Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices 18427 

group practice; group practice employer 

identification number; names and DEA 

registration numbers of group 

practitioners; purpose of notification 

new, immediate, or renewal; 

certification of qualifying criteria for 

treatment and management of opiate 

dependent patients; certification of 

capacity to refer patients for appropriate 

counseling and other appropriate 

ancillary services; certification of 

maximum patient load, certification to 

use only those drug products that meet 

the criteria in the law. The form also 

notifies practitioners of Privacy Act 

considerations, and permits 

practitioners to expressly consent to 

disclose limited information to the 

SAMHSA Buprenorphine Physician 

Locator. 

Since July 2002, SAMHSA has 

received over 25,000 notifications and 

has certified almost 27,000 physicians. 

Fifty-none percent of the notifications 

were submitted by mail or by facsimile, 

with approximately forty-one percent 

submitted through the Web based online 

system. Approximately 60 percent of the 

certified physicians have consented to 

disclosure on the SAMHSA 

Buprenorphine Physician Locator. 

Respondents may submit the form 

electronically, through a dedicated Web 

page that SAMHSA will establish for the 

purpose, as well as via U.S. mail. 

There are no changes to the forms and 

burden hours. 

The following table summarizes the 

estimated annual burden for the use of 

this form. 

Purpose of submission Number of 

respondents 

Responses 

per 

respondent 

Burden per 

response 

(hour) 

Total burden 

(hours) 

Initial Application for Waiver ............................................................................ 1,500 1 .083 125 

Notification to Prescribe Immediately .............................................................. 50 1 .083 4 

Notice to Treat up to 100 patients ................................................................... 500 1 .040 20 

Total .......................................................................................................... 2,050 ........................ ........................ 149 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

Room 2–1057, One Choke Cherry Road, 

Rockville, MD 20857 or email her a 

copy at summer.king@samhsa.hhs.gov. 

Written comments should be received 

by June 5, 2015. 

Summer King, 

Statistician. 

[FR Doc. 2015–07727 Filed 4–3–15; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket Number CDC–2015–0008; NIOSH– 

282] 

International Labour Office (ILO) 

Reference Radiographs 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH) of the Centers for Disease 

Control and Prevention (CDC), 

Department of Health and Human 

Services (HHS). 

ACTION: Request for information and 

comment. 

SUMMARY: The National Institute for 

Occupational Safety and Health 

(NIOSH) of the Centers for Disease and 

Prevention is collaborating with the 

Labour Inspection, Labour 

Administration and Occupational Safety 

and Health Branch of the International 

Labour Office (ILO) in developing a set 

of digital reference radiographs for the 

ILO International Classification of 

Radiographs of Pneumoconiosis (ILO 

Classification). The current ILO 

Classification depends on 22 standard 

reference radiographs that are used to 

formally identify and characterize 

pneumoconiosis and related pulmonary 

abnormalities arising from occupational 

exposure. The original standards were 

based on film radiography, but the 

advent of digital radiography has led to 

the need for reference standards based 

on digitally-acquired images. NIOSH is 

assisting the ILO in the process of 

identifying such digital images. 

For this purpose, NIOSH is requesting 

trained users of the ILO Classification 

(e.g., NIOSH B-Readers [1] and other 

such experts) to submit comments 

regarding any of the current standard 

reference images that are felt to be 

deficient and for which improvements 

could be made. The current structure 

and format of the ILO Classification is 

to remain unchanged at the present 

time. NIOSH is not soliciting comments 

on the ILO Classification itself. 

Comments received on the ILO 

Classification will be considered 

irrelevant to the purpose of this docket. 

DATES: Electronic or written comments 

must be received by June 5, 2015. 

ADDRESSES: You may submit comments, 

identified by CDC–2015–0008 and 

docket number NIOSH–282, by any of 

the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: National Institute for 

Occupational Safety and Health, NIOSH 

Docket Office, 1090 Tusculum Avenue, 

MS C–34, Cincinnati, OH 45226–1998. 

Instructions: All information received 

in response to this notice must include 

the agency name and docket number 

(CDC–2015–0008; NIOSH–282). All 

relevant comments received will be 

posted without change to 

www.regulations.gov, including any 

personal information provided. All 

electronic comments should be 

formatted as Microsoft Word. For access 

to the docket to read background 

documents or comments received, go to 

www.regulations.gov. All information 

received in response to this notice will 

also be available for public examination 

and copying at the NIOSH Docket 

Office, 1150 Tusculum Avenue, Room 

155, Cincinnati, OH 45226. 

FOR FURTHER INFORMATION CONTACT: 

Michael Attfield, 1095 Willowdale 

Road, Morgantown, WV 26505–2888, 

telephone (304) 285–5737 (this is not a 

toll free number). 

SUPPLEMENTARY INFORMATION: 

Table of Contents 

• Background 

• Information Needs 

• References 

Background: Chest radiographs (XRays) provide critical medical 

information for the assessment of the 

pneumoconioses and related disorders 

in individuals, for example, those 

caused by inhaling coal, silica, and 

asbestos dusts [2]. Prior to 1950, the 

information evident on a radiograph 

could only be interpreted qualitatively. 

However in 1950, the International 

Labour Office (ILO) established a more 

quantitative system whereby the various 

parenchymal and pleural changes could 

be formally recognized and categorized. 


tkelley on DSK4VPTVN1PROD with NOTICES
18428 Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices 

The quantitative system is not intended 

for the medical diagnosis of the 

pneumoconioses and related 

occupational diseases, but has proved 

invaluable for the accurate and reliable 

identification and characterization of 

such diseases and disorders in many 

scientific and administrative 

applications, including research into 

disease causation, evaluation of risk in 

terms of dust exposure, disease 

surveillance, disease prevention, and 

worker compensation. The ILO has 

periodically held meetings of experts 

with the intent of improving and 

refining the original classification 

scheme. The current edition is the 

International Classification of 

Radiographs of Pneumoconiosis, 

Revised Edition 2011 [3]. 

The ILO Classification, as of the 2000 

revision, consists of 22 standard 

reference radiographic films. These 

films were selected to demonstrate a 

variety of types and severities of lung 

abnormalities that frequently arise from 

occupational dust exposure. Proper use 

of the classification involves a visual 

comparison of the test subject’s X-Ray 

film side-by-side with the standards. 

The test subject is assigned the 

classification pertaining to the standard 

radiograph or radiographs to which it is 

most similar in appearance, i.e., 

Category 0/0, 1/1, 2/2, or 3/3; and the 

types p/p, q/q, r/r, s/s, t/t, or u/u, where 

applicable. The person undertaking the 

classification, typically a physician 

formally trained in the use of the ILO 

Classification, completes a data entry 

sheet where they record their 

classifications of each of the various 

abnormalities. In addition, ancillary 

information on the quality of the 

radiograph and the presence of other 

medical findings is noted. 

The ILO classification was developed 

and used for over 50 years solely in 

conjunction with film radiography. In 

recent years radiographic technology 

has advanced to digital imaging. This 

poses severe problems for the use of the 

ILO Classification since the test 

subject’s image must be viewed on a 

computer terminal screen while the 

standards can only be seen on a separate 

film viewing box. This results in the 

process being extremely cumbersome, 

while intrinsic differences in the 

appearance of film versus digital images 

interfere with the proper assessment of 

abnormality. To minimize these 

problems, the ILO released a set of 

digitized images in 2011. These images 

are digitized views of the existing film 

images, obtained by formally scanning 

each film to a digital file image. 

While digitizing the current standard 

reference films removed the need to 

employ a light box, as both images 

could now be viewed on the same 

computerized image display system 

alongside that showing the subject’s 

radiograph, it did not eliminate the 

problems arising from different inherent 

appearances between the original film 

and the digital test images, since those 

still remained in the digitized versions. 

Ultimately, the best means to remove 

the potentially interfering visual 

differences from the comparison 

between the digitally-acquired chest 

radiographic image and the reference 

image is to select new digitally-acquired 

reference images. 

NIOSH is collaborating with and 

assisting the ILO in identifying a set of 

22 digital images, each of which is 

intended to mimic as closely as possible 

the type and severity of abnormality 

evident on each of the current standard 

films/digitized images. There is no 

intention to modify or alter the 

underlying structure or format of the 

existing ILO Classification. The final 

outcome of this exercise will simply be 

an additional set of standard reference 

images, derived from digitally-acquired 

images. 

In pursuing this objective both NIOSH 

and the ILO are aware that users of the 

classification may feel that one or more 

of the existing standard references do 

not optimally demonstrate the specified 

parenchymal or pleural findings. 

Appendix C of the manual that 

accompanies the ILO Classification [2] 

provides comments on each of the 

current standard radiographs. 

Comments range from issues of quality 

(e.g., unsharp, overexposed), excluded 

regions (e.g., costrophenic angles), and 

other factors. In addition, there is no 

category 1/1 s/s standard as there 

should be. Instead a 1/1 s/t is used. 

Moreover, only single quadrant views 

are available for all of the u/u type small 

opacity severities when individual full 

chest image standards would be better. 

To the extent possible, it is hoped to 

correct these known issues during the 

identification of new digital images. 

In addition to the published issues, 

regular users of the ILO Classification 

may feel that certain of the standard 

reference radiographs are sub-optimal in 

some way or another. For example, 

perhaps the appearances of a particular 

standard are generally felt to be at 

variance with its formally-designated 

degree of abnormality. In addition, there 

may be other factors where there are 

opportunities for improvement. 

NIOSH and the ILO, in selecting the 

new digital standard images, wish to 

correct any technical issues affecting the 

current standard reference radiographs. 

To be able to do this, they require access 

to information on perceived problems 

with the current standards. This docket 

is a request for information from 

interested parties on perceived issues 

with any of the current standards. This 

request in no way involves comment on 

the structure and content of the ILO 

Classification per se. NIOSH and the 

ILO will summarize the comments 

received on each of the standard 

radiographs, and employ that 

information in the derivation of the new 

digital standard reference radiographs. 

Information Needs: NIOSH is seeking 

additional data and information to 

ensure that generally perceived 

technical issues affecting any of the 

current ILO Classification standard 

radiographs are addressed in the 

development of a set of digital standard 

radiographs. Information is particularly 

needed for: 

(1) The standard reference title to 

which your submitted comments apply. 

For small opacities please state ‘small 

opacities’ and the profusion (0/0, 1/1, 

2/2, or 3/3, and the type (p/p, q/q, r/r, 

s/s, t/t, or u/u, where applicable) for 

which you are supplying comments. For 

large opacities please state ‘large 

opacities’ and the stage (A, B, C). For 

pleural abnormalities, please state 

‘pleural’. 

(2) For radiographs concerning small 

opacities, please note whether the 

standard radiograph shows appearances 

consistent with its designated profusion, 

and if not, what profusion you believe 

it shows. 

(3) For radiographs concerning small 

opacities, please note whether the 

standard radiograph shows appearances 

consistent with its designated type, and 

if not, what type you believe it shows. 

(4) For large opacities, please note 

whether the standard radiograph shows 

appearances consistent with its 

designated stage, and if not, what stage 

you believe it shows. 

(5) For the composite radiograph 

showing pleural abnormalities, please 

note your concerns with each segment. 

(6) For all, please note any problems 

associated with other factors that impact 

its optimal reliability as a standard, 

indicate their effect on classification, 

and suggest a solution for improvement. 

References 

1. NIOSH [2012]. Chest Radiography: 

The NIOSH B Reader Program. 

http://www.cdc.gov/niosh/topics/

chestradiography/breader.html. 

2. NIOSH [2011]. Chest Radiography: 

Evaluating Occupational Lung 

Disorders. http://www.cdc.gov/

niosh/topics/chestradiography/

default.html. 


tkelley on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices 18429 

3. ILO [2011]. The ILO International 

Classification of Radiographs of 

Pneumoconioses. http://

www.ilo.org/safework/info/WCMS_

108548/lang--en/index.htm. 

Dated: March 30, 2015. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health, Centers for Disease Control 

and Prevention. 

[FR Doc. 2015–07814 Filed 4–3–15; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Meeting of the Advisory Group on 

Prevention, Health Promotion, and 

Integrative and Public Health 

AGENCY: Office of the Surgeon General 

of the United States Public Health 

Service, Office of the Assistant Secretary 

for Health, Office of the Secretary, 

Department of Health and Human 

Services. 

ACTION: Notice. 

SUMMARY: In accordance with section 

10(a) of the Federal Advisory Committee 

Act, Public Law 92–463, as amended (5 

U.S.C. App.), notice is hereby given that 

a meeting is scheduled to be held for the 

Advisory Group on Prevention, Health 

Promotion, and Integrative and Public 

Health (the ‘‘Advisory Group’’). The 

meeting will be open to the public. 

Information about the Advisory Group 

and the agenda for this meeting can be 

obtained by accessing the following 

Web site: http://www.surgeon

general.gov/initiatives/prevention/

advisorygrp/index.html. 

DATES: The meeting will be held on 

April 20, 2015 from 2:00 p.m. to 3:30 

p.m. EST. 

ADDRESSES: The meeting will be held 

via teleconference. Teleconference 

information will be published closer to 

the meeting date at: http://www.

surgeongeneral.gov/initiatives/

prevention/advisorygrp/index.html. 

FOR FURTHER INFORMATION CONTACT: 

Office of the Surgeon General, 200 

Independence Ave. SW., Washington, 

DC 20201; 202–205–9517; 

prevention.council@hhs.gov. 

SUPPLEMENTARY INFORMATION: The 

Advisory Group is a non-discretionary 

federal advisory committee that was 

initially established under Executive 

Order 13544, dated June 10, 2010, to 

comply with the statutes under section 

4001 of the Patient Protection and 

Affordable Care Act, Pub. L. 111–148. 

The Advisory Group was established to 

assist in carrying out the mission of the 

National Prevention, Health Promotion, 

and Public Health Council (the 

Council). The Advisory Group provides 

recommendations and advice to the 

Council. 

The Advisory Group was terminated 

on September 30, 2012, by E. O. 13591, 

dated November 23, 2011. Authority for 

the Advisory Group to be re-established 

was given under E. O. 13631, dated 

December 7, 2012. Authority for the 

Advisory Group to continue to operate 

until September 30, 2015 was given 

under Executive Order 13652, dated 

September 30, 2013. 

It is authorized for the Advisory 

Group to consist of not more than 25 

non-federal members. The Advisory 

Group currently has 21 members who 

were appointed by the President. The 

membership includes a diverse group of 

licensed health professionals, including 

integrative health practitioners who 

have expertise in (1) worksite health 

promotion; (2) community services, 

including community health centers; (3) 

preventive medicine; (4) health 

coaching; (5) public health education; 

(6) geriatrics; and (7) rehabilitation 

medicine. 

The meeting will be held in order to 

review and approve recommendations 

developed by the Recommendation 

Drafting Sub-Committee of the Advisory 

Group. These recommendations are 

directed towards the Council, the 

Surgeon General, the Administration, 

and other entities. 

Members of the public have the 

opportunity to attend the meeting and/ 

or provide comments to the Advisory 

Group on April 20, 2015. Public 

comment will be limited to 3 minutes 

per speaker. Individuals who wish to 

attend the meeting and/or provide 

comments must register by 12:00 p.m. 

EST on April 13, 2015. In order to 

register, individuals must send their full 

name and affiliation via email to 

prevention.council@hhs.gov. 

Individuals planning to attend the 

meeting who need special assistance 

and/or accommodations, i.e., sign 

language interpretation or other 

reasonable accommodations, should 

indicate so when they register. Members 

of the public who wish to have 

materials distributed to the Advisory 

Group members at this scheduled 

meeting should submit those materials 

when they register. 

Dated: March 25, 2015. 

Corinne M. Graffunder, 

Designated Federal Officer, Advisory Group 

on Prevention, Health Promotion, and 

Integrative and Public Health, Office of the 

Surgeon General. 

[FR Doc. 2015–07744 Filed 4–3–15; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Eunice Kennedy Shriver National 

Institute of Child Health and Human 

Development: Notice of Closed 

Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. App.), notice is 

hereby given of the following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in section 552b(c)(4) 

and 552b(c)(6), title 5 U.S.C., as 

amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: Eunice Kennedy 

Shriver National Institute of Child Health 

and Human Development Special Emphasis 

Panel; Repository of Mouse Models for 

Cytogenetic Disorders. 

Date: April 30, 2015. 

Time: 1:00 p.m. to 4:00 p.m. 

Agenda: To review and evaluate concept 

review. 

Place: National Institutes of Health, 6100 

Executive Boulevard, Rockville, MD 20852 

(Telephone Conference Call). 

Contact Person: Sathasiva B. Kandasamy, 

Ph.D.; Scientific Review Officer; Scientific 

Review Branch; Eunice Kennedy Shriver 

National Institute of Child Health and 

Human Development; NIH, 6100 Executive 

Boulevard; Room 5B01; Bethesda, MD 

20892–9304; (301) 435–6680; skandasa@

mail.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.864, Population Research; 

93.865, Research for Mothers and Children; 

93.929, Center for Medical Rehabilitation 

Research; 93.209, Contraception and 

Infertility Loan Repayment Program; National 

Institutes of Health, HHS) 

Dated: March 31, 2015. 

Michelle Trout, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2015–07742 Filed 4–3–15; 8:45 am] 

BILLING CODE 4140–01–P 


tkelley on DSK4VPTVN1PROD with NOTICES