Federal Register / Vol. 60, No. 103 / Tuesday, May 30, 1995 / Rules and Regulations 28065

sufficient to make a reasoned evaluation

of the health effects of the substance,

and that the substance may present an

unreasonable risk of injury to human

health. EPA identified the tests

considered necessary to make a

reasoned evaluation of the risks posed

by the substance to human health.

Based on these findings, a section 5(e)

consent order was negotiated with the

PMN submitter and a SNUR was

promulgated.

EPA reviewed the testing which was

conducted by the PMN submitter to

address the potential neurotoxicity of

the substance and determined that the

information available was sufficient to

make a reasoned evaluation of the

health effects of the substance. EPA

concluded that, for the purposes of

TSCA section 5, the substance will not

present an unreasonable risk and

consequently revoked the section 5(e)

consent order. The revocation of SNUR

provisions for the substance designated

herein is consistent with the revocation

of the section 5(e) order.

In light of the above, EPA is revoking

the SNUR provisions for this chemical

substance. EPA will no longer require

notice of any company’s intent to

manufacture, import, or process this

substance. In addition, export

notification under section 12(b) of TSCA

will no longer be required.

III. Rulemaking Record

The record for the rule which EPA is

revoking was established at OPPTS–

50583 (P–86–66). This record includes

information considered by the Agency

in developing this rule and includes the

test data that formed the basis for this

revocation.

IV. Regulatory Assessment

Requirements

EPA is revoking the requirements of

the rule. Any costs or burdens

associated with the rule will also be

eliminated when the rule is revoked.

Therefore, EPA finds that no costs or

burdens must be assessed under

Executive Order 12866, the Regulatory

Flexibility Act (5 U.S.C. 605(b)), or the

Paperwork Reduction Act (44 U.S.C.

3501 et seq.).

List of Subjects in 40 CFR Part 721

Environmental protection, Chemicals,

Hazardous materials, Reporting and

recordkeeping requirements, Significant

new uses.

Dated: May 16, 1995.

Charles M. Auer,

Director, Chemical Control Division, Office

of Pollution Prevention and Toxics.

Therefore, 40 CFR part 721 is

amended as follows:

PART 721—[AMENDED]

1. The authority citation for part 721

continues to read as follows:

Authority: 15 U.S.C. 2604, 2607, and

2625(c).

§ 721.9760 [Removed]

2. By removing § 721.9760.

[FR Doc. 95–13141 Filed 5–26–95; 8:45 am]

BILLING CODE 6560–50–F

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Public Health Service

42 CFR Part 57

RIN 0905–AE17

Grants for the Establishment of

Departments of Family Medicine

AGENCY: Health Resources and Services

Administration, HHS.

ACTION: Final rule.

SUMMARY: This final regulation amends

the existing regulations governing the

program for Grants for the

Establishment of Departments of Family

Medicine authorized by section 747(b)

of the Public Health Service Act (the

Act), to bring the regulations into

conformity with technical amendments

made by the Health Professions

Extension Amendments of 1992 and to

include other changes for consistency

with current grant program policies.

EFFECTIVE DATE: This regulation is

effective May 30, 1995.

FOR FURTHER INFORMATION CONTACT:

Marc L. Rivo, M.D., Director, Division of

Medicine, Bureau of Health Professions,

HRSA, Room 9A–27, Parklawn

Building, 5600 Fishers Lane, Rockville,

Maryland 20857; telephone (301) 443–

6190.

SUPPLEMENTARY INFORMATION: This final

rule amends the existing regulations for

Grants for the Establishment of

Departments of Family Medicine,

authorized under section 747(b) of the

Public Health Service Act (the Act) (42

U.S.C. 293k). The Health Professions

Education Extension Amendments of

1992 (Pub. L. 102–408) amended and

renumbered former section 780 of the

Act (42 U.S.C. 295g) to section 747.

Section 747(b) of the Act, as amended,

authorizes the Secretary to make grants

to and enter into contracts with

accredited schools of medicine or

osteopathic medicine to meet the costs

of projects to establish, maintain, or

improve academic administrative units

(which may be departments, divisions,

or other units) to provide clinical

instruction in family medicine. The

primary purpose of the program is to

assist family medicine academic

administrative units to achieve

comparability in status, faculty, and

curriculum with those of other clinical

units at the applying schools.

The Notice of Proposed Rulemaking

(NPRM), published on July 19, 1994 in

the Federal Register (59 FR 36733),

proposed amendments to implement

several statutory provisions made by

Pub. L. 102–408 to section 747(b) by: (1)

Revising the definitions of ‘‘academic

administrative unit’’ and ‘‘other major

clinical units’’, and add the term

‘‘clinical campus’’; (2) revising and

clarifying some program requirements—

to permit a program applicant to use a

program director from the clinical

campus rather than the parent medical

school, to extend a requirement to

control a residency program to the

clinical campus program, and to clarify

that training to all medical students can

be met by the combined effort of the

parent family medicine administrative

unit and the clinical campus

administrative unit.

The public comment period on the

proposed regulations closed August 18,

1994. The Department received 4 public

comments. The comments received on

the proposed rule to section 747 and the

Department’s responses to the

comments are discussed below

according to the section numbers and

the headings of the regulations affected.

Section 57.1702 ‘‘Definitions’’

The Department proposed to revise

the following terms in this section:

Academic administrative unit or unit

means a department, division, or other

formal academic unit of a school of

medicine or osteopathic medicine or

clinical campuses of such schools that

provides clinical instruction in family

medicine.

The Department received positive

response to this definition.

Clinical campus means a

geographically separate educational

entity of an accredited medical school

that has been given the responsibility to

coordinate or provide all clinical

training for at least 10 percent of the

school’s third-year students.

The Department received 2 comments

on this definition. One respondent

favorably indicated that this definition

‘‘would give small programs the
28066 Federal Register / Vol. 60, No. 103 / Tuesday, May 30, 1995 / Rules and Regulations

autonomy necessary to respond to the

demand for primary care practitioners

in rural America.’’

Another respondent requested that

the clinical training requirement of 10

percent for third-year students be

changed to 8 percent.

In response to this comment, the

Department has reexamined this

definition and has removed the phrase

‘‘for at least 10 percent of the school’s

third-year students’’. The Department

has subsequently determined that there

is a potential for a serious problem in

determining and monitoring the

eligibility of those clinical campuses

that apply for funding based on the 10

percent criteria. The NPRM proposed

that in order to be considered eligible

for funding as a clinical campus, at least

10 percent of the third-year class must

be in training at that clinical campus.

The Department now believes that this

criterion does not constitute an

adequate basis for the identification of

a clinical campus. This 10 percent of a

small third-year class in a small school

would not constitute a critical mass of

students and educational structures

necessary for the resources to plan an

academic unit, comparable to other

units, and therefore, the Department is

removing this phrase from the

definition.

The Department further modified this

definition by adding the requirement

that the clinical campus must be

‘‘recognized and identified as such by

the American Academy of Family

Physicians,’’ after the words ‘‘accredited

medical school’’ as an objective method

of determining those eligible. The

American Academy of Family

Physicians (AAFP) publishes annually

the activities and status of family

medicine teaching and training

programs at medical schools. The

publication is used as a valid reference

work on the accreditation status of

family medicine programs. Over the last

several decades, PHS has relied upon

the accessibility and accuracy of

information on the current status of

accreditation of family practice training

and teaching programs through the

AAFP data base.

Other major clinical units means

formal academic units at the applicant

school or its clinical campus that offer

clinical instruction in internal

medicine, obstetrics and gynecology,

pediatrics, psychiatry, or surgery.

The phrase ‘‘or its clinical campus’’

was added to reflect the change to the

definition of ‘‘academic administrative

unit’’ cited above.

Section 57.1704 ‘‘Program

Requirement.’’

The Department revised paragraph (a)

of this section. The phrase ‘‘in an

administrative unit’’ was added to

permit a program applicant to use a

program director from the clinical

campus rather than the parent medical

school. In many instances the level of

medical school involvement in the

remote campus is not sufficient to

exercise effective management of the

training provided at the clinical

campus.

The Department deleted a

parenthetical phrase in paragraph (d) of

this section, ‘‘(or in the case of a school

of osteopathic medicine, have control

over or be closely affiliated with)’’, to

remove the redundancy within this

paragraph. The phrase ‘‘or clinical

campus’’ was added to extend the

requirement to control a residency

program so that a residency program

controlled by the parent medical school

department would meet the residency

requirement for an application for

assistance for a clinical campus.

The parenthetical phrase in paragraph

(e) of this section was added, ‘‘(or units

in the case of schools with one or more

decentralized units)’’, to clarify that the

requirement to provide training to all

medical students can be met by the

combined efforts of the parent family

medicine administrative unit and the

clinical campus administrative unit.

The Department added the phrase ‘‘or

clinical campus’’ in paragraph (f) of this

section to clarify that in comparing

numbers of clinical faculty, the clinical

campus family medicine administrative

unit should be compared to other

clinical campus units.

In addition to the changes proposed

above, a number of technical and

ministerial revisions were included to

conform the existing regulations with

amendments made by Pub. L. 102–408.

The following changes were made to the

regulations:

1. The section number of the Act was

revised from ‘‘780’’ to ‘‘747’’ wherever

it appeared in subpart R, as renumbered,

and the United States Code citation was

revised from ‘‘(42 U.S.C. 295g)’’ to ‘‘(42

U.S.C. 293k)’’, in accordance with Pub.

L. 102–408.

2. Section 57.1702, entitled

‘‘Definitions.’’, was amended to revise

the section number of the Act in the

definition of ‘‘School of medicine or

school of osteopathic medicine’’ from

‘‘701(5)’’ to ‘‘799(1)(E)’’, in accordance

with Pub. L. 102–408.

3. Section 57.1704, entitled ‘‘Program

requirements.’’, was amended to revise

the section number ‘‘786(a)’’ in

paragraph (h) to ‘‘747’’, in accordance

with Pub. L. 102–408.

4. Section 57.1705, entitled ‘‘How will

applications be evaluated?’’, was further

revised to reflect current statutory

language, as required by section 798(a)

of the Act, regarding the evaluation and

recommendation process of awarding

grant applications by removing the

reference to the National Advisory

Council on Health Professions

Education and the section of the Act

which established it. Pub. L. 102–408

repealed the Advisory Council effective

October 1, 1992.

The Department further revised

§ 57.1709, entitled ‘‘What other audit

and inspection requirements apply to

grantees?’’, to:

(a) Remove the reference to ‘‘section

705 of the PHS Act’’ concerning audit

and inspection requirements because it

is redundant to the requirements that

are already covered under 45 CFR part

74; and

(b) Remove the parenthetical phrase at

the end of the section text citing the

OMB approval number regarding

information collection requirements as

no longer necessary.

Further, PHS strongly encourages all

grant recipients to provide a smoke-free

workplace and to promote the nonuse of

all tobacco products, and Public Law

103–227, the Pro-Children Act of 1994,

prohibits smoking in certain facilities

that receive Federal funds in which

education, library, day care, health care,

and early childhood development

services are provided to children.

Economic Impact

Executive Order 12866 requires that

all regulations reflect consideration of

alternatives, of costs, of benefits, of

incentives, of equity, and of available

information. Regulations must meet

certain standards, such as avoiding

unnecessary burden. Regulations which

are ‘‘significant’’ because of cost,

adverse effects on the economy,

inconsistency with other agency actions,

effects on the budget, or novel legal or

policy issues, require special analysis.

This final rule governs a financial

assistance training grant program in

which participation is voluntary. The

Department believes that the resources

required to implement the requirements

in these regulations are minimal.

Because this final rule makes minor

changes in an existing grant program,

and in accordance with the Regulatory

Flexibility Act of 1980, the Secretary

certifies that this rule will not have a

significant economic impact on small

entitites. For the same reasons, the

Secretary has also determined that this
Federal Register / Vol. 60, No. 103 / Tuesday, May 30, 1995 / Rules and Regulations 28067

rule is not a ‘‘significant’’ rule under

Executive Order 12866.

Paperwork Reduction Act of 1980

This final rule does not affect the

recordkeeping or reporting requirements

in the existing regulations for the Grants

for the Establishment of Departments of

Family Medicine.

List of Subjects in 42 CFR Part 57

Aged, Dental health, Education of

disadvantaged, Educational facilities,

Education study programs, Grant

programs—education, Grant programs—

health, Health facilities, Health

professions, Loan programs—health,

Medical and dental schools, Reporting

and recordkeeping requirements,

Scholarships and fellowships, Student

aid.

(Catalog of Federal Domestic Assistance, No.

93.984, Grants for the Establishment of

Departments of Family Medicine)

Dated: April 4, 1995.

Philip R. Lee,

Assistant Secretary for Health.

Approved: May 19, 1995.

Donna E. Shalala,

Secretary.

Accordingly, 42 CFR part 57, subpart

R is amended as set forth below:

PART 57—GRANTS FOR

CONSTRUCTION OF TEACHING

FACILITIES, EDUCATIONAL

IMPROVEMENTS, SCHOLARSHIPS

AND STUDENT LOANS

1. The authority citation for subpart R

is revised to read as follows:

Authority: Sec. 215, Public Health Service

Act, 58 Stat. 690, as amended by 63 Stat. 35

(42 U.S.C. 216); sec. 780, Public Health

Service Act, 90 Stat. 2311, as amended by 95

Stat. 221 and 102 Stat. 3146 (42 U.S.C. 295g);

renumbered as sec. 747, as amended by Pub.

L. 102–408, 106 Stat. 2042–2043 (42 U.S.C.

293k).

§ 57.1701 [Amended]

2. Section 57.1701 introductory text is

amended by revising the section number

of the Act ‘‘780’’ to read ‘‘747’’ and the

United States Code ‘‘(42 U.S.C. 295g)’’

to read ‘‘(42 U.S.C. 293k)’’.

3. Section 57.1702 is amended by

revising the section number of the Act

‘‘701(5)’’ in the definition of ‘‘School of

medicine or osteopathic medicine’’ to

read ‘‘799(1)(E)’’; by revising the

definitions of ‘‘Academic administrative

unit or unit’’ and ‘‘Other major clinical

units’’; and by adding the definition

‘‘Clinical campus’’ to read as follows:

§ 57.1702 Definitions.

Academic administrative unit or unit

means a department, division, or other

formal academic unit of a school of

medicine or osteopathic medicine or

clinical campuses of such schools that

provides clinical instruction in family

medicine.

* * * * *

Clinical campus means a

geographically separate educational

entity of an accredited medical school

that is recognized and identified as a

clinical campus by the American

Academy of Family Physicians and that

has been given the responsibility to

coordinate or provide all clinical

training for that clinical campus.

* * * * *

Other major clinical units means

formal academic units at the applicant

school or its clinical campus that offer

clinical instruction in internal

medicine, obstetrics and gynecology,

pediatrics, psychiatry, or surgery.

* * * * *

4. Section 57.1704 is amended by

revising the section number ‘‘786(a)’’ in

paragraph (h) to read ‘‘747’’; and by

revising paragraphs (a), (d), (e), and (f)

to read as follows:

§ 57.1704 Program requirements.

* * * * *

(a) Each project must have a project

director, who works at the grantee

institution in an administrative unit of

the grantee institution on an

appointment consistent with other

major departments, heads or will head

the unit, and has relevant training and

experience in family medicine.

* * * * *

(d) The unit must have control over a

residency training program. The

program must have the capacity to

enroll a total of at least 9 interns or

residents annually. A unit whose

applicant school or clinical campus

does not have a residency program

accredited under its direct authority

will be considered as meeting this

requirement if it has a written affiliation

agreement with a hospital which

conducts a residency program as

described.

(e) The unit (or units in the case of

schools with one or more decentralized

units) must have responsibility for

providing instruction to each member of

the student body who is engaged in an

education program leading to a degree

in doctor of medicine or doctor of

osteopathic medicine. The amount of

mandatory and elective curriculum

must be comparable to the amount of

mandatory and elective curriculum time

required for other major clinical units at

the school.

(f) The unit must have, in the

judgment of the Secretary, a sufficient

number of full-time faculty to conduct

the instruction. The number of family

medicine faculty in the unit must be

comparable to that of full-time faculty

responsible for conducting the

instruction of one of the other major

clinical units either at the school or at

the clinical campus, whichever is the

same as the unit receiving the grant

funds.

* * * * *

5. Section 57.1705 is amended by

revising the introductory text to read as

follows:

§ 57.1705 How will applications be

evaluated?

As required by section 798(a) of the

Act, each application for a grant under

this subpart shall be submitted to a peer

review group, composed principally of

non-Federal experts, for an evaluation of

the merits of the proposals made in the

application. The Secretary may not

approve such an application unless a

peer review group has recommended

the application for approval. The

Secretary will award grants to

applicants whose projects will best

promote the purposes of section 747 of

the Act and this subpart. The Secretary

will consider, among other factors:

* * * * *

6. Section 57.1709 is revised to read

as follows:

§ 57.1709 What other audit and inspection

requirements apply to grantees?

Each entity which receives a grant

under this subpart must meet the

requirements of 45 CFR part 74

concerning audit and inspection.

(Approved by the Office of Management and

Budget under conrol number 0915–0060)

[FR Doc. 95–13130 Filed 5–26–95; 8:45 am]

BILLING CODE 4160–15–P

FEDERAL COMMUNICATIONS

COMMISSION

47 CFR Part 15

[ET Docket No. 92–165; FCC 93–260]

Restricted Bands of Operation

AGENCY: Federal Communications

Commission.

ACTION: Correcting amendments.

SUMMARY: This document contains

corrections to the final regulations

which were published June 21, 1993 (58

FR 33774). The regulations relate to the

expansion of the restricted bands of

operation for international radiators.

EFFECTIVE DATE: May 30, 1995.

FOR FURTHER INFORMATION CONTACT: