Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Shortage Designation Management System (SDMS), 17584-17585 [2023-05986]

Download as PDF 17584 Federal Register / Vol. 88, No. 56 / Thursday, March 23, 2023 / Notices the exemption to permit the clinical investigations of the drug becomes effective and runs until the approval phase begins. The approval phase starts with the initial submission of an application to market the human drug product and continues until FDA grants permission to market the drug product. Although only a portion of a regulatory review period may count toward the actual amount of extension that the Director of USPTO may award (for example, half the testing phase must be subtracted as well as any time that may have occurred before the patent was issued), FDA’s determination of the length of a regulatory review period for a human drug product will include all of the testing phase and approval phase as specified in 35 U.S.C. 156(g)(1)(B). FDA has approved for marketing the human drug product, TEGSEDI (inotersen sodium) indicated for treatment of the polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults. Subsequent to this approval, the USPTO received patent term restoration applications for TEGSEDI (U.S. Patent Nos. 8,101,743; 9,061,044; 9,399,774) from Ionis Pharmaceuticals, Inc. and the USPTO requested FDA’s assistance in determining the patents’ eligibility for patent term restoration. In, letters dated October 29, 2019, and November 29, 2019, FDA advised the USPTO that this human drug product had undergone a regulatory review period and that the approval of TEGSEDI represented the first permitted commercial marketing or use of the product. Thereafter, the USPTO requested that FDA determine the product’s regulatory review period. ddrumheller on DSK120RN23PROD with NOTICES1 II. Determination of Regulatory Review Period FDA has determined that the applicable regulatory review period for TEGSEDI is 2,158 days. Of this time, 1,824 days occurred during the testing phase of the regulatory review period, while 334 days occurred during the approval phase. These periods of time were derived from the following dates: 1. The date an exemption under section 505(i) of the Federal Food, Drug, and Cosmetic Act (FD&C Act) (21 U.S.C. 355(i)) became effective: November 9, 2012. FDA has verified the applicant’s claim that the date the investigational new drug application became effective was on November 9, 2012. 2. The date the application was initially submitted with respect to the human drug product under section 505 of the FD&C Act: November 6, 2017. FDA has verified the applicant’s claim that the new drug application (NDA) for VerDate Sep<11>2014 19:23 Mar 22, 2023 Jkt 259001 TEGSEDI (NDA 211172) was initially submitted on November 6, 2017. 3. The date the application was approved: October 5, 2018. FDA has verified the applicant’s claim that NDA 211172 was approved on October 5, 2018. This determination of the regulatory review period establishes the maximum potential length of a patent extension. However, the USPTO applies several statutory limitations in its calculations of the actual period for patent extension. In its applications for patent extension, this applicant seeks 526 days or 1,246 days of patent term extension. III. Petitions Dated: March 17, 2023. Lauren K. Roth, Associate Commissioner for Policy. [FR Doc. 2023–05906 Filed 3–22–23; 8:45 am] BILLING CODE 4164–01–P Frm 00069 Health Resources and Services Administration [OMB No. 0906–0029—Extension] Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Shortage Designation Management System (SDMS) Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. AGENCY: In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR. DATES: Comments on this ICR should be received no later than April 24, 2023. ADDRESSES: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under Review—Open for Public Comments’’ or by using the search function. FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance requests submitted to OMB for review, email Samantha Miller, the Acting HRSA Information Collection Clearance Officer, at paperwork@hrsa.gov or call 301–594–4394. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference. Information Collection Request Title: Shortage Designation Management System. OMB No.: 0906–0029—Extension. Abstract: HRSA is committed to improving the health of the nation’s underserved communities by developing, implementing, evaluating, and refining programs that strengthen the nation’s health workforce. The Department of Health and Human Services relies on two federal shortage designations to identify and dedicate SUMMARY: Anyone with knowledge that any of the dates as published are incorrect may submit either electronic or written comments and, under 21 CFR 60.24, ask for a redetermination (see DATES). Furthermore, as specified in § 60.30 (21 CFR 60.30), any interested person may petition FDA for a determination regarding whether the applicant for extension acted with due diligence during the regulatory review period. To meet its burden, the petition must comply with all the requirements of § 60.30, including but not limited to: must be timely (see DATES), must be filed in accordance with § 10.20, must contain sufficient facts to merit an FDA investigation, and must certify that a true and complete copy of the petition has been served upon the patent applicant. (See H. Rept. 857, part 1, 98th Cong., 2d sess., pp. 41–42, 1984.) Petitions should be in the format specified in 21 CFR 10.30. Submit petitions electronically to https://www.regulations.gov at Docket Nos. FDA–2013–S–0610. Submit written petitions (two copies are required) to the Dockets Management Staff (HFA–305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. PO 00000 DEPARTMENT OF HEALTH AND HUMAN SERVICES Fmt 4703 Sfmt 4703 E:\FR\FM\23MRN1.SGM 23MRN1 17585 Federal Register / Vol. 88, No. 56 / Thursday, March 23, 2023 / Notices resources to areas and populations in greatest need of providers: Health Professional Shortage Area (HPSA) designations and Medically Underserved Area/Medically Underserved Population (MUA/P) designations. HPSA designations are geographic areas, population groups, and facilities that are experiencing a shortage of health professionals. The authorizing statute for the National Health Service Corps (NHSC) created HPSAs to fulfill the statutory requirement that NHSC personnel be directed to areas of greatest need. To further differentiate areas of greatest need, HRSA calculates a score for each HPSA. There are three categories of HPSAs based on health discipline: primary care, dental health, and mental health. Scores range from 1 to 25 for primary care and mental health and from 1 to 26 for dental, with higher scores indicating greater need. They are used to prioritize applications for NHSC Loan Repayment Program award funding and determine service sites eligible to receive NHSC Scholarship and Students-to-Service participants. MUA/P designations are geographic areas, or population groups within geographic areas, that are experiencing a shortage of primary care health care services based on the Index of Medical Underservice. MUAs are designated for the entire population of a particular geographic area. MUP designations are limited to a particular subset of the population within a geographic area. Both designations were created to aid the federal government in identifying areas with healthcare workforce shortages. As part of HRSA’s cooperative agreement with the State Primary Care Offices (PCOs), the State PCOs conduct needs assessments in their states, determine what areas are eligible for designations, and submit designation applications for HRSA review via the Shortage Designation Management System (SDMS). Requests that come from other sources are referred to the PCOs for their review, concurrence, and submission via SDMS. In order to obtain a federal shortage designation for an area, population, or facility, PCOs must submit a shortage designation application through SDMS for review and approval by HRSA. Both the HPSA and MUA/P application request local, state, and national data on the population that is experiencing a shortage of health professionals and the number of health professionals relative to the population covered by the proposed designation. The information collected on the applications is used to determine which areas, populations, and facilities have qualifying shortages. In addition, interested parties, including the Governor, the State PCO, state professional associations, etc. are notified of each designation request submitted via SDMS for their comments and recommendations. HRSA reviews the HPSA applications submitted by the State PCOs, and—if they meet the designation eligibility criteria for the type of HPSA or MUA/ P in the application—designates the HPSA or MUA/P on behalf of the Secretary. HPSAs are statutorily required to be annually reviewed and revised as necessary after initial designation to reflect current data. HPSA scores, therefore, may and do change from time to time. MUA/Ps do not have a statutorily mandated review period. The lists of designated HPSAs are published annually in the Federal Register. In addition, lists of HPSAs are updated on the HRSA website, so that interested parties can access the information. A 60-day Notice was published in the Federal Register, 88, FR pp. 360–361 (January 4, 2023). There were no public comments. Need and Proposed Use of the Information: The information obtained from the SDMS application is used to determine which areas, populations, and facilities have critical shortages of health professionals per PCO application submission. The SDMS HPSA application and SDMS MUA/P application are used for these designation determinations. Applicants must submit a SDMS application to the HRSA Bureau of Health Workforce to obtain a federal shortage designation. The application asks for local, state, and national data required to determine the application’s eligibility to obtain a federal shortage designation. In addition, applicants must enter detailed information explaining how the area, population, or facility faces a critical shortage of health professionals. Likely Respondents: State PCOs interested in obtaining a primary care, dental, or mental HPSA designation or a MUA/P in their state. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose, or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install, and utilize technology and systems for the purpose of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below. TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents ddrumheller on DSK120RN23PROD with NOTICES1 Form name Number of responses per respondent Average burden per response (in hours) Total responses Total burden hours Designation Planning and Preparation ................................ SDMS Application ................................................................ 54 54 48 83 2,592 4,482 8 4 20,736 17,928 Total .............................................................................. 54 ........................ 7,074 ........................ 38,664 HRSA specifically requests comments on: (1) the necessity and utility of the proposed information collection for the proper performance of the agency’s functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the VerDate Sep<11>2014 19:23 Mar 22, 2023 Jkt 259001 information to be collected; and (4) the use of automated collection techniques or other forms of information PO 00000 technology to minimize the information collection burden. Maria G. Button, Director, Executive Secretariat. [FR Doc. 2023–05986 Filed 3–22–23; 8:45 am] BILLING CODE 4165–15–P Frm 00070 Fmt 4703 Sfmt 9990 E:\FR\FM\23MRN1.SGM 23MRN1

Agencies

[Federal Register Volume 88, Number 56 (Thursday, March 23, 2023)]
[Notices]
[Pages 17584-17585]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-05986]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

[OMB No. 0906-0029--Extension]


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; Information Collection Request Title: Shortage 
Designation Management System (SDMS)

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

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

SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects of the Paperwork Reduction 
Act of 1995, HRSA announces plans to submit an Information Collection 
Request (ICR), described below, to the Office of Management and Budget 
(OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the 
public regarding the burden estimate, below, or any other aspect of the 
ICR.

DATES: Comments on this ICR should be received no later than April 24, 
2023.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Samantha Miller, the Acting 
HRSA Information Collection Clearance Officer, at [email protected] or 
call 301-594-4394.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Shortage Designation 
Management System.
    OMB No.: 0906-0029--Extension.
    Abstract: HRSA is committed to improving the health of the nation's 
underserved communities by developing, implementing, evaluating, and 
refining programs that strengthen the nation's health workforce. The 
Department of Health and Human Services relies on two federal shortage 
designations to identify and dedicate

[[Page 17585]]

resources to areas and populations in greatest need of providers: 
Health Professional Shortage Area (HPSA) designations and Medically 
Underserved Area/Medically Underserved Population (MUA/P) designations. 
HPSA designations are geographic areas, population groups, and 
facilities that are experiencing a shortage of health professionals. 
The authorizing statute for the National Health Service Corps (NHSC) 
created HPSAs to fulfill the statutory requirement that NHSC personnel 
be directed to areas of greatest need. To further differentiate areas 
of greatest need, HRSA calculates a score for each HPSA. There are 
three categories of HPSAs based on health discipline: primary care, 
dental health, and mental health. Scores range from 1 to 25 for primary 
care and mental health and from 1 to 26 for dental, with higher scores 
indicating greater need. They are used to prioritize applications for 
NHSC Loan Repayment Program award funding and determine service sites 
eligible to receive NHSC Scholarship and Students-to-Service 
participants.
    MUA/P designations are geographic areas, or population groups 
within geographic areas, that are experiencing a shortage of primary 
care health care services based on the Index of Medical Underservice. 
MUAs are designated for the entire population of a particular 
geographic area. MUP designations are limited to a particular subset of 
the population within a geographic area. Both designations were created 
to aid the federal government in identifying areas with healthcare 
workforce shortages.
    As part of HRSA's cooperative agreement with the State Primary Care 
Offices (PCOs), the State PCOs conduct needs assessments in their 
states, determine what areas are eligible for designations, and submit 
designation applications for HRSA review via the Shortage Designation 
Management System (SDMS). Requests that come from other sources are 
referred to the PCOs for their review, concurrence, and submission via 
SDMS. In order to obtain a federal shortage designation for an area, 
population, or facility, PCOs must submit a shortage designation 
application through SDMS for review and approval by HRSA. Both the HPSA 
and MUA/P application request local, state, and national data on the 
population that is experiencing a shortage of health professionals and 
the number of health professionals relative to the population covered 
by the proposed designation. The information collected on the 
applications is used to determine which areas, populations, and 
facilities have qualifying shortages.
    In addition, interested parties, including the Governor, the State 
PCO, state professional associations, etc. are notified of each 
designation request submitted via SDMS for their comments and 
recommendations.
    HRSA reviews the HPSA applications submitted by the State PCOs, 
and--if they meet the designation eligibility criteria for the type of 
HPSA or MUA/P in the application--designates the HPSA or MUA/P on 
behalf of the Secretary. HPSAs are statutorily required to be annually 
reviewed and revised as necessary after initial designation to reflect 
current data. HPSA scores, therefore, may and do change from time to 
time. MUA/Ps do not have a statutorily mandated review period.
    The lists of designated HPSAs are published annually in the Federal 
Register. In addition, lists of HPSAs are updated on the HRSA website, 
so that interested parties can access the information.
    A 60-day Notice was published in the Federal Register, 88, FR pp. 
360-361 (January 4, 2023). There were no public comments.
    Need and Proposed Use of the Information: The information obtained 
from the SDMS application is used to determine which areas, 
populations, and facilities have critical shortages of health 
professionals per PCO application submission. The SDMS HPSA application 
and SDMS MUA/P application are used for these designation 
determinations. Applicants must submit a SDMS application to the HRSA 
Bureau of Health Workforce to obtain a federal shortage designation. 
The application asks for local, state, and national data required to 
determine the application's eligibility to obtain a federal shortage 
designation. In addition, applicants must enter detailed information 
explaining how the area, population, or facility faces a critical 
shortage of health professionals.
    Likely Respondents: State PCOs interested in obtaining a primary 
care, dental, or mental HPSA designation or a MUA/P in their state.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install, and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this ICR are summarized in the table below.

                                     Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Designation Planning and                      54              48           2,592               8          20,736
 Preparation....................
SDMS Application................              54              83           4,482               4          17,928
                                 -------------------------------------------------------------------------------
    Total.......................              54  ..............           7,074  ..............          38,664
----------------------------------------------------------------------------------------------------------------

    HRSA specifically requests comments on: (1) the necessity and 
utility of the proposed information collection for the proper 
performance of the agency's functions; (2) the accuracy of the 
estimated burden; (3) ways to enhance the quality, utility, and clarity 
of the information to be collected; and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2023-05986 Filed 3-22-23; 8:45 am]
BILLING CODE 4165-15-P


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