1. Short title This Act may be cited as the Creating Efficiency in Foreign Facility Inspections Act . 2. Strengthening foreign drug facility inspections Section 704 of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 374 ) is amended by adding at the end the following: (i) (1) When the Secretary, and officers or employees duly designated by the Secretary, conduct inspections under this section of establishments engaged in the manufacturing, processing, packing, or holding of drugs that are located outside of the United States, the Secretary shall not notify the owner or operator of such establishment of the planned inspection before the inspection occurs unless— (A) notification to the establishment owner or operator in advance of an inspection is mandated under the laws of the country where the establishment is located, in which case, the Secretary shall provide not more than the minimum advanced notice so mandated