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25848 Federal Register / Vol. 71, No.

84 / Tuesday, May 2, 2006 / Notices

regulatory requirement. However, any Dated: April 26, 2006. factors likely playing a role.
final guidance document issued Jeffrey Shuren, Environmental risk factors, however,
according to § 10.115(i) must contain Assistant Commissioner for Policy. have been difficult to identify. By
the elements in § 10.115(i)(2). In this [FR Doc. E6–6602 Filed 5–1–06; 8:45 am] focusing on genetically susceptible
draft revised guidance, any language BILLING CODE 4160–01–S
subgroups, more precise estimates of the
that is mandatory under U.S. laws and/ contribution of environmental and other
or regulations is followed by a citation non-genetic factors to disease risk may
to the appropriate statutory or DEPARTMENT OF HEALTH AND be possible. Sisters of women with
regulatory provision. In accordance with HUMAN SERVICES breast cancer are one group at increased
§ 10.115(i)(3), any mandatory language risk for breast cancer; we would expect
in this draft revised guidance that does National Institutes of Health about 2 times as many breast cancers to
not describe a statutory or regulatory accrue in a cohort of sisters as would
requirement will be revised in the final National Institute of Environmental accrue in a cohort identified through
guidance document to comply with Health Sciences; Submission for OMB random sampling or other means. In
§ 10.115(i)(2). Review; Comment Request; The Sister addition, a cohort of sisters will be
The draft revised VICH guidance Study: A Prospective Study of the enriched with regard to the prevalence
represents the agency’s current thinking Genetic and Environmental Risk of relevant genes and/or exposures,
on the management of AERs of Factors for Breast Cancer further enhancing the ability to detect
approved new animal drugs. This draft Summary: Under the provisions of gene-environment interactions. Sisters
revised guidance does not create or section 3507(a)(1)(D) of the Paperwork of women with breast cancer will also
confer any rights for or on any person Reduction Act of 1995, the National be at increased risk for ovarian cancer
and will not operate to bind FDA or the Institute of Environmental Health and possibly for other hormonally-
public. An alternative method may be Sciences (NIEHS), the National mediated diseases. We are enrolling a
used as long as it satisfies the Institutes of Health (NIH) has submitted cohort of 50,000 women who have not
requirements of applicable statutes and to the Office of Management and Budget had breast cancer. Initial recruitment of
regulations. (OMB) a request for review and the first 2000 women took place from
approval of the information collection August 2003–September 2004 before
V. Comments beginning nationwide recruitment in
listed below. This proposed information
This draft revised guidance document collection was previously published in October 2004. The data collected in the
is being distributed for comment the Federal Register on February 23, initial phase allowed us to evaluate
purposes only and is not intended for 2006 on pages 9358–9359 and allowed subject recruitment and data collection
implementation at this time. Interested 60 days for public comment. No public procedures, and helped us better target
persons may submit to the Division of comments were received. The purpose our recruitment efforts. We estimate that
Dockets Management (see ADDRESSES) of this notice is to allow an additional a cohort of 50,000 sisters aged 35–74
written or electronic comments 30 days for public comment. The years would provide about 1500 breast
regarding this draft revised guidance National Institutes of Health may not cancer cases over five years
document. Submit a single copy of conduct or sponsor, and the respondent (approximately 300 new cases per year
electronic comments or two paper is not required to respond to, an once the cohort is fully enrolled).
copies of any mailed comments, except information collection that has been Frequency of Response: Burden
that individuals may submit one paper extended, revised, or implemented on or calculations include eligibility
copy. Comments are to be identified after October 1, 1995, unless it displays screening for 22,750 more women, and
with the docket number found in a currently valid OMB control number. completion of enrollment activities for
brackets in the heading of this 5 CFR 1320.5: Reporting and 25,000 more women (difference due to
document. A copy of the draft revised Recordkeeping Requirements: Final expected 2,250 women, and completion
guidance and received comments may Rule: Respondents to this collection of of enrollment activities for 25,000 more
be seen in the Division of Dockets information are not required to respond women (difference due to expected
Management between 9 a.m. and 4 p.m., unless the data collection instruments 2,250 women whose time lag between
Monday through Friday. display a currently valid OMB control initial screening and fully completing
VI. Electronic Access number. enrollment baseline activities is
Proposed Collection Title: The Sister expected to cross OMB expiration/
Electronic comments may also be Study: A Prospective Study of the revision date) to reach 50,000. These
submitted electronically on the Internet Genetic and Environmental Risk Factors women will complete one initial 15-
at http://www.fda.gov/dockets/ for Breast Cancer. minute screening (either on the
ecomments. Once on this Internet site, Type of Information Collection telephone OR on the Internet), two 1-
select Docket No. 2000D–1632, entitled Request: Revision of OMB No. 0925– hour telephone interviews, 4 mailed
‘‘Draft Guidance for Industry on 0522 and expiration date July 31, 2006. self-administered questionnaires (90
Pharmacovigilance of Veterinary Need and Use of Information minutes total), and will collect
Medicinal Products: Management of Collection: The purpose of the Sister biological and household specimens.
Adverse Event Reports (AER’s)’’ VICH Study is to study genetic and Also in the next 3 years, all 50,000
GL24 and follow the directions. environmental risk factors for the sisters will complete one annual update
Copies of the draft revised guidance development of breast cancer in a cohort (10 minutes) and one biennial follow-up
document entitled ‘‘Pharmacovigilance of sisters of women who have had breast questionnaire (60 minutes); in addition
of Veterinary Medicinal Products: cancer. In the United States, there were 25,000 will complete a second annual
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Management of Adverse Event Reports approximately 210,000 new cases in update. Women diagnosed with breast
(AER’s)’’ VICH GL24 may be obtained 2003, accounting for 30% of all new cancer or other health outcomes of
on the Internet from the Center for cancer cases among women. The interest (∼1800 allowing for 300 bc/year
Veterinary Medicine home page at etiology of breast cancer is complex, over our first 6 years, plus 1800 other
http://www.fda.gov/cvm. with both genetic and environmental outcomes) will be asked to provide

