Center for Devices and Radiological Health: Experiential Learning Program; General Training Program, 46272-46274 [2014-18662]
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46272
Federal Register / Vol. 79, No. 152 / Thursday, August 7, 2014 / Notices
TABLE 2—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
Number of
disclosures
per
respondent
Number of
respondents
21 CFR Section; activity
Average
burden per
disclosure
Total annual
disclosures
Total hours
107.230; Elements of infant formula recall ..........................
107.260; Revision of an infant formula recall ......................
2
1
1
1
2
1
50
25
100
25
Total ..............................................................................
........................
........................
........................
........................
125
1 There
are no capital costs or operating and maintenance costs associated with this collection of information.
Table 2 reports FDA’s third-party
disclosure burden estimates for
§§ 107.230 and 107.260. The estimated
burden hours per disclosure is an
average based on FDA’s experience. The
third-party disclosure burden in
§ 107.230 is the requirement to
promptly notify each affected directaccount (customer) about the recall, and
if the recalled formula presents a risk to
human health, the recalling firm must
also request that each establishment that
sells the recalled formula post a notice
of the recall at the point of purchase.
FDA estimates that 2 respondents will
conduct infant formula recalls under
§ 107.230 and that it will take a
respondent 50 hours to comply with the
third-party disclosure requirements of
that section, for a total of 100 hours. The
third-party disclosure burden in
§ 107.260 is the requirement to issue
additional notifications where the recall
strategy or implementation is
determined to be deficient. FDA
estimates that 1 respondent will issue
additional notifications under § 107.260
and that it will take a respondent 25
hours to comply with the third-party
disclosure requirements of that section,
for a total of 25 hours.
Dated: August 1, 2014.
Peter Lurie,
Associate Commissioner for Policy and
Planning.
The Food and Drug
Administration (FDA) is announcing
that a collection of information entitled
‘‘Radioactive Drug Research
Committees’’ has been approved by the
Office of Management and Budget
(OMB) under the Paperwork Reduction
Act of 1995.
FOR FURTHER INFORMATION CONTACT: FDA
PRA Staff, Office of Operations, Food
and Drug Administration, 8455
Colesville Rd., COLE–14526, Silver
Spring, MD 20993–0002, PRAStaff@
fda.hhs.gov.
SUPPLEMENTARY INFORMATION: On May 9,
2014, the Agency submitted a proposed
collection of information entitled
‘‘Radioactive Drug Research
Committees’’ to OMB for review and
clearance under 44 U.S.C. 3507. An
Agency may not conduct or sponsor,
and a person is not required to respond
to, a collection of information unless it
displays a currently valid OMB control
number. OMB has now approved the
information collection and has assigned
OMB control number 0910–0053. The
approval expires on July 31, 2017. A
copy of the supporting statement for this
information collection is available on
the Internet at https://www.reginfo.gov/
public/do/PRAMain.
SUMMARY:
Dated: July 31, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2014–18665 Filed 8–6–14; 8:45 am]
[FR Doc. 2014–18609 Filed 8–6–14; 8:45 am]
BILLING CODE 4164–01–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
Food and Drug Administration
[Docket No. FDA–2007–N–0383]
emcdonald on DSK67QTVN1PROD with NOTICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Docket No. FDA–2014–N–1088]
Agency Information Collection
Activities; Announcement of Office of
Management and Budget Approval;
Radioactive Drug Research
Committees
Center for Devices and Radiological
Health: Experiential Learning Program;
General Training Program
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
17:14 Aug 06, 2014
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA), Center for
SUMMARY:
Notice.
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Devices and Radiological Health (CDRH
or Center) is announcing a new
component of the Experiential Learning
Program (ELP) identified as the ELP
General Training Program. This training
component is intended to provide
CDRH staff with an opportunity to
understand the policies, laboratory
practices, and challenges faced in
broader disciplines that impact the
device development life cycle. The
purpose of this document is to invite
medical device industry, academia, and
health care facilities to apply to
participate in this formal training
program for FDA’s medical device
review staff, or to contact CDRH for
more information regarding the ELP
General Training Program.
DATES: Submit either an electronic or
written request for participation in the
ELP General Training Program by
September 8, 2014.
ADDRESSES: Submit either electronic
requests to https://www.regulations.gov
or written requests to the Division of
Dockets Management (HFA–305), Food
and Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
Identify proposals with the docket
number found in brackets in the
heading of this document.
FOR FURTHER INFORMATION CONTACT:
Latonya Powell, Center for Devices and
Radiological Health, Food and Drug
Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 4448, Silver Spring,
MD 20993–0002, 301–796–6965, FAX:
301–827–3079, Latonya.powell@
fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
CDRH is responsible for ensuring the
safety and effectiveness of medical
devices marketed in the United States.
