assistant, Department of Health and Human Services, Food and Drug Administration, HFV-100, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 594-1620 RIN: 0910-AB68 _______________________________________________________________________ 887. SURGEON'S AND PATIENT EXAMINATION GLOVES; RECLASSIFICATION Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 360l; 21 USC 371; 21 USC 374; 21 USC 331; 21 USC 351 to 352; 21 USC 360; 21 USC 360c; 21 USC 360e; 21 USC 360i; 21 USC 360j CFR Citation: 21 CFR 801.437; 21 CFR 878.4460; 21 CFR 878.4461; 21 CFR 880.6250; 21 CFR 880.6251; 21 CFR 801.440 Legal Deadline: None Abstract: FDA is revising its present regulations governing the classification of surgeon's and patient examination gloves. The present rule classifies surgeon's and patient examination gloves as class I devices. FDA is reclassifying surgeon's and patient examination gloves as class II devices subject to special controls. FDA is also requiring additional labeling concerning powder and protein levels for these devices. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/30/99 64 FR 41710 Final Action 10/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Joseph M. Sheehan, Chief, Regulations Staff, Department of Health and Human Services, Food and Drug Administration, HFZ-215, Center for Devices and Radiological Health, 1350 Piccard Drive, Rockville, MD 20850 Phone: 301 827-2974 RIN: 0910-AB74 _______________________________________________________________________ 888. CGMPS FOR BLOOD AND BLOOD COMPONENTS: NOTIFICATION OF CONSIGNEES AND TRANSFUSION RECIPIENTS RECEIVING BLOOD AND BLOOD COMPONENTS AT INCREASED RISK OF TRANSMITTING HCV (LOOKBACK) Priority: Economically Significant. Major under 5 USC 801. Legal Authority: 21 USC 321; 42 USC 216; 42 USC 262; 42 USC 263; 42 USC 263a; 42 USC 264; 42 USC 300aa-25; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 606; 21 CFR 610 Legal Deadline: None Abstract: This rulemaking is one of a number of actions being taken to amend the biologics regulations to remove, revise, or update the regulations applicable to blood, blood components, and blood derivatives. These actions are based on a comprehensive review of the regulations performed by FDA, and are also based on reports by the U.S. House of Representatives Committee on Government Reform and Oversight, Subcommittee on House Resources and Intergovernmental Relations, the General Accounting Office, and the Institute of Medicine, as well as public comments. In this rulemaking, FDA will propose to amend the biologics regulations to require that blood establishments prepare and follow written procedures for appropriate action when it is determined that blood and blood components pose an increased risk for transmitting hepatitis C virus (HCV) infection because they have been collected from a donor who, at a later date, tested repeatedly reactive for evidence of HCV. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/16/00 65 FR 69377 NPRM Comment Period End 02/14/01 Final Action 03/00/02 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Additional Information: See RIN 0910-AB26. Agency Contact: Steven F. Falter, Director, Regulations and Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 200N (HFM-17), Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852-1448 Phone: 301 827-6210 Fax: 301 594-1944 Email: [email protected] RIN: 0910-AB76 [[Page 25425]] _______________________________________________________________________ 889. ANTIBIOTIC RESISTANCE LABELING Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 371; 21 USC 374; 21 USC 379e; 42 USC 216; 42 USC 241; 42 USC 262; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b; ... CFR Citation: 21 CFR 201.24 Legal Deadline: None Abstract: The final rule would require the inclusion of statements on antibiotic prescription drug labeling concerning inappropriate antibiotic use and the prevalence of drug resistant microorganisms. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/19/00 65 FR 5611 Final Rule 11/00/01 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Christine Rogers, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Suite 3059 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB78 _______________________________________________________________________ 890. 180-DAY GENERIC DRUG EXCLUSIVITY FOR ABBREVIATED NEW DRUG APPLICATIONS Priority: Substantive, Nonsignificant Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314.107 Legal Deadline: None Abstract: The final rule will amend regulations governing 180-day generic drug exclusivity to clarify existing eligibility requirements and conditions for abbreviated new drug application sponsors, to modify current eligibility requirements, and to impose new eligibility conditions. These revisions are the result of recent court decisions, including Mova Pharmaceutical v. Shalala, 140 F. 3d 1060 (D.C. Cir. 1998), invalidating an eligibility requirement for exclusivity. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/06/99 64 FR 42873 NPRM Comment Period End 10/04/99 Final Action 11/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Undetermined Agency Contact: Virginia G. Beakes, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB80 _______________________________________________________________________ 891. FOOD ADDITIVES: FOOD CONTACT SUBSTANCES NOTIFICATION SYSTEM Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321 et seq CFR Citation: 21 CFR 25.20; 21 CFR 25.32; 21 CFR 20.100; 21 CFR 58.3; 21 CFR 170.3; 21 CFR 170.100; 21 CFR 170.101; 21 CFR 170.102; 21 CFR 170.103; 21 CFR 170.104; 21 CFR 170.105; 21 CFR 171.1; 21 CFR 171.4; 21 CFR 174.5; 21 CFR 179.25; 21 CFR 170.106; ... Legal Deadline: None Abstract: In November 1997, Congress amended the Federal Food, Drug, and Cosmetic Act (FFD&C) to establish a notification process whereby manufacturers and suppliers of components of food contact materials may notify FDA 120 days prior to marketing a new food contact substance. If FDA does not object to the notification within 120 days, the substance may be marketed with the same status as a regulated food additive. FDA is authorized to publish regulations outlining the information required to be submitted in premarket notifications