Submission for OMB Review; Comment Request; Cancer Care for Uninsured Individuals: A Feasibility Study (NCI), 11122-11123 [E8-3836]

Download as PDF 11122 Federal Register / Vol. 73, No. 41 / Friday, February 29, 2008 / Notices (minocycline hydrochloride) Capsules EQ 75 mg base (NDA 050–649), manufactured by Triax Pharmaceuticals, Ltd. (Triax), was withdrawn from sale for reasons of safety or effectiveness. MINOCIN is a tetracycline-class antibiotic medicine used to treat certain infections caused by bacteria. MINOCIN Capsules EQ 75 mg base was approved on February 12, 2001. Our records show that the 75 mg strength of this product was marketed for a short period of time in 2001. MINOCIN Capsules EQ 75 mg base were discontinued in September 2001 and the drug product was moved from the prescription drug product list to the ‘‘Discontinued Drug Product List’’ section of the Orange Book. FDA has reviewed its records and, under § 314.161, has determined that MINOCIN Capsules EQ 75 mg base was not withdrawn from sale for reasons of safety or effectiveness. The petitioner identified no data or other information suggesting that MINOCIN Capsules EQ 75 mg base was withdrawn for reasons of safety or effectiveness. FDA has independently evaluated relevant literature and data for possible postmarketing adverse events and has found no information that would indicate that this product was withdrawn from sale for reasons of safety or effectiveness. Accordingly, the agency will continue to list MINOCIN (minocycline hydrochloride) Capsules EQ 75 mg base in the ‘‘Discontinued Drug Product List’’ section of the Orange Book. The ‘‘Discontinued Drug Product List’’ delineates, among other items, drug products that have been discontinued from marketing for reasons other than safety or effectiveness. ANDAs that refer to minocycline hydrochloride capsules EQ 75 mg base may be approved by the agency if all other legal and regulatory requirements for the approval of ANDAs are met. If FDA determines that labeling for this drug product should be revised to meet current standards, the agency will advise ANDA applicants to submit such labeling. Dated: February 21, 2008. Jeffrey Shuren, Assistant Commissioner for Policy. [FR Doc. E8–3879 Filed 2–28–08; 8:45 am] rwilkins on PROD1PC63 with NOTICES BILLING CODE 4160–01–S VerDate Aug<31>2005 19:22 Feb 28, 2008 Jkt 214001 DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; Comment Request; Cancer Care for Uninsured Individuals: A Feasibility Study (NCI) Summary: Under the provisions of Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the National Cancer Institute (NCI), the National Institutes of Health (NIH) has submitted to the Office of Management and Budget (OMB) a request to review and approve the information collection listed below. This proposed information collection was previously published in the Federal Register on December 21, 2007 (Vol. 72, No. 245, p. 72741 and allowed 60-days for public comment. One public comment was received that questioned why the study was not funded by University of Alabama (UAB) funds. A response was made on February 8, 2008, that indicated that UAB was funding this study. The National Institutes of Health may not conduct or sponsor, and the respondent is not required to respond to, an information collection that has been extended, revised, or implemented on or after October 1, 1995, unless it displays a currently valid OMB control number. Proposed Collection: Title: Cancer Care For Uninsured Individuals: A Feasibility Study. Type of Information Collection Request: New. Need and Use of Information Collection: The purpose of this information collection is to assess the feasibility of obtaining health insurance information for participants of the Prostate, Lung, Colon and Ovarian (PLCO) Cancer Screening Trial participants from health care providers and self reports. The ultimate objective is to compare the health care utilization of insured and uninsured PLCO participants. The PLCO data provides a unique opportunity to study health care seeking behavior after an abnormal cancer screening test and the effect of lack of health insurance. Participants who had positive cancer screening tests were referred to their doctors for followup care. No additional care was provided by the trial. The study collected detailed information on tests received for diagnosis, clinical presentation of disease, and cancer treatment. Since the PLCO original data collection had not recorded the health insurance of participants at the time of their screening, it is necessary to collect PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 it retrospectively. This feasibility study will request information from 50 physicians and 150 participants. The aims are to determine the: (1) Total number of physicians to be contacted to obtain insurance information on all PLCO participants who had a positive cancer screening test; (2) Percentage of physicians willing and able to provide insurance information; (3) Percentage of participants with and without insurance; (4) Number of participants for whom insurance status can be only determined by self report; (5) Percentage of PLCO participants who accept to respond to the survey; (6) Percentage of individuals who are willing to provide information on insurance status; and, (7) Potential proportion of PLCO participants without health insurance. These results will be used to design a study to examine the health care behavior of insured and uninsured PLCO participants. This is relevant to understand the results of the PLCO Cancer Screening Trial and other screening trials currently being conducted in the U.S. The success of these trials is conditional on participants’ access to care following a recommendation for follow-up. Uninsured individuals may be more likely to join these trials than insured ones in order to get free preventive care. They may also be more likely to not seek, or delay seeking, care after an abnormal screening test even though they are encouraged to get care and they may be highly motivated to receive the best care possible. It is relevant for other decision makers to understand whether uninsured persons are receiving appropriate care after abnormal screening results. The efforts to control cancer disease and the loss of life associated with it are concentrated on population wide screening. These endeavors may be compromised if a significant proportion of the population does not get appropriate follow-up after screening or does not get the care known to be effective for their disease. Frequency of Response: One time. Affected Public: Individuals and households; businesses or other forprofit. Type of Respondents: Individuals older than 55 who participated in the PLCO Screening trial and physicians who provided care for them. The annual reporting burden is shown in the following table. E:\FR\FM\29FEN1.SGM 29FEN1 Federal Register / Vol. 73, No. 41 / Friday, February 29, 2008 / Notices Number of respondents Type of respondents Frequency of response 150 1 Physicians office staff ........................................................................................ 