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68818 Federal Register / Vol. 71, No.

228 / Tuesday, November 28, 2006 / Notices

liquidity, credit, and operational risks DEPARTMENT OF HEALTH AND DEPARTMENT OF HEALTH AND
related to Fedwire funds transfers, HUMAN SERVICES HUMAN SERVICES
especially late-day transfers. The paper
also requested views on potential Office of the National Coordinator for Administration for Children and
changes in market practices, operations, Health Information Technology; Families
and the Board’s Payments System Risk American Health Information
Community Meeting Proposed Information Collection
policy that could reduce one or more of
Activity; Comment Request
these risks. The consultation paper ACTION: Announcement of meeting.
stated that comments must be submitted Proposed Projects:
on or before December 15, 2006. SUMMARY: This notice announces the Title: Annual Maintenance-of-Effort
tenth meeting of the American Health (MOE) Report.
The Board received a letter from an
Information Community in accordance OMB No.: 0970–0248.
industry group, whose members include with the Federal Advisory Committee
a number of large U.S. depository Description: The Administration for
Act (Pub. L. No. 92–463, 5 U.S.C., App.) Children and Families (ACF) is
institutions and foreign banking The American Health Information
organizations, requesting, on behalf of requesting a three-year extension of the
Community will advise the Secretary ACF–204 (Annual MOE Report). The
that group and its members, an and recommend specific actions to
extension of the comment period. Based report is used to collect descriptive
achieve a common interoperability program characteristics information on
on interactions the Board has had with framework for health information the programs operated by States and
this group, its members, and other technology (IT). Territories in association with their
interested parties, the Board believes DATES: December 12, 2006, from 8:30 Temporary Assistance for Needy
that an extension would enable these a.m. to 12 p.m. Families (TANF) programs. All State
organizations to investigate further the ADDRESSES: Hubert H. Humphrey and Territory expenditures claimed
drivers of their liquidity management building (200 Independence Avenue, toward States’ and Territories’ MOE
practices and late-day Fedwire funds SW., Washington, DC 20201), requirements must be appropriate, i.e.,
transfers. The extension will also allow Conference Room 800. meet all applicable MOE requirements.
a range of organizations more time to FOR FURTHER INFORMATION CONTACT: Visit The Annual MOE Report provides the
provide a thorough response to the http://www.hhs.gov/healthit/ahic.html. ability to learn about and to monitor the
consultation paper. Consequently, the SUPPLEMENTARY INFORMATION: The nature of State and Territory
Board has decided to extend the Community will discuss state-federal expenditures used to meet State’s and
comment period on the consultation health information exchange technology Territories’ MOE requirements, and it is
paper by 90 days. The comment period and coordination, the development of an important source of information
will now end March 15, 2007. proto-use cases, and an update on the about the different ways that States and
Personalized Healthcare Workgroup. Territories are using their resources to
A Web cast of the Community help families attain and maintain self-
By order of the Board of Governors of the
meeting will be available on the NIH sufficiency. In addition, the report is
Federal Reserve System, acting through the
Web site at: http:// used to obtain State and Territory
Secretary of the Board under delegated
authority, November 21, 2006.
www.videocast.nih.gov/. program characteristics for ACF’s
If you have special needs for the annual report to Congress, and the
Jennifer J. Johnson, meeting, please contact (202) 690–7151. report serves as a useful resource to use
Secretary of the Board. in Congressional hearings about how
Dated: November 16, 2006.
[FR Doc. E6–20048 Filed 11–27–06; 8:45 am] Judith Sparrow, TANF programs are evolving, in
BILLING CODE 6210–01–P Director, American Health Information assessing State and Territory MOE
Community, Office of Programs and expenditures, and in assessing the need
Coordination, Office of the National for legislative changes.
Coordinator for Health Information Respondents: The 50 States of the
Technology. United States, the District of Columbia,
[FR Doc. 06–9430 Filed 11–27–06; 8:45 am] Guam, Puerto Rico, and the Virgin
BILLING CODE 4150–24–M Islands.

ANNUAL BURDEN ESTIMATES


Number of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response

ACF–204 .......................................................................................................... 54 1 128 6,912

Estimated Total Annual Burden Copies of the proposed collection of rsargis@acf.hhs.gov. All requests should
Hours: 6,912. information can be obtained and be identified by the title of the
In compliance with the requirements comments may be forwarded by writing information collection.
of Section 3506(c)(2)(A) of the to the Administration for Children and The Department specifically requests
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Paperwork Reduction Act of 1995, the Families, Office of Administration, comments on: (a) Whether the proposed
Administration for Children and Office of Information Services, 370 collection of information is necessary
Families is soliciting public comment L’Enfant Promenade, SW., Washington, for the proper performance of the
on the specific aspects of the DC 20447, Attn: ACF Reports Clearance functions of the agency, including
information collection described above. Officer. E-mail address: whether the information shall have