Furthermore, CDRH assures that
patients and providers have timely and
continued access to high-quality, safe,
and effective medical devices and safe
radiation-emitting products. In support
of this mission, the Center launched
various training and development
initiatives to enhance performance of its
staff involved in regulatory review and
E:\FR\FM\07AUN1.SGM
07AUN1
Federal Register / Vol. 79, No. 152 / Thursday, August 7, 2014 / Notices
in the premarket review process. One of
these initiatives, the ELP Pilot, was
launched in 2012 and fully
implemented on April 2, 2013 (see 78
FR 19711).
CDRH is committed to advancing
regulatory science; providing industry
with predictable, consistent,
transparent, and efficient regulatory
pathways; and helping to ensure
consumer confidence in medical
devices marketed in the United States
and throughout the world. The ELP
General Training Program component is
intended to provide CDRH staff with an
opportunity to understand the policies,
laboratory practices, and challenges
faced in broader disciplines that impact
the device development life cycle. This
component is a collaborative effort to
enhance communication and facilitate
the premarket review process.
Furthermore, CDRH is committed to
understanding current industry
practices, innovative technologies,
regulatory impacts, and regulatory
needs.
These formal training visits are not a
mechanism for FDA to inspect, assess,
judge, or perform a regulatory function
(e.g., compliance inspection), but rather
they are an opportunity to provide
CDRH review staff a better
understanding of the products they
46273
review. Through this notice, CDRH is
formally requesting participation from
companies, academia, and clinical
facilities, including those that have
previously participated in the ELP or
other FDA site visit programs.
II. ELP General Training Program
A. ELP General Training Component
In this training program, groups of
CDRH staff will observe operations at
research, manufacturing, academia, and
health care facilities. The focus areas
and specific areas of interest for visits
may include the following:
TABLE 1—AREAS OF INTEREST: OFFICE OF DEVICE EVALUATION
Focus area
Specific areas of interest
Biocompatibility testing .............................................................................
Decisionmaking process for biocompatibility test selection; considerations for use of animal testing vs. in vitro testing; sample preparation of nanoscale, bioabsorbable, and in situ polymerized materials;
evaluation of color additives.
Devices coated with drug(s); drug delivery products.
3–D printing; additive manufacturing; additional or unique validation
and verification activities.
Understanding clinical trial infrastructure, roles, responsibilities, and relationships with other organizations involved in the management and
conduct of clinical trials; challenges encountered in obtaining regulatory approval and successfully executing a clinical trial; issues related to early feasibility studies; institutional review boards; clinical
research organizations.
Reprocessing challenges in the manufacturing or clinical environment;
validation of reprocessing or sterilization instructions; simulated use
testing; unique sterilization methods (e.g., use of flexible bags, sound
waves, ultraviolet light, microwave radiation.)
Combination products ...............................................................................
Emerging manufacturing methods ...........................................................
Management of clinical trials for medical devices ...................................
Reprocessing and sterilization .................................................................
TABLE 2—AREAS OF INTEREST: OFFICE OF IN VITRO DIAGNOSTIC DEVICES AND RADIOLOGICAL HEALTH
Focus area
Specific areas of interest
Manufacturing of in vitro diagnostic devices ............................................
Preanalytical devices (i.e. blood tubes), pathogen collection devices,
micro collection/transport devices; general reagents, manual reagents; general assays, common point-of-care devices.
Hands-on instrument and system training; clinical implication of common laboratory testing.
Observation of implemented quality systems practices based on current good manufacturing practices.
Instrument training of medical devices (manufacturer or clinical laboratory).
Quality system in manufacturing environments based on 21 CFR part
820.
emcdonald on DSK67QTVN1PROD with NOTICES
B. Site Selection
The Center will be responsible for
CDRH staff travel expenses associated
with the site visits. CDRH will not
provide funds to support the training
provided by the site to the ELP General
Training Program. Selection of potential
facilities will be based on CDRH’s
priorities for staff training and resources
available to fund this program. In
addition to logistical and other resource
factors, all sites must have a successful
compliance record with FDA or another
Agency with which FDA has a
memorandum of understanding. If a site
visit involves a visit to a separate
physical location of another firm under
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17:14 Aug 06, 2014
Jkt 232001
contract with the site, that firm must
agree to participate in the ELP General
Training program and must also have a
satisfactory compliance history.
