Advisory Council on Blood Stem Cell Transplantation, 68505-68506 [2022-24788]
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68505
Federal Register / Vol. 87, No. 219 / Tuesday, November 15, 2022 / Notices
1 percent or less of the acceptable daily
intake for these substances.
To determine whether the intended
use of a substance in a food-contact
article meets the threshold criteria,
certain information specified in
§ 170.39(c) must be submitted to FDA.
This information includes the following
components: (1) the chemical
composition of the substance for which
the request is made; (2) detailed
information on the conditions of use of
the substance; (3) a clear statement of
the basis for the request for exemption
from regulation as a food additive; (4)
data that will enable FDA to estimate
the daily dietary concentration resulting
from the proposed use of the substance;
(5) results of a literature search for
toxicological data on the substance and
its impurities; and (6) information on
the environmental impact that would
result from the proposed use. We use
this information to determine whether
the food-contact substance meets the
threshold criteria.
Description of Respondents:
Respondents to this information
collection are individual manufacturers
and suppliers of substances used in
food-contact articles (i.e., food
packaging and food processing
equipment) or of the articles themselves.
In the Federal Register of April 7,
2022 (87 FR 20433), FDA published a
60-day notice requesting public
comment on the proposed collection of
information. No comments were
received.
FDA estimates the burden of this
collection of information as follows:
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
Threshold of regulation for substances used in food-contact articles .......................................................................
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1 There
Number of
responses per
respondent
Number of
respondents
21 CFR 170.39
I
7
I
1
Average
burden per
response
Total annual
responses
I
I
7
48
Total hours
I
336
are no capital costs or operating and maintenance costs associated with this collection of information.
The threshold of regulation process
offers one advantage over the premarket
notification process for food-contact
substances established by section 409(h)
of the FD&C Act (OMB control number
0910–0495) in that the use of a
substance exempted by FDA is not
limited to only the manufacturer or
supplier who submitted the request for
an exemption. Other manufacturers or
suppliers may use exempted substances
in food-contact articles as long as the
conditions of use (e.g., use levels,
temperature, type of food contacted,
etc.) are those for which the exemption
was issued. As a result, the overall
burden on both Agency and the
regulated industry would be
significantly less in that other
manufacturers and suppliers would not
have to prepare, and we would not have
to review, similar submissions for
identical components of food-contact
articles used under identical conditions.
Manufacturers and other interested
persons can easily access an up-to-date
list of exempted substances which is on
display at FDA’s Dockets Management
Staff and on the internet at https://
www.fda.gov/food/packaging-foodcontact-substances-fcs/thresholdregulation-exemptions-substances-usedfood-contact-articles. Having the list of
exempted substances publicly available
decreases the likelihood that a company
would submit a food additive petition or
a notification for the same type of foodcontact application of a substance for
which the Agency has previously
granted an exemption from the food
additive listing regulation requirement.
Based on a review of the information
collection since our last request for
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OMB approval, we have made no
adjustments to our burden estimate.
Dated: November 9, 2022.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2022–24801 Filed 11–14–22; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Advisory Council on Blood Stem Cell
Transplantation
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In accordance with the
Federal Advisory Committee Act, this
notice announces that the Secretary’s
Advisory Council on Blood Stem Cell
Transplantation (ACBSCT) has
scheduled public meetings. Information
about ACBSCT and the agenda for these
meetings can be found on the ACBSCT
website at https://bloodstemcell.
hrsa.gov/about/advisory-council.
DATES:
• Monday, December 5, 2022, 12–4
p.m. Eastern Time; and
• Tuesday, December 6, 2022, 12–4
p.m. Eastern Time.
ADDRESSES: This meeting will be held
virtually by webinar. A link to register
and join the meeting will be posted at
least 10 days prior to the meeting at
https://bloodstemcell.hrsa.gov/about/
advisory-council.
SUMMARY:
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FOR FURTHER INFORMATION CONTACT:
Shelley Grant, Designated Federal
Official, at the HRSA’s Health Systems
Bureau, Division of Transplantation,
5600 Fishers Lane, 8W–67, Rockville,
Maryland 20857; 301–443–8036; or
ACBSCTHRSA@hrsa.gov.
SUPPLEMENTARY INFORMATION: ACBSCT
provides advice and recommendations
to the Secretary of Health and Human
Services (Secretary) on policy, program
development, and other matters of
significance concerning the activities
under the authority of 42 U.S.C. Section
274k, Section 379 of the Public Health
Service Act, as amended, and Public
Law 109–129, and as amended.