50 Totals .......................................................................................................... rwilkins on PROD1PC63 with NOTICES PLCO participants ............................................................................................. 200 The annualized cost to respondents is estimated at: $487.50. There are no Capital Costs to report. There are no Operating or Maintenance Costs to report. Request for Comments: Written comments and/or suggestions from the public and affected agencies should address one or more of the following points: (1) Evaluate whether the proposed collection of information is necessary for the proper performance of the function of the agency, including whether the information will have practical utility; (2) Evaluate the accuracy of the agency’s estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; (3) Enhance the quality, utility, and clarity of the information to be collected; and (4) Minimize the burden of the collection of information on those who are to respond, including the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology. Direct Comments To OMB: Written comments and/or suggestions regarding the item(s) contained in this notice, especially regarding the estimated public burden and associated response time, should be directed to the Attention: NIH Desk Officer, Office of Management and Budget, at OIRA_submission@omb.eop.gov or by fax to 202–395–6974. To request more information on the proposed project or to obtain a copy of the data collection plans and instruments, contact: Dr. Maria Pisu, Division of Preventive Medicine, University of Alabama at Birmingham, MT 628, 1530 3rd Avenue South, Birmingham, AL 35294–4410, or call non-toll-free number (205) 975– 7366 or e-mail your request, including your address to: mpisu@uab.edu Comments Due Date: Comments regarding this information collection are best assured of having their full effect if received within 30-days of the date of this publication. VerDate Aug<31>2005 19:22 Feb 28, 2008 Jkt 214001 Dated: February 20, 2008. Vivian Horovitch-Kelley, NCI Project Clearance Liaison Office, National Institutes of Health. [FR Doc. E8–3836 Filed 2–28–08; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Government-Owned Inventions; Availability for Licensing National Institutes of Health, Public Health Service, HHS. ACTION: Notice. AGENCY: SUMMARY: The inventions listed below are owned by an agency of the U.S. Government and are available for licensing in the U.S. in accordance with 35 U.S.C. 207 to achieve expeditious commercialization of results of federally-funded research and development. Foreign patent applications are filed on selected inventions to extend market coverage for companies and may also be available for licensing. ADDRESSES: Licensing information and copies of the U.S. patent applications listed below may be obtained by writing to the indicated licensing contact at the Office of Technology Transfer, National Institutes of Health, 6011 Executive Boulevard, Suite 325, Rockville, Maryland 20852–3804; telephone: 301/ 496–7057; fax: 301/402–0220. A signed Confidential Disclosure Agreement will be required to receive copies of the patent applications. A Pharmacophore for Isatin-bThiosemicarbazone Compounds With MDR1-Inverse Activity Description of Technology: One of the major hindrances to successful cancer chemotherapy is multi-drug resistance (MDR), which is frequently caused by the increased expression or activity of ABC transporter proteins. Research has generally been directed to overcoming MDR during cancer therapy by inhibiting the activity of ABC transporters. However, compounds that PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 Average burden hours per response 11123 Annual hour burden 1 5 minutes (0.083) .......... 20 minutes (0.333) 12.5 16.7 ........................ ...................... 29.2 inhibit ABC transporter activity often elicit strong and undesirable sideeffects, restricting their usefulness in therapy. In an alternative approach to reducing the debilitating effects of MDR in cancer therapy, scientists at the National Cancer Institute identified a family of compounds whose antiproliferative effects were actually enhanced in cells with MDR. These compounds included NSC 73306, a specific compound that increased the chemosensitivity of cells that overexpress ABC transporters without inhibiting ABC transporter activity. This invention concerns new analogs of NSC 73306 with improved selectivity and solubility, and the use of the analogs as therapeutics. Applications: Treatment of cancers associated with multi-drug resistance, either alone or in combination with other therapeutics. Development of a pharmacophore for improved effectiveness in treating cancers associated with multi-drug resistance. Advantages: The agents capitalize on one of the most common drawbacks to cancer therapies (MDR) by using it as an advantage to treating cancer. Increased specificity allows these analogs to be tailored to treating cancers associated with the overexpression and hyperactivity of particular ABC transporters. Increased solubility allows greater access of the agent to tumor cells, increasing therapeutic effectiveness of the agents. Benefits: Cancer is the second leading cause of death in United States and it is estimated that there will be approximately 600,000 deaths caused by cancer in 2007. Improving the quality of life and duration of life of cancer patients will depend on chemotherapies with increased effectiveness and reduced toxicity, thus this technology can contribute significantly to a social cause. Furthermore, small molecule cancer therapy technologies have a potential market of more than $2 billion. Inventors: Matthew D. Hall et al. (NCI). E:\FR\FM\29FEN1.SGM 29FEN1

