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28354 Federal Register / Vol. 71, No.

94 / Tuesday, May 16, 2006 / Notices

for evaluating stability information were 1. Initial Approach DEPARTMENT OF HEALTH AND
demonstrated at an FDA public meeting. HUMAN SERVICES
Because a limited number of
Subsequently, work has been voluntary participants are needed, the
underway in the Regulated Clinical National Institutes of Health
agency will use its discretion in
Research Information Management National Institute of Environmental
choosing volunteers, basing this
technical committee in HL7 to refine the Health Sciences, Proposed Collection;
selection on a firm’s experience with the
data design presented at the meeting Comment Request; The Head Off
preparation of product stability
with the goal of developing an XML Environmental Asthma in Louisiana
standard for the exchange of product documents and data submissions to the
different centers at FDA. During the (HEAL) Study
stability data based on the HL7 version
3 reference information model. HL7 is pilot project specific technical SUMMARY: In compliance with the
an international, open, American instructions for providing the product requirement of section 3506(c)(2)(A) of
National Standards Institute (ANSI) stability data for testing will be made the Paperwork Reduction Act of 1995,
accredited standards development available to participants. Participants in for opportunity for public comment on
organization that focuses on standards the pilot project will be asked to provide proposed data collection projects, the
for the exchange of information related the product stability data as described National Institute of Environmental
to health care. The Stability Data in the technical instructions and to Health Sciences (NIEHS), the National
Standard was adopted by HL7 by a vote provide technical feedback. Institutes of Health (NIH) will publish
of the full membership in May 2005 and periodic summaries of proposed
2. Scope projects to be submitted to the Office of
was adopted as an ANSI standard in
October 2005. FDA is currently Existing expectations for the Management and Budget (OMB) for
considering the adoption of the standard submission of product stability data will review and approval.
as a voluntary standard for transmission not be waived, suspended, or modified Proposed Collection
of stability data in new drug for purposes of this pilot project.
applications, abbreviated new drug Title: The Head Off Environmental
However, aside from metadata Asthma in Louisiana (HEAL) Study.
applications, investigational new drugs, associated with the XML instance, there
new animal drug applications, Type of Information Collection
will be no additional data expectations Request: New collection.
abbreviated new animal drug beyond those data usually submitted in
applications, and investigational new Need and Use of Information
applications. The pilot project will test Collection: The purpose of the HEAL
animal drugs. the preparation and use of the submitted Study is to design, implement and
The purpose of this pilot project is to product stability data. evaluate a case management program to
assist in the evaluation of the data intervene in asthma morbidity and
interchange standard, provide data for 3. How to Participate and Submit
Comments examine the genetic and environmental
testing the analytical tools designed to risk factors in children in post-Katrina
facilitate the review of product stability New Orleans. Asthma is the most
Written and electronic requests to
data and to obtain feedback from common chronic disease among
volunteer should be submitted to the
reviewers and pharmaceutical children in the United States; it is the
docket number found in the heading of
companies on the creation and use of number one reason children miss school
standardized product stability data. this document. In addition to requests to
participate, interested persons can and the second leading cause of
II. Pilot Project Description submit to the Division of Dockets emergency department visits after
Management (see ADDRESSES) written or accidents and injuries. Asthma
This pilot project is part of an effort electronic comments regarding this pilot prevalence has been increasing
to improve the process for submitting dramatically, especially among minority
project. Two paper copies of any
and reviewing product stability data by inner-city children, where rates as high
comments are to be submitted, except
increasing the consistency of the as 24% have been observed in some
process (by establishing a uniform that individuals can submit one paper urban census areas. Overall rates of
procedure). A consistent look and feel is copy. Comments are to be identified asthma have also increased in post-
expected to facilitate the review of this with the docket number found in Katrina Louisiana children from 14%
data. Eventually, there is the brackets in the heading of this (2003) to 18% (2006) according to
expectation that a detailed data document. We will consider all received results from the Louisiana Child &
interchange standard for the submission comments in making a determination on Family Health Study, and may be even
of product stability data will be defined adopting the data interchange standard higher for minority and underprivileged
based on the HL7 model. As the HL7 as a voluntary standard for the children or children residing in certain
model was developed via a electronic submission of product geographical areas that were affected by
collaboration between industry and stability data. post-Katrina flooding. For the HEAL
FDA, certain portions of the model may Dated: May 8, 2006. Study, a school-based screening survey
be useful for industry, but not needed in will be given to children (5 to 12 years
Jefrey Shuren,
submissions to FDA. Consequently, the of age) in the public and/or private
HL7 stability model may be adopted in Assistant Commissioner for Policy. elementary schools in New Orleans.
whole or in part. Participants in this [FR Doc. E6–7391 Filed 5–15–06; 8:45 am] This survey will take about 15 minutes
pilot project will have the opportunity BILLING CODE 4160–01–S to complete and contains questions
not only to assist FDA in testing the concerning physician diagnosed asthma,
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stability data interchange standard, but asthma morbidity, healthcare, and


will also be able to familiarize current housing situation, as well as
themselves with the process at an early recent and planned changes in housing.
stage of development. Only a few The major purpose of the school-based
participants are needed for this pilot. survey will be to identify up to 1,000

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Federal Register / Vol. 71, No. 94 / Tuesday, May 16, 2006 / Notices 28355

children with moderate to severe allergen skin prick testing for indoor population of post-Katrina children to
asthma for a tailored Asthma Counselor and outdoor allergens including molds, reduce their asthma morbidity and
case management intervention program and blood draws for allergen specific improve their quality of life. These
and for an in depth examination of the IgE and genetic studies. Following the strategies could potentially be used to
genetic and environmental risk factors baseline assessments, the Asthma intervene in other future disasters
associated with asthma. We expect that Counselors will refer the children to similar to hurricane Katrina.
about 6,000 parents or guardians will selected clinics for treatment and will Estimated Number of Respondents:
have to be interviewed in order to monitor their progress by conducting The estimated number of respondents is
identify 1,000 eligible cases. periodic follow-up assessments which 40,000 which includes the parents or
Case management will be designed to include a phone call with standardized guardians of 1,000 children enrolled in
address the unique challenges presented questions about morbidity, treatment the case management intervention and
to these children with asthma in post- and exposures every two months (about environmental assessment programs.
Katrina New Orleans and will draw 15 min each) and 2 periodic evaluations Affected Public: Individuals or
upon the prior Inner City Asthma of pulmonary function. A final households.
intervention programs of the National assessment will occur at the end of the Type of Respondents: Children with
Institutes of Health. It will also include year similar to the baseline assessment asthma 5 to 12 years of age or their
the best components of the locally based and take about 1 hour to complete. parents or guardians.
Step Together New Orleans (Steps) and In light of the impact of The annual reporting burden is as
the Open Airways (American Lung environmental exposures on asthma, a follows:
Association) programs, among others. complete evaluation will also be Estimated Number of Responses per
Each child will undergo a baseline conducted of each child’s housing. This Respondent: The table below shows the
assessment in the form of a will entail the collection of estimated number of responses per
questionnaire administered to their environmental samples such as settled respondent per activity over the next
parents or guardians. This will contain dust samples for potential allergens and two years.
questions concerning their triggers for asthma exacerbation (dust Average Burden Hours per Response:
demographics, stress, access to care, mite, cockroach, cat, dog, mouse, and 0.36; and
medication use, current and past endotoxin) and air for airborne fungal Estimated Total Annual Burden
symptoms, quality of life, knowledge spores. The houses will be evaluated by Hours Requested: 20,500 over 2 years.
and attitudes about asthma, and trained technicians for the presence of The average annual burden hours
environmental exposures. The mold, mildew, evidence of smoking, requested is 10,250. The annualized cost
questionnaire will be administered by water leaks, disrepair, pests and other to respondents is estimated at $7.20
professional interviewers and will take potential asthma triggers. The ultimate (assuming $20 hourly wage). There are
about 1 hour to complete. Each child goal of this study is to develop case no Capital Costs to report. There are no
will also undergo a baseline clinical management and environmental Operating or Maintenance Costs to
assessment for pulmonary function, intervention strategies for this report.

Estimated Estimated Average burden Estimated total


Activity number of responses per hours per burden hours
respondents respondent response requested

School-based eligibility screening ................................................... 40,000 1 0.25 10,000


Enrollment interview ........................................................................ 6,000 1 0.5 3,000
Baseline QX assessment ................................................................ 1,000 1 1.25 1,250
Baseline Medical assessment ......................................................... 1,000 1 2 2,000
Phone follow-up ............................................................................... 1,000 6 0.25 1,500
Pulmonary function assessment ...................................................... 1,000 2 1 2,000
Yearly follow-up ............................................................................... 1,000 1 2 1,000

Total .......................................................................................... ............................ ............................ ............................ 20,750

Request for comments: Written are to respond, including the use of received within 60 days of the date of
comments and/or suggestions from the appropriate automated, electronic, this publication.
public and affected agencies are invited mechanical, or other technological Dated: May 4, 2006.
on one or more of the following points: collection techniques or other forms of Richard A. Freed,
(1) Whether the proposed collection of information technology. Associate Director for Management, NIEHS.
information is necessary for the proper FOR FURTHER INFORMATION CONTACT: To [FR Doc. 06–4571 Filed 5–15–06; 8:45am]
performance of the function of the request more information on the BILLING CODE 4140–01–M
agency, including whether the proposed project or to obtain a copy of
information will have practical utility; the data collection plans and
(2) The accuracy of the agency’s instruments, contact: Patricia Chulada, DEPARTMENT OF HEALTH AND
estimate of the burden of the proposed NIEHS, P.O. Box 12233, Research HUMAN SERVICES
collection of information, including the Triangle Park, NC 27709 or call non-toll-
validity of the methodology and free number (919) 541–7736 or e-mail National Institutes of Health
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assumptions used; (3) Ways to enhance your request, including your address to
the quality, utility, and clarity of the chulada@niehs.nih.gov. Government-Owned Inventions;
Availability for Licensing
information to be collected; and (4) Comments due date: Comments
Ways to minimize the burden of the regarding this information collection are AGENCY: National Institutes of Health,
collection of information on those who best assured of having their full effect if Public Health Service, HHS.

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