During the December 5 and December
6, 2022, meetings, ACBSCT will discuss
the impact of COVID–19 on blood stem
cell donation and transplantation;
unmet needs in blood stem cell
transplantation and cellular therapy;
strategies to improve rates of adult
blood stem donation; and other areas to
increase blood stem cell donation and
transplantation. Agenda items are
subject to change as priorities dictate.
Refer to the ACBSCT website for any
updated information concerning the
meeting. Members of the public will
have the opportunity to provide
comments. Public participants may
submit written statements in advance of
the scheduled meetings; oral comments
will be honored in the order they are
requested and may be limited as time
allows. Requests to submit a written
statement or make oral comments to
ACBSCT should be sent to Shelley
Grant using the contact information
above at least 3 business days prior to
the meeting. Individuals who plan to
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68506
Federal Register / Vol. 87, No. 219 / Tuesday, November 15, 2022 / Notices
attend and need special assistance or
another reasonable accommodation
should notify ACBSCT at the address
and phone number listed above at least
10 business days prior to the meeting.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2022–24788 Filed 11–14–22; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Notice for Public Comments on
Healthcare-Associated Infections (HAI)
National Action Plan Targets
Office of Infectious Disease and
HIV/AIDS Policy, Office of the Assistant
Secretary for Health, Department of
Health and Human Services, Office of
the Secretary, Department of Health and
Human Services.
ACTION: Notice for public comment.
AGENCY:
The Department of Health and
Human Services’ (HHS) Office of
Infectious Disease and HIV/AIDS Policy
(OIDP) in the Office of the Assistant
Secretary for Health (OASH) announces
the draft targets for updating the
Healthcare-Associated Infections (HAI)
National Action Plan, Phase 1, Acute
Care Hospitals, for public comment. The
HHS Core Group of the HAI National
Action Plan reviewed data prepandemic and between 2020 and 2021
and developed potential 5-year targets
based on assumptions that current HAI
rates should return to pre-pandemic
baseline rates within 2 years or within
3 years when determining these 5-year
targets. The HHS HAI NAP Core Group
recommends 5-year targets assuming a
return to pre-pandemic baseline rates
within 3 years based on two
fundamentals: (1) pandemic-related
challenges will likely persist in
upcoming years, and (2) the pandemic
has caused major strains on the health
care system which make a 3-year
timeline to achieve pre-pandemic
Standardized Infection Ratio (SIR) the
most appropriate choice. The draft
targets are below.
DATES: All comments must be received
by 5:00 p.m. ET on January 13, 2023, to
be considered.
ADDRESSES: All comments must be
submitted electronically to OIDP-HAI@
hhs.gov to be considered.
FOR FURTHER INFORMATION CONTACT:
Chinedu R. Okeke, OIDP, Medical
Officer at chinedu.okeke@hhs.gov or
202–868–8872.
SUPPLEMENTARY INFORMATION: Healthcare
Associated Infections (HAIs) are
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SUMMARY:
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infections that patients get while
receiving care or treatment, and many
HAIs are preventable. Modern
healthcare employs many types of
invasive devices and procedures to treat
patients and to help them recover.
Infections can be associated with
surgeries and the devices used in
medical procedures, such as catheters or
ventilators and due to the transmission
of pathogens. HAIs are an important
cause of morbidity and mortality in the
United States and are associated with a
substantial increase in healthcare costs
each year. At any given time in the US,
1 out of every 31 hospitalized patients
are affected by an HAI. HAIs occur in
all types of care settings, including
acute care hospitals, ambulatory
surgical centers, dialysis facilities,
outpatient care, and long-term care
facilities. The updates here are for phase
1 of the action plan, which focuses on
acute care hospitals.
HAIs are a significant source of
complications across the continuum of
care and can be transmitted between
different healthcare facilities. However,
recent studies suggest that
implementing existing prevention
practices can lead up to a 70 percent
reduction in certain HAIs. Likewise,
recent modeling data suggests that
substantial reductions in resistant
bacteria, like MRSA, can be achieved
through coordinated activities between
healthcare facilities in each region. The
financial benefit of using these
prevention practices is estimated to be
$25 billion to $31.5 billion in medical
cost savings. Risk factors for HAIs can
be grouped into three general categories:
medical procedures and antibiotic use,
organizational factors, including risks
for pathogen transmission, and patient
characteristics. The behaviors of health
care providers and their interactions
with the health care system also
influence the rate of HAIs.
To provide a roadmap for HAI
prevention, HHS released the National
Action Plan to Prevent Health CareAssociated Infections: Roadmap to
Elimination (HAI National Action Plan)
in 2009 with updates to phase 1, acute
care hospitals made in 2013 and 2018.
In 2020, HHS leadership transitioned
the HAI portfolio to the Office of
Infectious Disease and HIV/AIDS Policy
(OIDP). To date, OIDP is the lead for the
federal steering committee and charged
with leading the process to update the
HAI National Action Plan. Due to the
COVID–19 pandemic, HHS and
implementing agencies delayed the
process of updating the national action
plan and indicator targets for HAIs in
acute care hospitals due to data
instability. This proposed update would
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include new indicator targets for certain
HAIs in acute care hospitals.
Goals
All Goals Are Five-Year Goals With the
Baseline Year Being 2023 and the Goal
Year Being 2028
• Reduce central line-associated
bloodstream infections (CLABSI) in
intensive care units and ward-located
patients by 40% from 2023–2028
• Reduce catheter-associated urinary
tracts infections (CAUTI) in intensive
care units and ward-located patients
by 25% from 2023–2028
• Reduce hospital-onset MRSA
bacteremia by 40% from 2023–2028
• Reduce hospital-onset Clostridioides
difficile infections (CDI) by 20% from
2023–2028
Of note, the previous iteration of the
HAI national action plan included
targets for reducing surgical site
infections (SSI). However, during the
period of 2020–2022, there has been
significant data instability for SSI due to
variable surgical volume related to
deferral of elective surgeries in hospitals
undergoing COVID surges. The HAI
national action plan Core Group
therefore decided not to establish targets
for SSI at this time.
Information Needs
HHS seeks to obtain feedback from
external stakeholders on the following:
1. Are the draft targets realistic and
achievable?
2. Are there any critical gaps in the
draft targets? If so, please specify the
gaps.
3. Do you have any concerns about
the targets? If so, please specify, and
describe the concern regarding it.
Each commenter is limited to a
maximum of seven pages.
Dated: November 2, 2022,
B. Kaye Hayes,
Deputy Assistant Secretary for Infectious
Disease, Director, Office of Infectious Disease
and HIV/AIDS Policy, Executive Director,
Presidential Advisory Council on HIV/AIDS,
Office of the Assistant Secretary for Health,
Department of Health and Human Services.
[FR Doc. 2022–24822 Filed 11–14–22; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Diabetes and
Digestive and Kidney Diseases; Notice
of Closed Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
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Agencies
[Federal Register Volume 87, Number 219 (Tuesday, November 15, 2022)]
[Notices]
[Pages 68505-68506]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-24788]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Advisory Council on Blood Stem Cell Transplantation
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In accordance with the Federal Advisory Committee Act, this
notice announces that the Secretary's Advisory Council on Blood Stem
Cell Transplantation (ACBSCT) has scheduled public meetings.
Information about ACBSCT and the agenda for these meetings can be found
on the ACBSCT website at https://bloodstemcell.hrsa.gov/about/advisory-council.
DATES:
Monday, December 5, 2022, 12-4 p.m. Eastern Time; and
Tuesday, December 6, 2022, 12-4 p.m. Eastern Time.
ADDRESSES: This meeting will be held virtually by webinar. A link to
register and join the meeting will be posted at least 10 days prior to
the meeting at https://bloodstemcell.hrsa.gov/about/advisory-council.
FOR FURTHER INFORMATION CONTACT: Shelley Grant, Designated Federal
Official, at the HRSA's Health Systems Bureau, Division of
Transplantation, 5600 Fishers Lane, 8W-67, Rockville, Maryland 20857;
301-443-8036; or [email protected].
SUPPLEMENTARY INFORMATION: ACBSCT provides advice and recommendations
to the Secretary of Health and Human Services (Secretary) on policy,
program development, and other matters of significance concerning the
activities under the authority of 42 U.S.C. Section 274k, Section 379
of the Public Health Service Act, as amended, and Public Law 109-129,
and as amended.
During the December 5 and December 6, 2022, meetings, ACBSCT will
discuss the impact of COVID-19 on blood stem cell donation and
transplantation; unmet needs in blood stem cell transplantation and
cellular therapy; strategies to improve rates of adult blood stem
donation; and other areas to increase blood stem cell donation and
transplantation. Agenda items are subject to change as priorities
dictate. Refer to the ACBSCT website for any updated information
concerning the meeting. Members of the public will have the opportunity
to provide comments. Public participants may submit written statements
in advance of the scheduled meetings; oral comments will be honored in
the order they are requested and may be limited as time allows.
Requests to submit a written statement or make oral comments to ACBSCT
should be sent to Shelley Grant using the contact information above at
least 3 business days prior to the meeting. Individuals who plan to
[[Page 68506]]
attend and need special assistance or another reasonable accommodation
should notify ACBSCT at the address and phone number listed above at
least 10 business days prior to the meeting.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2022-24788 Filed 11-14-22; 8:45 am]
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