Agencies

[Federal Register Volume 73, Number 41 (Friday, February 29, 2008)]
[Notices]
[Pages 11122-11123]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-3836]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

National Institutes of Health


Submission for OMB Review; Comment Request; Cancer Care for 
Uninsured Individuals: A Feasibility Study (NCI)

    Summary: Under the provisions of Section 3507(a)(1)(D) of the 
Paperwork Reduction Act of 1995, the National Cancer Institute (NCI), 
the National Institutes of Health (NIH) has submitted to the Office of 
Management and Budget (OMB) a request to review and approve the 
information collection listed below. This proposed information 
collection was previously published in the Federal Register on December 
21, 2007 (Vol. 72, No. 245, p. 72741 and allowed 60-days for public 
comment. One public comment was received that questioned why the study 
was not funded by University of Alabama (UAB) funds. A response was 
made on February 8, 2008, that indicated that UAB was funding this 
study. The National Institutes of Health may not conduct or sponsor, 
and the respondent is not required to respond to, an information 
collection that has been extended, revised, or implemented on or after 
October 1, 1995, unless it displays a currently valid OMB control 
number.
    Proposed Collection: Title: Cancer Care For Uninsured Individuals: 
A Feasibility Study. Type of Information Collection Request: New. Need 
and Use of Information Collection: The purpose of this information 
collection is to assess the feasibility of obtaining health insurance 
information for participants of the Prostate, Lung, Colon and Ovarian 
(PLCO) Cancer Screening Trial participants from health care providers 
and self reports. The ultimate objective is to compare the health care 
utilization of insured and uninsured PLCO participants. The PLCO data 
provides a unique opportunity to study health care seeking behavior 
after an abnormal cancer screening test and the effect of lack of 
health insurance. Participants who had positive cancer screening tests 
were referred to their doctors for follow-up care. No additional care 
was provided by the trial. The study collected detailed information on 
tests received for diagnosis, clinical presentation of disease, and 
cancer treatment. Since the PLCO original data collection had not 
recorded the health insurance of participants at the time of their 
screening, it is necessary to collect it retrospectively. This 
feasibility study will request information from 50 physicians and 150 
participants. The aims are to determine the:
    (1) Total number of physicians to be contacted to obtain insurance 
information on all PLCO participants who had a positive cancer 
screening test;
    (2) Percentage of physicians willing and able to provide insurance 
information;
    (3) Percentage of participants with and without insurance;
    (4) Number of participants for whom insurance status can be only 
determined by self report;
    (5) Percentage of PLCO participants who accept to respond to the 
survey;
    (6) Percentage of individuals who are willing to provide 
information on insurance status; and,
    (7) Potential proportion of PLCO participants without health 
insurance.
    These results will be used to design a study to examine the health 
care behavior of insured and uninsured PLCO participants. This is 
relevant to understand the results of the PLCO Cancer Screening Trial 
and other screening trials currently being conducted in the U.S. The 
success of these trials is conditional on participants' access to care 
following a recommendation for follow-up. Uninsured individuals may be 
more likely to join these trials than insured ones in order to get free 
preventive care. They may also be more likely to not seek, or delay 
seeking, care after an abnormal screening test even though they are 
encouraged to get care and they may be highly motivated to receive the 
best care possible. It is relevant for other decision makers to 
understand whether uninsured persons are receiving appropriate care 
after abnormal screening results. The efforts to control cancer disease 
and the loss of life associated with it are concentrated on population 
wide screening. These endeavors may be compromised if a significant 
proportion of the population does not get appropriate follow-up after 
screening or does not get the care known to be effective for their 
disease. Frequency of Response: One time. Affected Public: Individuals 
and households; businesses or other for-profit. Type of Respondents: 
Individuals older than 55 who participated in the PLCO Screening trial 
and physicians who provided care for them. The annual reporting burden 
is shown in the following table.