for food-contact substances submitted to the agency. FDA is also authorized to publish regulations that identify when a food additive petition is required in lieu of a premarket notification. FDA is not required to accept a premarket notification in any fiscal year for which an appropriation is not specifically made for this program. FDA expects that the majority of food-contact substances that are currently the subject of food additive petitions will be the subject of premarket notifications. FDA also expects that substances currently reviewed under the agency's threshold of regulation process will be reviewed as premarket notifications under the new process. Unlike food additive regulations, premarket notifications will be specific to the notifier. The proposed use of a similar or identical substance produced by another manufacturer will require a separate premarket notification submission. Also unlike food additive petitions, the existence of the notification and any otherwise releasable data within the notification is not publicly available until the 120-day period has expired. FDA expects to keep a publicly available list of effective premarket notifications to assist manufacturers, distributors, and users of food packaging and other food-contact materials. FDA published a proposed rule on the notification process for food contact substances on July 13, 2000. The comment period on the proposed rule ended on September 26, 2000. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/13/00 65 FR 43269 Final Rule 09/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Mitchell Alan Cheeseman, Team Leader, Department of Health and Human Services, Food and Drug Administration, HFS-215, Center for Food Safety and Applied Nutrition, 200 C Street SW, Washington, DC 20204 Phone: 202 418-3083 Fax: 202 418-3131 Email: [email protected] RIN: 0910-AB94 [[Page 25426]] _______________________________________________________________________ 892. STATE CERTIFICATION OF MAMMOGRAPHY FACILITIES Priority: Other Significant Legal Authority: 21 USC 360i; 21 USC 360nn; 21 USC 374; 42 USC 263b CFR Citation: 21 CFR 900.2; 21 CFR 900.20; 21 CFR 900.21; 21 CFR 900.22; 21 CFR 900.23; 21 CFR 900.24; 21 CFR 900.25 Legal Deadline: None Abstract: FDA is considering regulations to implement section (q) of the Mammography Quality Standards Act of 1992 (the MQSA). This section permits FDA to authorize individual States to certify mammography facilities, to conduct the inspection of the facilities, to implement the MQSA quality standards, and to administer other related functions. FDA retains oversight responsibility for the activities of the States authorized to carry out certification requirements and mammography facilities certified by those States must continue to meet the quality standards established by FDA for mammography facilities nationwide. The rule would include procedures for application, approval, evaluation, and withdrawal of approval of States as Certification Agencies. It also would include standards to be met by States receiving this authority. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 03/30/00 65 FR 16847 NPRM Comment Period End 06/28/00 Final Rule 06/00/01 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State Federalism: This action may have federalism implications as defined in EO 13132. Agency Contact: Ruth Fischer, Office of Health and Industry Programs, Department of Health and Human Services, Food and Drug Administration, HFZ-240, Center for Devices and Radiological Health, 1350 Piccard Drive, Rockville, MD 20850 Phone: 301 594-3332 RIN: 0910-AB98 _______________________________________________________________________ 893. EXAMINATION OF ADMINISTRATIVE RECORD AND OTHER ADVISORY COMMITTEE RECORDS Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321 CFR Citation: 21 CFR 14.75 Legal Deadline: None Abstract: FDA is amending its administrative regulations in 21 CFR 14.75(a) to state that written information for consideration by an advisory committee at an advisory committee meeting is available for public disclosure, whenever practicable, before or at the time of the meeting. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/08/01 66 FR 1275 Direct Final Rule 01/08/01 66 FR 1257 Direct Final Rule Withdrawn 05/00/01 Final Rule 09/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Andrea C. Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AC03 _______________________________________________________________________ 894. EFFICACY EVIDENCE NEEDED FOR PRODUCTS TO BE USED AGAINST TOXIC SUBSTANCES WHEN HUMAN STUDIES ARE UNETHICAL Priority: Other Significant Legal Authority: 15 USC 1451 to 1561; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 360; 21 USC 360c to 360f; 21 USC 360h to 360j; 21 USC 371; 21 USC 374; 21 USC 379e; 21 USC 381; 42 USC 216; 42 USC 241; 42 USC 262; 42 USC 263b; 21 USC 321; PL 105-115, sec 122, 111 stat 2322 (21 USC 355 note) CFR Citation: 21 CFR 601; 21 CFR 314 Legal Deadline: None Abstract: The agency plans to publish a final rule that would amend its new drug and biological product regulations to identify the information needed to provide substantial evidence of the efficacy of new drug and biological products used to reduce or prevent the toxicity of chemical, biological, or radiological, substances when adequate and well- controlled efficacy studies in humans cannot be conducted ethically. Efficacy studies in humans cannot be conducted ethically if: 1) the studies would involve administering a potentially lethal or permanently disabling toxic substance or organism to healthy human volunteers without a proven treatment; and 2) field trials (assessment of the product after natural accidental, or malicious exposure to the substance) are not feasible. FDA is taking this action because it recognizes the importance of improving medical responses to the use of lethal or permanently disabling chemical, biological, radiological, and nuclear substances in order to protect individuals exposed to these substances. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/05/99 64 FR 53960 Final Action 08/00/01 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Wayne H. Mitchell, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AC05 _______________________________________________________________________ 895. ADDITIONAL SAFEGUARDS FOR CHILDREN IN CLINICAL INVESTIGATIONS OF FDA REGULATED PRODUCTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 343; 21 USC 346; 21 USC 346a; 21 USC 348; 21 USC 350a; 21 USC 350b; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 360c to 360f; 21 USC 360h to 360j; 21 USC [[Page 25427]] 371; 21 USC 379e; 21 USC 381; 41 USC 216; 41 USC 241; 41 USC 262; 41 USC 263b to 263n CFR Citation: 21 CFR 50; 21 CFR 56 Legal Deadline: Other, Statutory, April 17, 2001, The Children's Health Act of 2000 requires FDA to adopt existing HHS regulations within 6 months of the date of its enactment on 10/17/2000. Thus FDA is required to adopt HHS Subpart D by 4/17/2001. Abstract: The interim rule would provide additional protections for children involved as subjects in clinical investigations of FDA- regulated products, as required by the Children's Health Act of 2000. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Interim Rule 04/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: None Agency Contact: Carol Drew, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AC07 _______________________________________________________________________ 896. IMPLEMENTING COURT DECISIONS, ANDA APPROVALS, AND 180-DAY EXCLUSIVITY Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314.107(e) Legal Deadline: None Abstract: The interim rule will amend regulations governing 180-day generic drug exclusivity to redefine the term court decision. The definition of court decision will be changed to the decision of a District Court deciding the relevant patent litigation case. The regulations will then correctly define court decision in accordance with recent court holdings addressing the definition. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Interim Final Rule 07/13/00 65 FR 43233 Final Rule 11/00/01 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Virginia G. Beakes, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AC11 _______________________________________________________________________ 897. REVOCATION OF CONDITIONS FOR MARKETING DIGOXIN PRODUCTS FOR ORAL USE Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360b-f; 21 USC 360j; 21 USC 361a; 21 USC 371; 21 USC 374; 21 USC 375; 21 USC 379e; 42 USC 216; 42 USC 241; 42 USC 242a; 42 USC 262; 42 USC 263b-n CFR Citation: 21 CFR 310.500 Legal Deadline: None Abstract: The final rule will revoke the regulation (21 CFR 310.500) that established conditions for marketing digoxin products for oral use. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/24/00 65 FR 70538 Final Rule 12/00/01 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Mary E. Catchings, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, HFD-7, Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-0951 RIN: 0910-AC12 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Long-Term Actions Food and Drug Administration (FDA) _______________________________________________________________________ 898. INFANT FORMULA: GOOD MANUFACTURING PRACTICE, QUALITY CONTROL PROCEDURES, QUALITY FACTORS, NOTIFICATION REQUIREMENTS, AND RECORDS AND REPORTS Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 350a; 21 USC 371 CFR Citation: 21 CFR 106; 21 CFR 107 Legal Deadline: None Abstract: The agency published a proposed rule on July 9, 1996 that would establish current good manufacturing practice regulations, quality control procedures, quality factors, notification requirements, and records and reports for the production of infant formula. This proposal was issued in response to the 1986 Amendments to the Infant Formula Act of 1980. Two final rules will be published: one, on Quality Factors and the second, on Good Manufacturing Practice, Quality Control Procedures Notification Requirements, and Records and Reports. Timetable: ________________________________________________________________________ Current Good Mfg. Practices; Qual. Control Proc. NPRM 07/09/96 (61 FR 36154) NPRM Comment Period End 12/06/96 Final Action To Be Determined Infant Form Cons Comp, Micro Test & Recd Retention Req NPRM 01/26/89 (54 FR 3783) NPRM Comment Period End 03/27/89 Final Rule 12/24/91 (56 FR 66566) [[Page 25428]] Infant Formula Quality Factors NPRM 07/09/96 (61 FR 36154) NPRM Comment Period End 12/06/96 Final Action To Be Determined Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Darla Danford, Supervisory Nutritionist, Department of Health and Human Services, Food and Drug Administration, (HFS-800), Center for Food Safety and Applied Nutrition, 200 C Street SW, Washington, DC 20204 Phone: 202 205-5365 RIN: 0910-AA04 _______________________________________________________________________ 899. FOOD LABELING REVIEW Priority: Routine and Frequent Legal Authority: 15 USC 1453; 15 USC 1454; 15 USC 1455; 21 USC 321; 21 USC 331; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 371 CFR Citation: 21 CFR 100; 21 CFR 101; 21 CFR 102; 21 CFR 161 Legal Deadline: None Abstract: The Nutrition Labeling and Education Act of 1990 (NLEA) requires that most foods bear nutrition labeling. The agency issued final rules implementing most of the provisions contained in the NLEA on January 6, 1993. Subsequently, however, the agency has identified additional areas that should be the subject of rulemaking. FDA issued a proposal on January 6, 1993, to establish requirements for the identification of certain ingredients on food labels. FDA proposed on June 15, 1993, to amend its January 6, 1993, final rules on nutrient content and health claims to remove the provisions that exempted restaurant menus from the requirements for how nutrient content claims and health claims are to be made. The agency proposed on January 4, 1994, to establish reference daily intakes based on the 9th and 10th editions of the National Research Council's Recommended Dietary Allowances. On March 14, 1994, FDA published a proposal implementing the provisions for exemptions from nutrition labeling for low-volume food products of small businesses that were established by the Nutrition Labeling and Education Act Amendments of 1993. On August 18, 1993, FDA published a proposal concerning the placement of the nutrition