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Federal Register / Vol. 71, No. 228 / Tuesday, November 28, 2006 / Notices 68819

practical utility; (b) the accuracy of the reached by Metro using the Medical LVPs and SVPs without drug, have been
agency’s estimate of the burden of the Center Station on the red line. Parking documented as contributing to
proposed collection of information; (c) is limited at NIH, so Metro use is medication errors in both acute care and
the quality, utility, and clarity of the recommended. For directions and ambulatory settings, as well as in home
information to be collected; and (d) visitor information, see http:// care settings. The types of errors
ways to minimize the burden of the www.nih.gov/about/visitor/index.htm. reported involve the inability to
collection of information on (FDA has verified the Web site address, distinguish different drug products, as
respondents, including through the use but FDA is not responsible for any well as different strengths of drug
of automated collection techniques or subsequent changes to the Web site after products, because the containers look
other forms of information technology. this document publishes in the Federal similar and use similar colors for label
Consideration will be given to Register). text. In addition to these visual
comments and suggestions submitted Submit written comments to the similarities, manufacturers may label
within 60 days of this publication. Division of Dockets Management (HFA– the same drug product with varying
Dated: November 21, 2006. 305), Food and Drug Administration, units of measure (e.g., micrograms
5630 Fishers Lane, rm. 1061, Rockville, versus milligrams), which has also
Robert Sargis,
MD 20852. Submit electronic comments contributed to error. There is also a large
Reports Clearance Officer. amount of information that is placed on
to http://www.fda.gov/dockets/
[FR Doc. 06–9413 Filed 11–27–06; 8:45 am] the container label that can not only
ecomments. Submit written or
BILLING CODE 4184–01–M
electronic requests to speak at the crowd the label but can distract from the
meeting to the information contact. most important information, that is, the
Transcripts of the hearing will be proprietary and established names and
DEPARTMENT OF HEALTH AND product strength.Thus, we would like to
available for review at the Division of
HUMAN SERVICES explore how current IV labels should be
Dockets Management and on the
Internet at http://www.fda.gov/cder/ designed to minimize medication errors.
Food and Drug Administration
meeting/parenteralllabeling.htm. II. Scope of the Public Meeting
[Docket No. 2006N–0465]
FOR FURTHER INFORMATION CONTACT: Jean
The public meeting is intended to
Improving Patient Safety by Enhancing Chung, Center for Drug Evaluation and explore how IV labels could be designed
the Container Labeling for Parenteral Research (HFD–400), Food and Drug to minimize medication errors. Design
Infusion Drug Products; Public Administration, 5600 Fishers Lane, issues include placement, style and type
Meeting Rockville, MD 20857, 301–796–2380, e- of information, the need for standard
mail: jean.chung@fda.hhs.gov. expression of strength, quantity of
AGENCY: Food and Drug Administration, SUPPLEMENTARY INFORMATION: information, and use of color on the
HHS.
I. Background label.
ACTION: Notice of public meeting; This 1-day workshop will assemble
request for comments. Premixed large volume parenterals drug safety experts, patient advocates,
(LVPs) and small volume parenterals government experts, and
SUMMARY: The Food and Drug
(SVPs) in ready to infuse final dosage pharmaceutical and device
Administration (FDA) is announcing a
forms are designed to deliver premixed manufacturers to discuss outstanding
public meeting on improving patient
drugs (e.g., antibiotics, electrolyte regulatory, technological, and resource
safety by enhancing the container
solutions, pain management infusions). issues. Other interested constituencies
labeling for parenteral infusion drug
Premixed LVPs and SVPs improve (e.g., patient advocacy and education
products. This will be a 1-day workshop
standardized drug delivery and can groups, pharmaceutical sponsors,
involving FDA staff and representatives
reduce the potential for medication general public) will have an opportunity
of the United States Pharmacopeia
errors by reducing the steps required in to provide input during the question
(USP) and the Institute for Safe
IV preparation and the additional and comment periods. FDA is interested
Medication Practices (ISMP). The
quality control checks needed by the in obtaining public comment and
purpose of the meeting is to explore
pharmacy prior to dispensing and encourages all interested parties to
how labels on intravenous (IV) drug
administering the product. Premixed submit requests to speak at the meeting
products could be designed to minimize
LVPs and SVPs: (1) Provide an end or to submit written or electronic
medication errors. Design issues include
product that is labeled with the comments to the docket. (See sections
placement, style and type of
ingredients including a product III. and IV. of this document.)
information, the need for standard
identification code (e.g., bar code), (2) The meeting will include an overview
expression of strength, quantity of
promote a sterile environment, and (3) of FDA and USP requirements,
information, and use of color on the
maintain accurate concentration within presentations from the clinical
label.
a closed system. According to the USP, perspective (nurse and pharmacist) and
DATES: The public meeting will be held ‘‘the designation large-volume industry perspective, and a series of
on January 11, 2007, from 8 a.m. to 4 intravenous solution applies to a single- panel discussions. The following topics
p.m. Submit written or electronic dose injection that is intended for will be discussed: Look-alike containers,
requests to speak by December 28, 2006. intravenous use and is packaged in confusing labels on sterile water
Written or electronic comments to the containers labeled as containing more containers, container label
docket will be accepted until April 12, than 100 mL. The designation small- requirements, and the lack of
2007. volume injection applies to an injection standardized expression of medication
ADDRESSES: The public meeting will be that is packaged in containers labeled as concentration on labels. Questions that
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held at the Lister Hill Center containing 100 mL or less.’’ will be considered during this public
Auditorium (the center), National Although premixed LVPs and SVPs meeting include, but are not limited to,
Institutes of Health (NIH) campus, 9000 can reduce the potential for mixing the following:
Rockville Pike, bldg. 38A, Bethesda, MD errors, the labels and labeling of these 1. What are the best solutions to
20815, 301–496–4441. The center can be products, as well as base solutions of differentiate look-alike container labels

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