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Federal Register / Vol. 71, No. 84 / Tuesday, May 2, 2006 / Notices 25849

additional information about their approved past 24-hour questionnaire Type of Respondents: Unaffected
diagnosis (20 minutes per response) and will be completed. Thus up to 300 sisters of women diagnosed with breast
their doctors will be contacted to women will complete a 5-minute cancer, aged 35–74, from all
provide documentation regarding telephone screener to determine socioeconomic backgrounds and
diagnosis and treatments (15 minutes eligibility. The 200 women (maximum) ethnicities. The annual reporting burden
per response). In addition to direct who provide a one-time sample will is as follows:
Sister Study participants, up to 300 complete a short form describing Estimated Number of Responses per
women will be recruited to provide an activities and medication use in the 24 Respondent: The table below shows the
anonymous blood sample for Sister hours prior to blood draw (10 minutes). estimated number of responses per
Study laboratory quality control The 100 women (maximum) will respondent per activity over the next 3
activities. A total of up to 200 women complete the 24-hour form with each of years.
4 blood draws.
(70 during the first year) will be Average Burden Hours per Response:
Estimated Number of Respondents:
recruited to provide a one-time blood The estimated total number of 6.0;
and urine sample and complete a past respondents is 67,800, which includes Estimated Total Burden Hours
24-hour questionnaire. These samples ∼12,500 enrolled per year over ∼4 years, Requested: 194,131 (over 3 years). The
will be used to test long-term storage plus ∼14,000 persons ultimately average annual burden hours requested
effects and to provide quality control determined ineligible or refusals at is 64,710.
pools for future assays. Up to 100 initial screening, 3,500 persons who The annualized cost to respondents is
women will be sampled on four partially complete enrollment before estimated at $135 (assuming $20 hourly
occasions over the course of a year (20 terminating, and up to 300 women for wage × 6 hours + $15 babysitting
in the first year), providing blood, urine, anonymous quality sample collection. estimate). There are no Capital Costs to
and dust samples. On each occasion an Affected Public: Individuals or report. There are no Operating or
abbreviated version of the previously households; doctors’ offices. Maintenance Costs to report.

Estimated Estimated Average Estimated total


Activity number of responses per burden hours burden hours
(3-yrs) respondents respondent per response requested

Eligibility Screening ........................................................................................ 22,750 1 0.25 5,688


Enrollment Interviews .................................................................................... 25,000 1 2 50,000
Enrollment SAQs ........................................................................................... 25,000 1 1.5 37,500
Enrollment Specimen Collection* .................................................................. 25,000 1 1 25,000
1st Annual Update ......................................................................................... 50,000 1 0.17 8,500
1st Biennial Follow-Up Questionnaire ........................................................... 50,000 1 1 50,000
2nd Annual Update ........................................................................................ 25,001 1 0.17 4,250
Ineligible** ...................................................................................................... 14,000 1 0.25 3,500
Dropout** ....................................................................................................... 3,500 1 2.25 7,875
Incident BC Case Follow-Up ......................................................................... 1800 1 0.33 594
Incident Other Case Follow-Up ..................................................................... 300 1 0.33 99
Incident Case/Physician Contact ................................................................... 2100 1 0.25 525
QC Sample Collection A† .............................................................................. 200 1 0.15 200
QC Sample Collection B† .............................................................................. 100 4 0.15 400

Total ........................................................................................................ ........................ ........................ .......................... 194,131


*includes waiting time, and scheduling appointment for blood draw.
**expect 17% ineligible at screening plus 7% dropout during enrollment activities.
† includes travel time, 10 minutes for Past-24 hour Qx, and blood draw.

Request for Comments Written collection techniques or other forms of Comments Due Date: Comments
comments and/or suggestions from the information technology. regarding this information collection are
public and affected agencies should Direct Comments to OMB: Written best assured of having their full effect if
address one or more of the following comments and/or suggestions regarding received within 30 days of the date of
points: (1) Evaluate whether the the item(s) contained in this notice, this publication.
proposed collection of information is
especially regarding the estimated Dated: April 20, 2006.
necessary for the proper performance of
public burden and associated response Laurie K. Johnson, NIEHS,
the function of the agency, including
time, should be directed to the: Office Acting Associate Director for Management
whether the information will have
practical utility; (2) Evaluate the of Management and Budget, Office of [FR Doc. 06–4087 Filed 5–1–05; 8:45 am]
accuracy of the agency’s estimate of the Regulatory Affairs, New Executive
BILLING CODE 4140–01–M
burden of the proposed collection of Office Building, Room 10235,
information, including the validity of Washington, DC 20503, Attention: Desk
the methodology and assumptions used; Officer for NIH. To request more
(3) Enhance the quality, utility, and information on the proposed project or
clarity of the information to be to obtain a copy of the data collection
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collected; and (4) Minimize the burden plans and instruments, contact: (Insert
of the collection of information on those IC applicable information. Include
who are to respond, including the use automated, electronic, mechanical, or
of appropriate automated, electronic, other technological collection
mechanical, or other technological techniques, if applicable.)

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