[[Page 11123]]



----------------------------------------------------------------------------------------------------------------
                                          Number of     Frequency of     Average  burden hours      Annual hour
         Type of respondents             respondents      response            per response            burden
----------------------------------------------------------------------------------------------------------------
PLCO participants....................             150               1  5 minutes                            12.5
                                                                       (0.083)..................
Physicians office staff..............              50               1  20 minutes                           16.7
                                                                       (0.333)..................
                                      --------------------------------------------------------------------------
    Totals...........................             200  ..............  .........................            29.2
----------------------------------------------------------------------------------------------------------------

    The annualized cost to respondents is estimated at: $487.50. There 
are no Capital Costs to report. There are no Operating or Maintenance 
Costs to report.
    Request for Comments: Written comments and/or suggestions from the 
public and affected agencies should address one or more of the 
following points: (1) Evaluate whether the proposed collection of 
information is necessary for the proper performance of the function of 
the agency, including whether the information will have practical 
utility; (2) Evaluate the accuracy of the agency's estimate of the 
burden of the proposed collection of information, including the 
validity of the methodology and assumptions used; (3) Enhance the 
quality, utility, and clarity of the information to be collected; and 
(4) Minimize the burden of the collection of information on those who 
are to respond, including the use of appropriate automated, electronic, 
mechanical, or other technological collection techniques or other forms 
of information technology.
    Direct Comments To OMB: Written comments and/or suggestions 
regarding the item(s) contained in this notice, especially regarding 
the estimated public burden and associated response time, should be 
directed to the Attention: NIH Desk Officer, Office of Management and 
Budget, at OIRA_submission@omb.eop.gov or by fax to 202-395-6974. To 
request more information on the proposed project or to obtain a copy of 
the data collection plans and instruments, contact: Dr. Maria Pisu, 
Division of Preventive Medicine, University of Alabama at Birmingham, 
MT 628, 1530 3rd Avenue South, Birmingham, AL 35294-4410, or call non-
toll-free number (205) 975-7366 or e-mail your request, including your 
address to: mpisu@uab.edu
    Comments Due Date: Comments regarding this information collection 
are best assured of having their full effect if received within 30-days 
of the date of this publication.

    Dated: February 20, 2008.
Vivian Horovitch-Kelley,
NCI Project Clearance Liaison Office, National Institutes of Health.
[FR Doc. E8-3836 Filed 2-28-08; 8:45 am]
BILLING CODE 4140-01-P
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