facts panel on food labels. Finally, on July 18, 1994, FDA published proposed revised guidelines for the voluntary declaration of nutrition labeling for raw produce and fish. A final rule concerning the placement of the nutrition facts panel was published on April 5, 1995. A final rule establishing reference daily intakes based on the 9th and 10th editions of Recommended Dietary Allowances was published on December 28, 1995. FDA published a final rule on August 2, 1996, on nutrient content claims and health claims to remove the provisions that exempted restaurant menus from the requirements for how nutrient content claims and health claims are to be made. FDA published a final rule on August 7, 1996, implementing the exemption for small businesses from the requirements for nutrition labeling and providing instructions on how to file a notice claiming the exemption. FDA published on August 16, 1996, final guidelines on the voluntary declaration of nutrition labeling for raw produce and fish. Timetable: ________________________________________________________________________ Amend Standard of Identity for Grain Products (Folic Acid) NPRM 10/14/ 93 (58 FR 53305) Final Action 03/05/96 (61 FR 8781) Health Claims and Label Statements NPRM Folic Acid and Neural Tube Def 10/14/93 (58 FR 53254) Final Action 03/05/96 (61 FR 8752) Misleading Containers; Nonfunctional Slack Fill NPRM 01/06/93 (58 FR 2957) Final Action 12/06/93 (58 FR 64123) Nutrient Content Claims and Health Claims; Restaurant Foods NPRM 06/ 15/93 (58 FR 33055) Final Action 08/02/96 (61 FR 40320) Nutrient Content, Definition of the Term, Healthy NPRM 01/06/93 (58 FR 2944) Final Action 05/10/94 (59 FR 24232) Placement of Nutrition Facts Panel NPRM 08/18/93 (58 FR 44091) Final Action 04/05/95 (60 FR 17202) Final Action Effective 05/05/95 Final Action Correction 06/12/95 (60 FR 30788) Protein Hydrolysates; Broth in Tuna; and/or Labeling NPRM (Declaration of Ingredients) 01/06/93 (58 FR 2950) Final Action (Dec. of Ingredients) To Be Determined Reference Daily Intakes NPRM 01/04/94 (59 FR 427) Final Action 12/28/ 95 (60 FR 67164) Small Business Exemption, Nutrition Labeling NPRM 03/14/94 (59 FR 11872) Final Action 08/07/96 (61 FR 40963) Voluntary Guidelines for Nutrition Labeling Produce NPRM 07/18/94 (59 FR 36379) Final Action 08/16/96 (61 FR 42742) Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State, Federal Federalism: This action may have federalism implications as defined in EO 13132. Additional Information: Federalism: Yes for Protein Hydrolysates; Broth in Tuna; and/or Labeling Agency Contact: Christine L. Lewis, Director, Office of Nutritional Products, Labeling and Dietary Supplements, Department of Health and Human Services, Food and Drug Administration, (HFS-800), Center for Food Safety and Applied Nutrition, 200 C Street SW, Washington, DC 20204 Phone: 202 205-4561 RIN: 0910-AA19 _______________________________________________________________________ 900. MEDICAL FOODS Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 360ee; 21 USC 371; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 350; 21 USC 350a; 21 USC 351; 21 USC 352; 21 USC 355 CFR Citation: Not Yet Determined Legal Deadline: None Abstract: The Food and Drug Administration is considering development of regulations for medical foods, as defined by the Orphan Drug Act Amendments of 1988 (21 U.S.C. 360ee(b)(3)) to assure, among other things, the safety and effectiveness of these products, proper labeling of the nutrient content and purported uses, including adequate and appropriate directions for use, and quality control and good manufacturing practices. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/29/96 61 FR 60661 ANPRM Comment Period End 04/28/97 NPRM To Be Determined Regulatory Flexibility Analysis Required: Yes [[Page 25429]] Small Entities Affected: Businesses Government Levels Affected: State, Federal Federalism: Undetermined Agency Contact: Sue A. Anderson, Department of Health and Human Services, Food and Drug Administration, (HFS-831), Center for Food Safety and Applied, Nutrition, 200 C Street SW, Washington, DC 20204 Phone: 202 205-4240 RIN: 0910-AA20 _______________________________________________________________________ 901. CLASSIFICATION OF COMPUTER SOFTWARE PROGRAMS THAT ARE MEDICAL DEVICES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321(h); 21 USC 351; 21 USC 352; 21 USC 360; 21 USC 360c to 360l; 21 USC 371 to 374 CFR Citation: Not Yet Determined Legal Deadline: None Abstract: FDA is considering whether to classify stand-alone computer software products that fit the definition of a medical device under the Federal Food, Drug, and Cosmetic Act. Although the Secretary has not made a final decision to initiate such a program, the agency is considering classifying these devices by using a risk-based approach as required under the Medical Device Amendments to the Act. In addition, the agency would use existing exemptions from regulation where appropriate. Under this approach, low risk medical software devices would be subject only to the adulteration and misbranding provisions of the Act. Moderate risk devices would additionally be subject to the registration, listing, good manufacturing practice requirements, and reporting and recordkeeping requirements. High risk devices would be the only products to require premarket submissions. FDA would seek comment on potential criteria related to the intended uses of medical software devices that might be used in determining the level of risk. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Agency Contact: Charles S. Furfine, Regulatory Review Scientist/ Software Expert, Department of Health and Human Services, Food and Drug Administration, HFZ-143, Center for Devices and Radiological, Health, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 443-2536 RIN: 0910-AA41 _______________________________________________________________________ 902. REINVENTING FDA FOOD REGULATIONS Priority: Substantive, Nonsignificant Legal Authority: 15 USC 1453; 15 USC 1454; 15 USC 1455; 21 USC 321 et seq CFR Citation: 21 CFR 101; 21 CFR 145; 21 CFR 146; 21 CFR 150; 21 CFR 152; 21 CFR 155; 21 CFR 156; 21 CFR 102; 21 CFR 103; 21 CFR 131; 21 CFR 133; 21 CFR 135; 21 CFR 136; 21 CFR 137; 21 CFR 139; ... Legal Deadline: None Abstract: In response to President Clinton's memorandum to heads of departments and agencies entitled ``Regulatory Reinvention Initiative,'' FDA has initiated rulemaking to retain, revise, or revoke certain of its regulations for food. FDA published an advance notice of proposed rulemaking (ANPRM) on December 29, 1995, requesting information on the need to retain, revise, or revoke its food standards of identity regulations and its common or usual name regulations. In the same issue of the Federal Register, FDA proposed to improve the coordination of the food additive, GRAS, and color additive approval process with USDA for substances used in meat and poultry products. FDA proposed to revoke several lower fat milk standards on November 9, 1995. On June 12, 1996, FDA published an ANPRM announcing its intention to review: 1) its human food labeling regulations pertaining to the exemption for soft drinks from requirements for the type size and placement of certain information on the information panel, requirements for listing ``statements of identity,'' and requirements for flavor labeling; 2) its infant formula regulations to ensure that they fully reflect the Federal Food, Drug, and Cosmetic Act; 3) its regulations pertaining to the discharge of waste aboard casino ships, passenger ships, and ferries; and 4) its food additive regulations to consolidate certain existing regulations. In the same June 12 issue of the Federal Register, FDA published a second ANPRM seeking public comment on possible ways to streamline various food additive regulations. FDA also proposed on June 12, 1996, to revoke certain food labeling regulations pertaining to labeling of food with number of servings and labeling Kosher and Kosher-style foods and to revoke the agency's voluntary filing of cosmetic product experiences. The latter was published August 12, 1997. On October 13, 1995, FDA proposed to revoke certain agency regulations that were obsolete or no longer necessary to achieve public health goals. The final rule (pertaining to food regulations only) was published on June 3, 1996. A confirmation of effective date on those regulations, promulgated under the formal rulemaking procedures of section 701(e) of the Federal Food, Drug, and Cosmetic Act (21 USC 371(e)), pertaining to diabetic labeling (21 CFR 105.67) and sodium intake labeling (21 CFR 105.69), was published on August 27, 1996. In the Federal Register of April 17, 1997 (62 FR 18938), FDA proposed to establish a notification procedure for companies to use to inform FDA of a company's determination that use of a substance in food is generally recognized as safe (GRAS). Timetable: ________________________________________________________________________ Exempt Infant Formula; Plan for Revisions ANPRM 06/12/96 (61 FR 29701) Comment Period Ended 10/10/96 NPRM To Be Determined Food Standards of Identity, Quality, and Fill of Container ANPRM 12/ 29/95 (60 FR 67492) Comment Period Ended 06/28/96 NPRM To Be Determined Food, Color, and GRAS; Simult. Pet. Rev. by USDA (Meat/Poultry) NPRM 12/29/95 (60 FR 67490) Comment Period Ended 03/14/96 Extension of Comment Period 06/03/96 Final Action 08/25/00 (65 FR 51758) Notification Procedures for GRAS Determinations NPRM 04/17/97 (62 FR 18938) NPRM Comment Period Ended 07/16/97 Final Action To Be Determined Revocation of Certain Food Labeling and Cosmetic Regulations NPRM 06/ 12/96 (61 FR 29708) Comment Period Ended 08/26/96 Final Rule 08/12/97 (62 FR 43071) [[Page 25430]] Revocation of Lower Fat Milk Standards NPRM 11/09/95 (60 FR 56541) Comment Period Ended 01/23/96 Partial Final 11/20/96 (61 FR 58991) Confirmation of Effective Date 02/24/97 (62 FR 8163) Revocation of Lower Fat Yogurt Standards NPRM 11/09/95 (60 FR 56541) Confirmation of Effective Date To Be Determined Final Action (Yogurt) To Be Determined Revocation of Obsolete Regulations NPRM 10/13/95 (60 FR 53480) Comment Period Ended 01/11/96 Final Rule 06/03/96 (61 FR 27771) Confirmation of Effective Date 08/27/96 (61 FR 43963) Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State Federalism: This action may have federalism implications as defined in EO 13132. Additional Information: Federalism: Yes for Food Standards of Identity, Quality, and Fill of Container Agency Contact: L. Robert Lake, Director, Office of Regulations and Policy, Department of Health and Human Services, Food and Drug Administration, (HFS-4), Center for Food Safety and Applied, Nutrition, 200 C Street SW, Washington, DC 20204 Phone: 202 205-4561 RIN: 0910-AA58 _______________________________________________________________________ 903. DETERMINATION THAT INFORMED CONSENT IS INFEASIBLE OR IS CONTRARY TO THE BEST INTEREST OF RECIPIENTS Priority: Other Significant Legal Authority: 21 USC 321; 42 USC 241; 42 USC 262; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 371; 42 USC 216; 21 USC 346; 21 USC 346a; 21 USC 348; 21 USC 360c; 21 USC 360d; 21 USC 360e; 21 USC 360f; 21 USC 360h; 21 USC 360i; 21 USC 360j; 21 USC 379e; 21 USC 381; 42 USC 263b; 42 USC 263e; 42 USC 263f; 42 USC 263g; 42 USC 263h; 42 USC 263i; 42 USC 263j; 42 USC 263k; 42 USC 263l; 42 USC 263m; 42 USC 263n; 42 USC 263c; 42 USC 263d CFR Citation: 21 CFR 50; 21 CFR 312 Legal Deadline: None Abstract: The Food and Drug Administration is planning to publish a final rule that would finalize its 1999 interim final rule (64 FR 54180) that: (1) revoked its December 21, 1990, interim final regulations that permitted the Commissioner to determine that obtaining informed consent from military personnel for the use of investigational products is not feasible in certain military combat situations; and (2) established strengthened criteria and standards for the President to apply in making a determination that informed consent is not feasible or is contrary to the best interest of military personnel engaged in specific military operations. The agency is taking this final action after reviewing comments it received in response to a July 1997 Request for Comment as to whether the agency should revise or revoke the rule and its 1999 interim final regulation soliciting comments on this action, and in light of the enactment of the Strom Thurmond National Defense Authorization Act for Fiscal Year 1999 under which the President is authorized to waive the Federal Food, Drug, and Cosmetic Act's informed consent requirements in military operations, if the President finds that obtaining consent is infeasible or contrary to the best interests of recipients and on an additional ground that obtaining consent is contrary to national security interests. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Interim Final Rule 10/05/99 64 FR 54180 Final Action 04/00/02 Regulatory Flexibility Analysis Required: No Government Levels Affected: Federal Agency Contact: Bonnie M. Lee, Health Issues Analyst, Division of Compliance Policy, Office of Enforcement, Department of Health and Human Services, Food and Drug Administration, HFC-230, Office of Regulatory Affairs, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-0415 RIN: 0910-AA89 _______________________________________________________________________ 904. DIRECT-TO-CONSUMER PROMOTION REGULATIONS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 360k; 21 USC 361; 21 USC 362; 21 USC 371; 21 USC 331; 21 USC 334; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360e to 360i CFR Citation: 21 CFR 200; 21 CFR 800 Legal Deadline: None Abstract: The Food and Drug Administration will issue proposed regulations for direct-to-consumer promotion of human and animal prescription drugs, biologics, and restricted devices. The regulations will set forth the requirements for what type of information shall be contained in the consumer directed advertisements for these products and how the information shall be presented. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/02 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Federalism: Undetermined Agency Contact: Nancy M. Ostrove, Division of Drug Marketing, Advertising, and Communications, Department of Health and Human Services, Food and Drug Administration, (HFD-42), Center for Drug Evaluation and Research, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-2828 RIN: 0910-AA90 _______________________________________________________________________ 905. INVESTIGATIONAL USE NEW ANIMAL DRUG REGULATIONS (SECTION 610 REVIEW) Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 5 USC 610; 21 USC 351; 21 USC 353; 21 USC 360b; 21 USC 371; 21 USC 321; 21 USC 352 CFR Citation: 21 CFR 511; 21 CFR 512 Legal Deadline: None Abstract: FDA is proposing to revise its regulations governing investigational use of new animal drugs by proposing to delete 21 CFR 511 and establish in 21 CFR part 512 revised investigational use of new animal drug regulations. The investigational use new animal drug regulations are expected to include regulations to implement provisions of the Animal Drug Availability Act of 1996, specifically [[Page 25431]] presubmission conferences, and implement parts of the President's National Performance Report, ``Reinventing the Regulation of Animal Drugs,'' May 1996. In the reinventing regulations report, FDA proposed to revise its regulations to reflect numerous new process changes and programs that will enable a more streamlined animal drug application review and approval process, and that would result in less regulatory burden upon industry and FDA while maintaining the safety and effectiveness of new animal drugs. In addition, FDA is initiating a review of this rule under section 610 of the Regulatory Flexibility Act. The purpose of the section 610 review is to determine if the rule should be amended to minimize adverse economic impacts on small entities. FDA will consider and solicit comments on the following: 1) the continued need for the rule; 2) the nature of complaints or comments received concerning the rule; 3) the complexity of the rule; 4) the extent to which the rule overlaps, duplicates, or conflicts with other Federal, State or local government rules; and 5) the degree to which technology, economic conditions or other factors have changed in the area affected by the rule. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/21/96 61 FR 59209 ANPRM Comment Period End 01/21/97 Begin Review 04/03/00 Proposed Rule 02/00/03 Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: Businesses Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Marty Schoenemann, Department of Health and Human Services, Food and Drug Administration, HFV-126, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-0220 RIN: 0910-AB02 _______________________________________________________________________ 906. SUITABILITY DETERMINATION FOR DONORS OF HUMAN CELLULAR AND TISSUE- BASED PRODUCTS Priority: Other Significant Legal Authority: 42 USC 216; 42 USC 243; 42 USC 262; 42 USC 263a; 42 USC 264; 42 USC 271 CFR Citation: 21 CFR 210.1(c); 21 CFR 210.2(a); 21 CFR 210.2(b); 21 CFR 211.1(b); 21 CFR 820.1(a)(1); 21 CFR 820.1(c); 21 CFR 1271 Legal Deadline: None Abstract: As part of implementing the proposed regulatory approach to human cellular and tissue-based products, the Food and Drug Administration is requiring manufacturers of human cellular and tissue- based products to screen and test the donors of cells and tissues used in those products for evidence of or risk factors for relevant communicable disease. As part of this action, the agency is amending the current good manufacturing practice regulations that apply to human cellular and tissue-based products regulated as drugs, medical devices, and/or biological products in order to incorporate the new donor suitability requirements into existing good manufacturing practice regulations. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/30/99 64 FR 52696 NPRM Comment Period Reopened 04/18/00 65 FR 20774 NPRM Comment Period End 07/17/00 Final Action 01/00/03 Regulatory Flexibility Analysis Required: No Small Entities Affected: Businesses Government Levels Affected: State Federalism: This action may have federalism implications as defined in EO 13132. Agency Contact: Astrid L. Szeto, Senior Regulatory Review Officer, Department of Health and Human Services, Food and Drug Administration, Suite 200N (HFM-17), Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852-1448 Phone: 301 827-6210 RIN: 0910-AB27 _______________________________________________________________________ 907. REQUIREMENTS FOR LIQUID MEDICATED FEED AND FREE-CHOICE MEDICATED FEED Priority: Substantive, Nonsignificant Legal Authority: PL 104-250; 21 USC 360b CFR Citation: 21 CFR 558.5; 21 CFR 510.455 Legal Deadline: None Abstract: In response to a citizen petition filed by the American Feed Industry Association, the Food and Drug Administration (FDA) is proposing to amend the requirements for liquid medicated animal feed to clarify what information and data are required to demonstrate chemical and positional stability. The amended regulations would also clarify the provisions for the submission of such data through a master file and the reference to master files by subsequent applicants. Additionally, FDA is proposing to amend the regulations for free-choice medicated feed in order to ensure consistency with the requirements for liquid medicated feed. Finally, FDA is proposing to amend the regulations for free-choice medicated feed and liquid medicated feed so that these provisions comply with the terms of the Animal Drug Availability Act of 1996. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: William D. Price, Special Assistant, Department of Health and Human Services, Food and Drug Administration, HFV-200, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6652 Fax: 301 594-4512 RIN: 0910-AB50 _______________________________________________________________________ 908. BULK DRUG SUBSTANCES FOR USE IN PHARMACY COMPOUNDING Priority: Other Significant Legal Authority: PL 105-115, sec 127; 21 USC 351; 21 USC 352; 21 USC 353a; 21 USC 355; 21 USC 371 CFR Citation: 21 CFR 216 [[Page 25432]] Legal Deadline: None Abstract: Section 127 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 503A to the Food, Drug, and Cosmetic Act (21 U.S.C. 353a). Section 503A governs the application of Federal law to the practice of pharmacy compounding. Under section 503A(b)(1)(A), FDA may issue by regulation a list of bulk drug substances that may be used in compounding that are not covered by a United States Pharmacopeia (USP) or National Formulary (NF) monograph and are not components of FDA-approved drugs. Bulk drug substances that do not appear on the list may not be used in compunding under section 127 unless such substances are covered by USP or NF monograph or are components of approved drugs. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/07/99 64 FR 996 NPRM Comment Period End 03/23/99 Final Action To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Agency Contact: Wayne H. Mitchell, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB57 _______________________________________________________________________ 909. PHARMACY AND PHYSICIAN COMPOUNDING OF DRUG PRODUCTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353a; 21 USC 355; 21 USC 360; 21 USC 371 CFR Citation: 21 CFR 216 Legal Deadline: None Abstract: Section 503A of the Federal Food, Drug, and Cosmetic Act (the Act) (21 U.S.C. 353a) describes the circumstances under which compounded drugs may qualify for exemption from three requirements of the Act: (1) that a drug be manufactured according to current good manufacturing practice; (2) that a drug have adequate directions for use; and (3) that a marketing application be approved by FDA before a new drug product is introduced for sale (i.e., sections 501(a)(2)(B), 502(f)(1), and 505 of the Act (21 U.S.C. 351(a)(2)(B), 352(f)(1), and 355)). To qualify for the exemption, a pharmacist or physician must meet statutory conditions for compounding, including the following: (1) there generally must be a prescription for an identified individual patient before compounding; (2) compounding before receiving a prescription is allowed only under limited circumstances; (3) the quantity of drugs that may be shipped out of state is limited and may vary depending on whether the compounder is located in a state that has entered into a memorandum of understanding (MOU) with FDA; (4) drug products may only be compounded using a bulk drug substance (which is essentially the active ingredient) that is listed in the United States Pharmacopoeia (USP) or National Formulary (NF), or a bulk drug substance that is a component of an FDA-approved drug product, or a bulk drug substance that is listed in the regulation as one that FDA has found to be suitable for compounding; (5) the bulk drug substance must be made in a facility registered with FDA and the bulk drug substance must be accompanied by a certificate of analysis; (6) they cannot compound regularly or in inordinate amounts of any drug products that are essentially copies of commercially available products; (7) drug products may not be compounded if they are listed in a regulation as having been removed from the market or had their FDA-approval withdrawn because they were found to be not safe or not effective; (8) drug products that are listed in the regulations as ``demonstrably difficult to compound'' may not be compounded. The regulations will amplify and explain the statutory requirements as well as execute tasks Congress assigned FDA in section 503A. This proposed rule will be one of several rulemakings implementing section 503A. Related regulatory initiatives are described below: (1) FDA has issued a final rule listing drug products that may not be compounded because they were found to be not safe or not effective and were removed from the market or had their FDA approval withdrawn; (2) FDA has also issued a proposed rule and is preparing a final rule listing drugs that are not the subject of a USP or NF monograph, and are not components of an FDA- approved drug product but are suitable for compounding; (3) FDA is currently preparing a proposed rule listing those drugs that are demonstrably difficult to compound and are not allowed to be compounded; and (4) FDA has published a Federal Register notice announcing the availability of a draft MOU between FDA and State boards of pharmacy. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State, Federal Federalism: Undetermined Additional Information: See RINs 0910-AB57, 0910-AB59 Agency Contact: Wayne H. Mitchell, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Email: [email protected] RIN: 0910-AB58 _______________________________________________________________________ 910. DRUG PRODUCTS THAT PRESENT DEMONSTRABLE DIFFICULTIES FOR COMPOUNDING BECAUSE OF REASONS OF SAFETY OR EFFECTIVENESS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 127 CFR Citation: 21 CFR 216 Legal Deadline: None Abstract: Section 127 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 503A to the Food, Drug, and Cosmetic Act (21 U.S.C. 353a). Section 503A governs the application of Federal law [[Page 25433]] to the practice of pharmacy compounding, and exempts compounded drug products, under certain circumstances, from several key provisions of the Food, Drug, and Cosmetic Act. Section 503A(b)(3)(A) directs FDA to issue by regulation a list of drug products that, if compounded, will not qualify for these exemptions because their compounding would be demonstrably difficult in terms of assuring the safety or effectiveness of the compounded product. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Andrea C. Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Suite 3037 (HFD-7), Center for Drug Evaluation and Research, 1451 Rockville Pike, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB59 _______________________________________________________________________ 911. MANDATORY HACCP REGULATIONS FOR MANUFACTURERS OF RENDERED PRODUCTS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 371 CFR Citation: 21 CFR 589 Legal Deadline: None Abstract: During the notice and comment rulemaking for 21 CFR part 589, ``Listing of Specific Substances Prohibited from Use in Animal Food or Feed; Animal Proteins Prohibited in Ruminant Feed,'' FDA received several comments supporting the application of mandatory Hazard Analysis Critical Control Point (HACCP) regulations for renderers. Some of these comments were from renderers. Because of the need to expedite the rulemaking for 21 CFR part 589, FDA stated that it would take up the HACCP regulations for renderers as a separate initiative. This rulemaking is to address the need expressed in the comments to 21 CFR part 589 by promulgating mandatory HACCP regulations for renderers. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Federalism: Undetermined Agency Contact: Daniel G. McChesney, Deputy Director, Office of Surveillance and Compliance, Department of Health and Human Services, Food and Drug Administration, HFV-200, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6648 RIN: 0910-AB72 _______________________________________________________________________ 912. CITIZEN PETITIONS; ACTIONS THAT CAN BE REQUESTED BY PETITION; DENIALS, WITHDRAWALS, AND REFERRALS FOR OTHER ADMINISTRATIVE ACTION Priority: Info./Admin./Other Legal Authority: 5 USC 551 to 558; 21 USC 1034; 28 USC 2112; 42 USC 201; 42 USC 262; 42 USC 263b to 263n; 42 USC 264; 5 USC 701 to 706; 15 USC 1451 to 1461; 21 USC 41 to 50; 21 USC 141 to 149; 21 USC 321 to 393; 21 USC 467f; 21 USC 679; 21 USC 821 CFR Citation: 21 CFR 10 Legal Deadline: None Abstract: The final rule would amend the agency's regulations pertaining to citizen petitions by specifying the types of actions that could be requested through a petition. The final rule would also revise the content requirements for citizen petitions and would allow the agency to take various administrative actions in response to citizen petitions. These changes are intended to improve the citizen petition mechanism by focusing FDA's resources on important public health issues. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/30/99 64 FR 66822 NPRM Comment Period End 02/28/00 Final Action To Be Determined Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 827-4774 Email: [email protected] RIN: 0910-AB73 _______________________________________________________________________ 913. SUBSTANCES PROHIBITED FROM USE IN ANIMAL FOOD OR FEED Priority: Substantive, Nonsignificant Legal Authority: 21 USC 321; 21 USC 342; 21 USC 348; 21 USC 371; 21 USC 343 CFR Citation: 21 CFR 589 Legal Deadline: None Abstract: After determining that dioxins were present in some clays used as anti-caking agents in animal feeds, the agency is considering proposing a rule that would prohibit the use of these clays unless they meet certain conditions under the Federal Food, Drug, and Cosmetic Act. At this time, it is not clear whether there are other types of mined clay products that contain dioxins or whether the relatively low concentrations found in recent samples of mined clay products would have a significant impact on the public health. Thus, the advance notice of proposed rulemaking will request further information regarding the presence of dioxins in mined clay products used in animal feeds or feed ingredients and the significance of these dioxins to the public health. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Small Entities Affected: No Government Levels Affected: State Federalism: Undetermined [[Page 25434]] Agency Contact: Randall A. Lovell, Veterinary Medical Officer, Department of Health and Human Services, Food and Drug Administration, HFV-222, Center for Veterinary Medicine, 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-0176 Fax: 301 827-1484 Email: [email protected] RIN: 0910-AB90 _______________________________________________________________________ 914. MARKING REQUIREMENTS FOR AND PROHIBITIONS ON THE REIMPORTATION OF IMPORTED FOOD PRODUCTS THAT HAVE BEEN REFUSED ADMISSION INTO THE UNITED STATES Priority: Routine and Frequent Legal Authority: 15 USC 1453, 1454, 1455; 21 USC 321, 343, 352, 355, 360b, 362, 371, 374, 381, 382, 393; 42 USC 216, 241, 243, 262, 264 CFR Citation: 21 CFR 1.98 Legal Deadline: None Abstract: The proposed rule would require food products which are refused entry into the United States for safety reasons to be marked,``United States Refused Entry.'' The proposed rule is intended to protect the public health against contaminated or unsafe imported food products and to facilitate FDA's examination of imported products. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/22/01 66 FR 6502 NPRM Comment Period End 04/09/01 Final Rule To Be Determined Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Room 15-61 (HF-23), Office of Policy, Planning and Legislation, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 827-4774 Email: