78754 Federal Register / Vol. 75, No. 241 / Thursday, December 16, 2010 / Notices 

19The National Center on Addiction and 

Substance Abuse (CASA) has reported that ‘‘[t]he 

number of people who admit abusing controlled 

prescription drugs increased from 7.8 million in 

1992 to 15.1 million in 2003.’’ National Center on 

Addiction and Substance Abuse, Under the 

Counter: The Diversion and Abuse of Controlled 

Prescription Drugs in the U.S. 3 (2005) (cited in 

Stodola, 74 FR at 10089 n.24). Moreover, 

‘‘[a]pproximately six percent of the U.S. population 

(15.1 million people) admitted abusing controlled 

prescription drugs in 2003, 23 percent more than 

the combined number abusing cocaine (5.9 million), 

hallucinogens (4.0 million), inhalants (2.1 million) 

and heroin (328,000).’’ Id. Relatedly, ‘‘[b]etween 

1992 and 2003, there has been a * * * 140.5 

percent increase in the self-reported abuse of 

prescription opioids’’; in the same period, the 

‘‘abuse of controlled prescription drugs has been 

growing at a rate twice that of marijuana abuse, five 

times greater than cocaine abuse and 60 times 

greater than heroin abuse.’’ Id. 

CASA has further reported that teenagers 

‘‘represent an especially vulnerable group,’’ because 

‘‘[t]eens may view prescription drugs as relatively 

safe either when abused alone or in combination 

with alcohol or other drugs.’’ Id. According to 

CASA, ‘‘[i]n 2003, 2.3 million teens ages 12 to 17 

(9.3 percent) reported abusing a controlled 

prescription drug in the past year; 83 percent of 

them reported abusing opioids.’’ Id. Moreover, 

‘‘[b]etween 1992 and 2002, the number of [first time] 

teenage prescription opioid abusers increased by 

542 percent.’’ Id. 

Finally, CASA noted that ‘‘[i]nternet sites not 

adhering to state licensing requirements, medical 

board standards or Federal law have enabled 

consumers to obtain controlled prescription drugs 

without a valid prescription or physician 

supervision and without regard to age.’’ Id. at 63. 

CASA also noted that ‘‘illegal [i]nternet pharmacies 

have introduced a new avenue through which 

unscrupulous buyers and users can purchase 

controlled substances for unlawful purposes.’’ Id. 

Moreover, ‘‘[t]he age of the customers appears not 

to be an issue for Internet pharmacies,’’ and that 

there are ‘‘no mechanisms in place to block children 

from purchasing controlled drugs over the Internet.’’ 

Id. at 66. 

20See also Stodola, 74 FR at 20730–31 

(practitioner’s continued registration deemed 

inconsistent with the public interest where, inter 

alia, ‘‘he has not accepted responsibility for his 

misconduct but blames others’’); Leslie, 68 FR at 

15231 (revoking registration where, inter alia, 

‘‘Respondent refuse[d] to take responsibility for his 

past misconduct’’ and ‘‘remain[ed] steadfast in his 

insistence upon denying any previous 

wrongdoing’’); Prince George Daniels, 60 FR 62881, 

62887 (1995) (registrant’s ‘‘lack of candor * * * as 

to the full extent of his involvement in the cocaine 

incident creates concern about his future conduct’’); 

John Stanford Noell, 59 FR 47359, 47361 (1994) 

(denying Respondent’s application for registration 

where, as to factor five, ‘‘Respondent has exhibited 

no remorse for his illegal activities’’). 

with what DEA expects of a registrant. 

While Respondent testified that other 

employees were responsible for 

screening the patients, he acknowledged 

that if the patients ‘‘were liars * * * 

they could break through’’ and that ‘‘a lot 

of fraud can happen.’’ He then justified 

his prescribing notwithstanding the 

obvious diversion risk, claiming that he 

is not a lawyer or police agent and that 

as ‘‘a physician * * * I take people at 

their word’’ and ‘‘as a family physician, 

I have patients that come to me face-toface and can be dishonest with me.’’ Id. 

at 206–09. 

Later, Respondent claimed that he 

could identify drug abusers and drug 

seekers by their voice or diction, but 

then acknowledged that this was ‘‘by no 

means, any criteria to determine who is 

being evasive’’ and that it was ‘‘very, 

very less than perfect.’’ Id. at 230–31. 

Putting aside the obvious risk of 

diversion by prescribing to people one 

never meets, if Respondent, as a trained 

physician, could not identify drug 

abusers and drug seeking patients, it 

should have been apparent that Ken 

Drugs’ employees could not either. Yet 

he proceeded to prescribe controlled 

substances to numerous persons even 

though he had no idea as to whether 

they were legitimate patients or drug 

seekers and abusers.19

The ALJ was also unimpressed by 

Respondent’s testimony regarding his 

interactions with Ken Drugs’ patients. 

For example, Respondent testified that 

Ken Drugs’ customers would not be able 

to get him ‘‘on the phone until they had 

gone through some of these hurdles’’ 

such as sending in their medical 

records. Id. at 206. He also claimed that 

there were times when the customers 

got through to him without having 

provided their medical records, and that 

he ‘‘would have to say, ‘No, we can’t 

help you.’ ’’ Id. at 214. Yet he prescribed 

to both the DEA and DOH Investigators 

who had not sent in any records. He 

also testified that he discussed ‘‘the risk 

of habituation’’ with the persons he 

prescribed to. Id. at 217. Once again, he 

did not do so when he prescribed to 

either the DEA or DOH Investigators. 

As the ALJ found, much of 

Respondent’s testimony was self-serving 

and disingenuous. Moreover, 

Respondent repeatedly attempted to 

minimize his misconduct, which is 

egregious. In short, Respondent has 

failed to acknowledge any wrongdoing 

on his part. Accordingly, I agree with 

the ALJ’s finding that Respondent has 

failed to accept responsibility for his 

misconduct and that this ‘‘warrants the 

finding * * * that his continued 

registration poses a threat to the public 

health and safety.’’ ALJ at 46.20 Having 

concluded that Respondent has failed to 

rebut the Government’s prima facie 

case, his registration will be revoked 

and any pending application will be 

denied. 

Order 

Pursuant to the authority vested in me 

by 21 U.S.C. 823(f) & 824(a)(4), as well 

as by 28 CFR 0.100(b) & 0.104, I order 

that DEA Certificate of Registration, 

BL6686541, issued to Ronald Lynch, 

M.D., be, and it hereby is, revoked. I 

further order that any application for 

renewal or modification of such 

registration be, and it hereby is, denied. 

This Order is effective January 18, 2011. 

Dated: December 3, 2010. 

Michele M. Leonhart, 

Deputy Administrator. 

[FR Doc. 2010–31650 Filed 12–15–10; 8:45 am] 

BILLING CODE 4410–09–P 

DEPARTMENT OF LABOR 

Office of the Secretary 

Bureau of International Labor Affairs; 

Notice of Publication of 2010 Update to 

the Department of Labor’s List of 

Goods From Countries Produced by 

Child Labor or Forced Labor 

AGENCY: Bureau of International Labor 

Affairs, Department of Labor. 

ACTION: Announcement of Public 

Availability of updated list of goods. 

SUMMARY: This notice announces the 

publication of an updated list of 

goods—along with countries of origin— 

that the Bureau of International Labor 

Affairs (‘‘ILAB’’) has reason to believe 

are produced by child labor or forced 

labor in violation of international 

standards (‘‘List’’). ILAB is required to 

develop and make available to the 

public the List pursuant to the 

Trafficking Victims Protection 

Reauthorization Act of 2005 (‘‘TVPRA’’). 

FOR FURTHER INFORMATION CONTACT: 

Director, Office of Child Labor, Forced 

Labor, and Human Trafficking, Bureau 

of International Labor Affairs, U.S. 

Department of Labor at (202) 693–4843 

(this is not a toll-free number). 

SUPPLEMENTARY INFORMATION: ILAB’s 

Office of Child Labor, Forced Labor, and 

Human Trafficking (OCFT) carries out 

the mandates of section 105(b)(1) of the 

TVPRA, Public Law 109–164. For 

complete information on OCFT’s 

TVPRA activities, please visit the Web 

site listed below. Previous Federal 

Register notices issued on this subject 

include: Notice of Proposed Procedural 

Guidelines for the Development and 

Maintenance of the List of Goods From 

Countries Pursuant to the Trafficking 

Victims Protection Reauthorization Act 

of 2005 (72 FR 55808, Oct. 1, 2007); 

Notice of Procedural Guidelines for the 

Development and Maintenance of the 

List of Goods from Countries Produced 

by Child Labor or Forced Labor; Request 

for Information (72 FR 73374, Dec. 27, 

2007); Notice of Public Hearing to 

Collect Information to Assist in the 

Development of the List of Goods From 

Countries Produced by Child Labor or 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 75, No. 241 / Thursday, December 16, 2010 / Notices 78755 

Forced Labor (73 FR 21985, Apr. 23, 

2008); and Notice of Publication of The 

Department of Labor’s List of Goods 

from Countries Produced by Child Labor 

or Forced Labor (74 FR 46620, Sept. 10, 

2009). 

ILAB published the first List of Goods 

Produced by Child Labor or Forced 

Labor on Sept. 10, 2009. That List 

included 122 goods from 58 countries, 

based on research on 77 countries. ILAB 

now announces the publication of an 

updated List, reflecting research on 39 

additional countries as well as review of 

information submitted to ILAB pursuant 

to its TVPRA procedural guidelines. 

This update adds 6 new goods and 12 

new countries to the List. A full report, 

including the updated List and a 

discussion of the List’s context, scope, 

methodology, and limitations, as well as 

Frequently Asked Questions and a 

bibliography of sources, are available on 

the DOL Web site at: http:// 

www.dol.gov/ilab/programs/ocft/ 

tvpra.htm. 

Signed at Washington, DC, this 6th day of 

December, 2010. 

Sandra Polaski, 

Deputy Undersecretary for International 

Affairs. 

[FR Doc. 2010–31150 Filed 12–15–10; 8:45 am] 

BILLING CODE 4510–28–P 

DEPARTMENT OF LABOR 

Office of the Secretary 

Agency Information Collection 

Activities; Submission for OMB 

Review; Comment Request; Standard 

on Mechanical Power Presses 

ACTION: Notice. 

SUMMARY: The Department of Labor 

(DOL) hereby announces the submission 

of the Occupational Safety and Health 

Administration (OSHA) sponsored 

information collection request (ICR) 

titled, ‘‘Standard on Mechanical Power 

Presses,’’ to the Office of Management 

and Budget (OMB) for review and 

approval for continued use in 

accordance with the Paperwork 

Reduction Act of 1995 (Pub. L. 104–13, 

44 U.S.C. chapter 35). 

DATES: Submit comments on or before 

January 18, 2011. 

ADDRESSES: A copy of this ICR, with 

applicable supporting documentation; 

including a description of the likely 

respondents, proposed frequency of 

response, and estimated total burden 

may be obtained from the RegInfo.gov 

Web site, http://www.reginfo.gov/ 

public/do/PRAMain or by contacting 

Michel Smyth by telephone at 202–693– 

4129 (this is not a toll-free number) or 

sending an e-mail to 

DOL_PRA_PUBLIC@dol.gov. 

Submit comments about this request 

to the Office of Information and 

Regulatory Affairs, Attn: OMB Desk 

Officer for the Department of Labor, 

Occupational Safety and Health 

Administration (OSHA), Office of 

Management and Budget, Room 10235, 

Washington, DC 20503, Telephone: 

202–395–6929/Fax: 202–395–6881 

(these are not toll-free numbers), e-mail: 

OIRA_submission@omb.eop.gov. 

FOR FURTHER INFORMATION: Contact 

Michel Smyth by telephone at 202–693– 

4129 (this is not a toll-free number) or 

by e-mail at 

DOL_PRA_PUBLIC@dol.gov. 

SUPPLEMENTARY INFORMATION: The 

inspection and certification records 

required by the Standard on Mechanical 

Power Presses are intended to ensure 

that mechanical power presses are in 

safe operating condition, and that all 

safety devices are working properly. 

Failure of these safety devices could 

cause serious injury or death to a 

worker. 

This information collection is subject 

to the PRA. A Federal agency generally 

cannot conduct or sponsor a collection 

of information, and the public is 

generally not required to respond to an 

information collection, unless it is 

currently approved by the OMB under 

the PRA and displays a currently valid 

OMB Control Number. In addition, 

notwithstanding any other provisions of 

law, no person shall generally be subject 

to penalty for failing to comply with a 

collection of information if the 

collection of information does not 

display a currently valid OMB control 

number. See 5 CFR 1320.5(a) and 

1320.6. The DOL obtains OMB approval 

for this information collection under 

OMB Control Number 1218–0229. The 

current OMB approval is scheduled to 

expire on December 31, 2010; however, 

it should be noted that information 

collections submitted to the OMB 

receive a month-to-month extension 

while they undergo review. For 

additional information, see the related 

notice published in the Federal Register 

on August 11, 2010 (75 FR 48726). 

Interested parties are encouraged to 

send comments to the OMB, Office of 

Information and Regulatory Affairs at 

the address shown in the ADDRESSES

section within 30 days of publication of 

this notice in the Federal Register. In 

order to ensure the appropriate 

consideration, comments should 

reference OMB Control Number 1218– 

0229. The OMB is particularly 

interested in comments that: 

• Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

• Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

• Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

• Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submission of 

responses. 

Agency: Occupational Safety and 

Health Administration (OSHA). 

Title of Collection: Standard on 

Mechanical Power Presses. 

OMB Control Number: 1218–0229. 

Affected Public: Private sector, 

businesses or other for-profits. 

Total Estimated Number of 

Respondents: 295,000. 

Total Estimated Number of 

Responses: 9,975,130. 

Total Estimated Annual Burden 

Hours: 1,373,054. 

Total Estimated Annual Costs Burden: 

$0. 

Dated: December 13, 2010. 

Michel Smyth, 

Departmental Clearance Officer. 

[FR Doc. 2010–31581 Filed 12–15–10; 8:45 am] 

BILLING CODE 4510–26–P 

DEPARTMENT OF LABOR 

Office of the Secretary 

Notice of Initial Determination Revising 

the List of Products Requiring Federal 

Contractor Certification as to Forced/ 

Indentured Child Labor Pursuant to 

Executive Order 13126 

AGENCY: Bureau of International Labor 

Affairs (ILAB), Labor. 

ACTION: Request for comments. 

SUMMARY: This initial determination 

proposes to revise the list required by 

Executive Order No. 13126 (‘‘Prohibition 

of Acquisition of Products Produced by 

Forced or Indentured Child Labor’’), in 

accordance with the Department of 

Labor’s ‘‘Procedural Guidelines for the 

Maintenance of the List of Products 

Requiring Federal Contractor 

Certification as to Forced or Indentured 


srobinson on DSKHWCL6B1PROD with NOTICES