III. Request for Participation
Submit proposals for participation
with the docket number found in the
brackets in the heading of this
document. Received requests may be
seen in the Division of Dockets
Management (see ADDRESSES) between 9
a.m. and 4 p.m., Monday through
Friday, and will be posted to the docket
at https://www.regulations.gov.
The proposal should include a
description of your facility relative to
focus areas described in table 1or 2.
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Please include the Area of Interest (see
table 1or 2) that the site visit will
demonstrate to CDRH staff, a contact
person, site visit location(s), length of
site visit, proposed dates, and maximum
number of CDRH staff that can be
accommodated during a site visit.
Proposals submitted without this
minimum information will not be
considered. In addition, please include
an agenda outlining the proposed
training for the site visit. A sample
request and agenda are available on the
ELP Web site at https://www.fda.gov/
downloads/ScienceResearch/
ScienceCareerOpportunities/
UCM392988.pdf and https://
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46274
Federal Register / Vol. 79, No. 152 / Thursday, August 7, 2014 / Notices
Related to Neurological Disorders; 93.854,
Biological Basis Research in the
Neurosciences, National Institutes of Health,
HHS)
www.fda.gov/scienceresearch/
sciencecareeropportunities/
ucm380676.htm.
Dated: July 31, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
Dated: August 1, 2014.
Carolyn Baum,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2014–18662 Filed 8–6–14; 8:45 am]
BILLING CODE 4164–01–P
[FR Doc. 2014–18597 Filed 8–6–14; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
DEPARTMENT OF HOMELAND
SECURITY
National Institutes of Health
National Institute of Neurological
Disorders and Stroke; Notice of Closed
Meetings
emcdonald on DSK67QTVN1PROD with NOTICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable materials,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Neurological Disorders and Stroke Special
Emphasis Panel; Udall Centers Review.
Date: August 21–22, 2014.
Time: 8:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Admiral Fell Inn, 888 South
Broadway, Baltimore, MD 21231.
Contact Person: Birgit Neuhuber, Ph.D.,
Scientific Review Officer, Scientific Review
Branch, Division of Extramural Research,
NINDS/NIH/DHHS/Neuroscience Center,
6001 Executive Boulevard, Suite 3208, MSC
9529, Bethesda, MD 20892–9529, 301–496–
3562, neuhuber@ninds.nih.gov.
Name of Committee: National Institute of
Neurological Disorders and Stroke Special
Emphasis Panel; DMFP Contract Review.
Date: August 27–28, 2014.
Time: 8:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Bethesda North Marriott Hotel &
Conference Center, 5701 Marinelli Road,
Bethesda, MD 20852.
Contact Person: Ernest Lyons, Ph.D.,
Scientific Review Administrator, Scientific
Review Branch, Division of Extramural
Research, NINDS/NIH/DHHS/Neuroscience
Center, 6001 Executive Boulevard, Suite
3208, MSC 9529, Bethesda, MD 20892–9529,
301–496–405, lyonse@ninds.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.853, Clinical Research
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17:14 Aug 06, 2014
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Federal Emergency Management
Agency
[Internal Agency Docket No. FEMA–4185–
DR; Docket ID FEMA–2014–0003]
Nebraska; Major Disaster and Related
Determinations
Federal Emergency
Management Agency, DHS.
ACTION: Notice.
AGENCY:
This is a notice of the
Presidential declaration of a major
disaster for the State of Nebraska
(FEMA–4185–DR), dated July 28, 2014,
and related determinations.
DATES: Effective Date: July 28, 2014.
FOR FURTHER INFORMATION CONTACT:
Dean Webster, Office of Response and
Recovery, Federal Emergency
Management Agency, 500 C Street SW.,
Washington, DC 20472, (202) 646–2833.
SUPPLEMENTARY INFORMATION: Notice is
hereby given that, in a letter dated July
28, 2014, the President issued a major
disaster declaration under the authority
of the Robert T. Stafford Disaster Relief
and Emergency Assistance Act, 42
U.S.C. 5121 et seq. (the ‘‘Stafford Act’’),
as follows:
SUMMARY:
I have determined that the damage in
certain areas of the State of Nebraska
resulting from severe storms, tornadoes,
straight-line winds, and flooding during the
period of June 1–4, 2014, is of sufficient
severity and magnitude to warrant a major
disaster declaration under the Robert T.
Stafford Disaster Relief and Emergency
Assistance Act, 42 U.S.C. 5121 et seq. (the
‘‘Stafford Act’’). Therefore, I declare that such
a major disaster exists in the State of
Nebraska.
In order to provide Federal assistance, you
are hereby authorized to allocate from funds
available for these purposes such amounts as
you find necessary for Federal disaster
assistance and administrative expenses.
You are authorized to provide Public
Assistance in the designated areas and
Hazard Mitigation throughout the State.
Consistent with the requirement that Federal
assistance be supplemental, any Federal
funds provided under the Stafford Act for
Hazard Mitigation will be limited to 75
PO 00000
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percent of the total eligible costs. Federal
funds provided under the Stafford Act for
Public Assistance also will be limited to 75
percent of the total eligible costs, with the
exception of projects that meet the eligibility
criteria for a higher Federal cost-sharing
percentage under the Public Assistance
Alternative Procedures Pilot Program for
Debris Removal implemented pursuant to
section 428 of the Stafford Act.
Further, you are authorized to make
changes to this declaration for the approved
assistance to the extent allowable under the
Stafford Act.
The Federal Emergency Management
Agency (FEMA) hereby gives notice that
pursuant to the authority vested in the
Administrator, under Executive Order
12148, as amended, Christian Van
Alstyne, of FEMA is appointed to act as
the Federal Coordinating Officer for this
major disaster.
The following areas of the State of
Nebraska have been designated as
adversely affected by this major disaster:
Burt, Butler, Cass, Hamilton, Holt,
Nemaha, Pawnee, Polk, Rock, Thurston,
Valley, and Washington Counties for Public
Assistance.
All counties within the State of Nebraska
are eligible to apply for assistance under the
Hazard Mitigation Grant Program.
The following Catalog of Federal Domestic
Assistance Numbers (CFDA) are to be used
for reporting and drawing funds: 97.030,
Community Disaster Loans; 97.031, Cora
Brown Fund; 97.032, Crisis Counseling;
97.033, Disaster Legal Services; 97.034,
Disaster Unemployment Assistance (DUA);
97.046, Fire Management Assistance Grant;
97.048, Disaster Housing Assistance to
Individuals and Households In Presidentially
Declared Disaster Areas; 97.049,
Presidentially Declared Disaster Assistance—
Disaster Housing Operations for Individuals
and Households; 97.050, Presidentially
Declared Disaster Assistance to Individuals
and Households—Other Needs; 97.036,
Disaster Grants—Public Assistance
(Presidentially Declared Disasters); 97.039,
Hazard Mitigation Grant.
W. Craig Fugate,
Administrator, Federal Emergency
Management Agency.
[FR Doc. 2014–18642 Filed 8–6–14; 8:45 am]
BILLING CODE 9111–23–P
DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
[Internal Agency Docket No. FEMA–4186–
DR; Docket ID FEMA–2014–0003]
South Dakota; Major Disaster and
Related Determinations
Federal Emergency
Management Agency, DHS.
AGENCY:
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Agencies
[Federal Register Volume 79, Number 152 (Thursday, August 7, 2014)]
[Notices]
[Pages 46272-46274]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-18662]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2014-N-1088]
Center for Devices and Radiological Health: Experiential Learning
Program; General Training Program
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA), Center for Devices and
Radiological Health (CDRH or Center) is announcing a new component of
the Experiential Learning Program (ELP) identified as the ELP General
Training Program. This training component is intended to provide CDRH
staff with an opportunity to understand the policies, laboratory
practices, and challenges faced in broader disciplines that impact the
device development life cycle. The purpose of this document is to
invite medical device industry, academia, and health care facilities to
apply to participate in this formal training program for FDA's medical
device review staff, or to contact CDRH for more information regarding
the ELP General Training Program.
DATES: Submit either an electronic or written request for participation
in the ELP General Training Program by September 8, 2014.
ADDRESSES: Submit either electronic requests to https://www.regulations.gov or written requests to the Division of Dockets
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane,
Rm. 1061, Rockville, MD 20852. Identify proposals with the docket
number found in brackets in the heading of this document.
FOR FURTHER INFORMATION CONTACT: Latonya Powell, Center for Devices and
Radiological Health, Food and Drug Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 4448, Silver Spring, MD 20993-0002, 301-796-6965,
FAX: 301-827-3079, Latonya.powell@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
CDRH is responsible for ensuring the safety and effectiveness of
medical devices marketed in the United States. Furthermore, CDRH
assures that patients and providers have timely and continued access to
high-quality, safe, and effective medical devices and safe radiation-
emitting products. In support of this mission, the Center launched
various training and development initiatives to enhance performance of
its staff involved in regulatory review and
[[Page 46273]]
in the premarket review process. One of these initiatives, the ELP
Pilot, was launched in 2012 and fully implemented on April 2, 2013 (see
78 FR 19711).
CDRH is committed to advancing regulatory science; providing
industry with predictable, consistent, transparent, and efficient
regulatory pathways; and helping to ensure consumer confidence in
medical devices marketed in the United States and throughout the world.
The ELP General Training Program component is intended to provide CDRH
staff with an opportunity to understand the policies, laboratory
practices, and challenges faced in broader disciplines that impact the
device development life cycle. This component is a collaborative effort
to enhance communication and facilitate the premarket review process.
Furthermore, CDRH is committed to understanding current industry
practices, innovative technologies, regulatory impacts, and regulatory
needs.
These formal training visits are not a mechanism for FDA to
inspect, assess, judge, or perform a regulatory function (e.g.,
compliance inspection), but rather they are an opportunity to provide
CDRH review staff a better understanding of the products they review.
Through this notice, CDRH is formally requesting participation from
companies, academia, and clinical facilities, including those that have
previously participated in the ELP or other FDA site visit programs.
II. ELP General Training Program
A. ELP General Training Component
In this training program, groups of CDRH staff will observe
operations at research, manufacturing, academia, and health care
facilities. The focus areas and specific areas of interest for visits
may include the following:
Table 1--Areas of Interest: Office of Device Evaluation
------------------------------------------------------------------------
Focus area Specific areas of interest
------------------------------------------------------------------------
Biocompatibility testing............... Decisionmaking process for
biocompatibility test
selection; considerations for
use of animal testing vs. in
vitro testing; sample
preparation of nanoscale,
bioabsorbable, and in situ
polymerized materials;
evaluation of color additives.
Combination products................... Devices coated with drug(s);
drug delivery products.
Emerging manufacturing methods......... 3-D printing; additive
manufacturing; additional or
unique validation and
verification activities.
Management of clinical trials for Understanding clinical trial
medical devices. infrastructure, roles,
responsibilities, and
relationships with other
organizations involved in the
management and conduct of
clinical trials; challenges
encountered in obtaining
regulatory approval and
successfully executing a
clinical trial; issues related
to early feasibility studies;
institutional review boards;
clinical research
organizations.
Reprocessing and sterilization......... Reprocessing challenges in the
manufacturing or clinical
environment; validation of
reprocessing or sterilization
instructions; simulated use
testing; unique sterilization
methods (e.g., use of flexible
bags, sound waves, ultraviolet
light, microwave radiation.)
------------------------------------------------------------------------
Table 2--Areas of Interest: Office of In Vitro Diagnostic Devices and
Radiological Health
------------------------------------------------------------------------
Focus area Specific areas of interest
------------------------------------------------------------------------
Manufacturing of in vitro diagnostic Preanalytical devices (i.e.
devices. blood tubes), pathogen
collection devices, micro
collection/transport devices;
general reagents, manual
reagents; general assays,
common point-of-care devices.
Instrument training of medical devices Hands-on instrument and system
(manufacturer or clinical laboratory). training; clinical implication
of common laboratory testing.
Quality system in manufacturing Observation of implemented
environments based on 21 CFR part 820. quality systems practices
based on current good
manufacturing practices.
------------------------------------------------------------------------
B. Site Selection
The Center will be responsible for CDRH staff travel expenses
associated with the site visits. CDRH will not provide funds to support
the training provided by the site to the ELP General Training Program.
Selection of potential facilities will be based on CDRH's priorities
for staff training and resources available to fund this program. In
addition to logistical and other resource factors, all sites must have
a successful compliance record with FDA or another Agency with which
FDA has a memorandum of understanding. If a site visit involves a visit
to a separate physical location of another firm under contract with the
site, that firm must agree to participate in the ELP General Training
program and must also have a satisfactory compliance history.
III. Request for Participation
Submit proposals for participation with the docket number found in
the brackets in the heading of this document. Received requests may be
seen in the Division of Dockets Management (see ADDRESSES) between 9
a.m. and 4 p.m., Monday through Friday, and will be posted to the
docket at https://www.regulations.gov.
The proposal should include a description of your facility relative
to focus areas described in table 1or 2. Please include the Area of
Interest (see table 1or 2) that the site visit will demonstrate to CDRH
staff, a contact person, site visit location(s), length of site visit,
proposed dates, and maximum number of CDRH staff that can be
accommodated during a site visit. Proposals submitted without this
minimum information will not be considered. In addition, please include
an agenda outlining the proposed training for the site visit. A sample
request and agenda are available on the ELP Web site at https://www.fda.gov/downloads/ScienceResearch/ScienceCareerOpportunities/UCM392988.pdf and https://
[[Page 46274]]
www.fda.gov/scienceresearch/sciencecareeropportunities/ucm380676.htm.
Dated: July 31, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2014-18662 Filed 8-6-14; 8:45 am]
BILLING CODE 4164-01-P