80_FR_18695 80 FR 18629 - Risk Evaluation and Mitigation Strategies: Modifications and Revisions; Guidance for Industry; Availability

80 FR 18629 - Risk Evaluation and Mitigation Strategies: Modifications and Revisions; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 66 (April 7, 2015)

Page Range18629-18631
FR Document2015-08015

The Food and Drug Administration (FDA) is announcing the availability of a guidance for industry entitled ``Risk Evaluation and Mitigation Strategies: Modifications and Revisions.'' This guidance provides information on how FDA will define and process submissions for modifications and revisions to risk evaluation and mitigation strategies (REMS), as well as information on what types of changes to approved REMS will be considered modifications of the REMS and what types of changes will be considered revisions of the REMS. There are different procedures for submission of REMS modifications and revisions to FDA as well as different timeframes for FDA review and action of such changes. In addition, this guidance provides information on how REMS modifications and revisions should be submitted to FDA and how FDA intends to review and act on these submissions. The definitions of REMS modifications and revisions apply to all types of REMS.

Federal Register, Volume 80 Issue 66 (Tuesday, April 7, 2015)
[Federal Register Volume 80, Number 66 (Tuesday, April 7, 2015)]
[Notices]
[Pages 18629-18631]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-08015]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-D-1747]


Risk Evaluation and Mitigation Strategies: Modifications and 
Revisions; Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
availability of a guidance for industry entitled ``Risk Evaluation and 
Mitigation Strategies: Modifications and Revisions.'' This guidance 
provides information on how FDA will define and process submissions for 
modifications and revisions to risk evaluation and mitigation 
strategies (REMS), as well as information on what types of changes to 
approved REMS will be considered modifications of the REMS and what 
types of changes will be considered revisions of the REMS. There are 
different procedures for submission of REMS modifications and revisions 
to FDA as well as different timeframes for FDA review and action of 
such changes. In addition, this guidance provides information on how 
REMS modifications and revisions should be submitted to FDA and how FDA 
intends to review and act on these submissions. The definitions of REMS 
modifications and revisions apply to all types of REMS.

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
guidance before it begins work on the final version of the guidance, 
submit either electronic or written comments on the guidance by June 8, 
2015. Submit either electronic or written comments concerning the 
proposed collection of information by June 8, 2015.

ADDRESSES: Submit written requests for single copies of the guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave. 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002; or the 
Office of Communication, Outreach, and Development, Center for 
Biologics Evaluation and Research, Food and Drug Administration, 10903 
New Hampshire Ave. Bldg. 71, Rm. 3128, Silver Spring, MD 20993-0002. 
Send one self-addressed adhesive label to assist that office in 
processing your requests. See the SUPPLEMENTARY INFORMATION section for 
electronic access to the guidance document.
    Submit electronic comments on the guidance to http://www.regulations.gov. Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Kristen Everett, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave. Bldg. 22, Rm. 6484, Silver Spring, MD 20993-0002, 301-
796-0453; or Stephen Ripley, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave. Bldg. 
71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a guidance for industry 
entitled ``Risk Evaluation and Mitigation Strategies: Modifications and 
Revisions.'' This guidance provides information on what types of 
changes to approved REMS will be considered modifications and what 
types of changes will be considered revisions. See section 505-1(h) of 
the Federal Food, Drug, and Cosmetic Act (the FD&C Act) (21 U.S.C. 355-
1(h)). This guidance also provides information on how REMS 
modifications and revisions should be submitted to FDA and how FDA 
intends to review and act on these submissions.
    If FDA determines that a REMS is necessary to ensure that the 
benefits of a drug outweigh its risks, FDA is authorized to require a 
REMS for such drugs under section 505-1 of the FD&C Act,\1\ added by 
section 901 of the Food and Drug Administration Amendments Act of 2007 
(Pub. L. 110-85).\2\ Section 505-1(g) and (h) of the FD&C Act include 
provisions for the assessment and modification of an approved REMS.
---------------------------------------------------------------------------

    \1\ Section 505-1 of the FD&C Act applies to applications for 
prescription drugs submitted under subsection 505(b) (i.e., new drug 
applications) or (j) (i.e., abbreviated new drug applications) of 
the FD&C Act (21 U.S.C. 355) and applications under section 351 of 
the Public Health Service Act (i.e., biologics license 
applications).
    \2\ See http://www.fda.gov/RegulatoryInformation/Legislation/FederalFoodDrugandCosmeticActFDCAct/SignificantAmendmentstotheFDCAct/FoodandDrugAdministrationAmendmentsActof2007/default.htm.
---------------------------------------------------------------------------

    In 2009, FDA issued draft guidance on the format and content of 
REMS, REMS assessments, and proposed REMS modifications. In that 
guidance, based on the language of section 505-1(g) and (h) of the FD&C 
Act before the amendments made by the Food and Drug Administration 
Safety and Innovation Act (Pub. L. 112-144) (FDASIA), FDA stated that 
any proposed modification to an approved REMS, including proposed 
changes to materials that are appended to the REMS document, must be 
submitted as a proposed REMS modification in the form of a prior 
approval supplement and must include a REMS assessment. The guidance 
stated that the proposed

[[Page 18630]]

modification(s) may not be implemented until approved by FDA.
    FDASIA amended the REMS modification provisions under section 505-
1(g) and (h) of the FD&C Act. Section 505-1(h), as amended by FDASIA, 
requires FDA to review and act on proposed ``minor modifications,'' as 
defined in guidance, within 60 days.\3\ It also requires FDA to 
establish, through guidance, that ``certain modifications'' can be 
implemented following notification to FDA.\4\ In addition, FDASIA 
requires FDA to review and act on REMS modifications due to approved 
safety label changes, or to a safety label change that FDA has directed 
the application holder to make pursuant to section 505(o)(4) of the 
FD&C Act within 60 days.\5\ Finally, FDASIA specifies that proposed 
REMS modifications no longer require submission of a REMS assessment; 
instead, proposed modifications must include an adequate rationale for 
the proposed changes. This guidance is issued pursuant to section 505-
1(h)(2)(A)(ii), (h)(2)(A)(iii), and (h)(2)(A)(iv) of the FD&C Act.
---------------------------------------------------------------------------

    \3\ See section 505-1(h)(2)(A)(ii) of the FD&C Act.
    \4\ See section 505-1(h)(2)(A)(iv) of the FD&C Act.
    \5\ See section 505-1(h)(2)(A)(iii) of the FD&C Act.
---------------------------------------------------------------------------

    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). This guidance, except for the 
portion setting forth the submission procedures for REMS revisions, is 
being implemented without prior public comment because the Agency has 
determined that prior public participation is not feasible or 
appropriate (21 CFR 10.115(g)(2)). The Agency made this determination 
because, consistent with the requirements of FDASIA, FDA is issuing 
this guidance to establish a less burdensome policy and process for 
submitting certain changes to REMS that is consistent with public 
health. Although the guidance document is immediately in effect, except 
for the submission procedures for REMS revisions, it remains subject to 
comment in accordance with the Agency's good guidance practices. 
Insofar as this guidance establishes the modifications to an approved 
REMS that may be implemented following notification to the Secretary 
under section 505-1(h)(2)(A)(iv)--here referred to as REMS revisions--
it has binding effect, except for the portion of the guidance setting 
forth the submission procedure for REMS revisions, which will, when 
final, have binding effect.

II. Paperwork Reduction Act of 1995

    This guidance contains information collection provisions that are 
subject to review by the Office of Management and Budget (OMB) under 
the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The title, 
description, and respondent description of the information collection 
are given under this section with an estimate of the annual reporting 
burden. Included in the estimate is the time for reviewing 
instructions, searching existing data sources, gathering and 
maintaining the data needed, and completing and reviewing the 
collection of information.
    We invite comments on these topics: (1) Whether the proposed 
collection of information is necessary for the proper performance of 
FDA's functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.
    Title: Guidance for Industry on Risk Evaluation and Mitigation 
Strategies: Modifications and Revisions
    Description: The guidance provides information on submitting to FDA 
modifications and revisions to approved REMS for approved new drug 
applications (NDAs), abbreviated new drug applications (ANDAs), or 
biologics license applications (BLAs).
    REMS modifications are submitted to FDA as supplements to approved 
NDAs under 21 CFR 314.70 and for ANDAs under 21 CFR 314.97, and as 
supplements to approved BLAs under 21 CFR 601.12. The burden hours for 
preparing and submitting supplements to NDAs and ANDAs is approved by 
OMB under control number 0910-0001, and for BLAs under control number 
0910-0338.
    Concerning REMS revisions, application holders should include the 
following information in each submission: (1) A full description of the 
changes to the REMS and/or appended materials, the date the changes 
will be implemented, and a REMS history that outlines all changes made 
to the REMS since its approval; (2) a clean Word version of the revised 
REMS and all appended REMS materials; (3) a redlined (tracked changes) 
Word version of the revised REMS and revised appended REMS materials 
that shows the changes from the previous versions; (4) an updated REMS 
supporting document, if needed; and (5) Form FDA 356h indicating that 
the submission is a REMS revision. (Form FDA 356h is approved by OMB 
under control number 0910-0338.) Each REMS revision that is submitted 
to FDA should also be documented in the next annual report for the 
application under 21 CFR 314.81(b)(2) (the burden hours for preparing 
and submitting annual reports for NDAs and ANDAs is approved by OMB 
under control number 0910-0001, and for BLAs under control number 0910-
0338). All subsequent REMS submissions (i.e., proposed modifications or 
additional REMS revisions) should include previously implemented REMS 
revisions in the REMS document and appended materials, and should be 
noted in the REMS history.
    Currently, there are 117 application holders with approved REMS 
that include 152 drugs. Based on FDA's current review of REMS 
submissions for approved NDAs, ANDAs, and BLAs, and anticipating an 
average of 1 REMS revision across the entire group of REMS, we estimate 
that annually a total of approximately 117 application holders 
(``Number of Respondents'' in table 1) will submit to FDA approximately 
152 REMS revision submissions (``Total Annual Responses'' in table 1) 
as described in this document and in the guidance. We also estimate 
that it will take an application holder approximately 30 hours to 
prepare and submit to FDA each REMS revision (``Average Burden per 
Response'' in table 1).
    The total estimated reporting burden for the guidance is as 
follows:

[[Page 18631]]



                                                     Table 1--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                         Number of
Guidance for industry on risk evaluation and mitigation strategies:     Number of      responses per     Total annual    Average burden    Total hours
                    modifications and revisions                        respondents       respondent       responses       per response
--------------------------------------------------------------------------------------------------------------------------------------------------------
REMS revisions.....................................................             117                1              152               30            4,560
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.

III. Comments

    Interested persons may submit either electronic comments regarding 
this document to http://www.regulations.gov or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments with the docket number 
found in brackets in the heading of this document. Received comments 
may be seen in the Division of Dockets Management between 9 a.m. and 4 
p.m., Monday through Friday, and will be posted to the docket at http://www.regulations.gov.

IV. Electronic Access

    Persons with access to the Internet may obtain the document at 
http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm, http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/default.htm, or http://www.regulations.gov.

    Dated: April 2, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-08015 Filed 4-6-15; 8:45 am]
BILLING CODE CODE 4164-01-P



                                                                                  Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices                                                     18629

                                                  FOR FURTHER INFORMATION CONTACT:                        ACTION:   Notice.                                     Drug Administration, 10903 New
                                                  Larry Bauer, Rare Diseases Program,                                                                           Hampshire Ave. Bldg. 22, Rm. 6484,
                                                  Center for Drug Evaluation and                          SUMMARY:    The Food and Drug                         Silver Spring, MD 20993–0002, 301–
                                                  Research, Food and Drug                                 Administration (FDA) is announcing the                796–0453; or Stephen Ripley, Center for
                                                  Administration, 10903 New Hampshire                     availability of a guidance for industry               Biologics Evaluation and Research,
                                                  Ave., Silver Spring, MD 20993–0002,                     entitled ‘‘Risk Evaluation and Mitigation             Food and Drug Administration, 10903
                                                  301–796–4842, FAX: 301–796–9858,                        Strategies: Modifications and                         New Hampshire Ave. Bldg. 71, Rm.
                                                  email: larry.bauer@fda.hhs.gov.                         Revisions.’’ This guidance provides                   7301, Silver Spring, MD 20993–0002,
                                                                                                          information on how FDA will define                    240–402–7911.
                                                  SUPPLEMENTARY INFORMATION: FDA is
                                                                                                          and process submissions for
                                                  announcing the issuance of a priority                                                                         SUPPLEMENTARY INFORMATION:
                                                                                                          modifications and revisions to risk
                                                  review voucher to the sponsor of a rare
                                                                                                          evaluation and mitigation strategies                  I. Background
                                                  pediatric disease product application.
                                                                                                          (REMS), as well as information on what
                                                  Under section 529 of the FD&C Act (21                                                                            FDA is announcing the availability of
                                                                                                          types of changes to approved REMS will
                                                  U.S.C. 360ff), added by FDASIA, FDA                                                                           a guidance for industry entitled ‘‘Risk
                                                                                                          be considered modifications of the
                                                  will award priority review vouchers to                                                                        Evaluation and Mitigation Strategies:
                                                                                                          REMS and what types of changes will be
                                                  sponsors of rare pediatric disease                                                                            Modifications and Revisions.’’ This
                                                                                                          considered revisions of the REMS.
                                                  product applications that meet certain                                                                        guidance provides information on what
                                                                                                          There are different procedures for
                                                  criteria. FDA has determined that                                                                             types of changes to approved REMS will
                                                                                                          submission of REMS modifications and
                                                  UNITUXIN (dinutuximab),                                                                                       be considered modifications and what
                                                                                                          revisions to FDA as well as different
                                                  manufactured by United Therapeutics                                                                           types of changes will be considered
                                                                                                          timeframes for FDA review and action
                                                  Corporation, meets the criteria for a                                                                         revisions. See section 505–1(h) of the
                                                                                                          of such changes. In addition, this
                                                  priority review voucher. UNITUXIN                                                                             Federal Food, Drug, and Cosmetic Act
                                                                                                          guidance provides information on how
                                                  (dinutuximab) is indicated, in                                                                                (the FD&C Act) (21 U.S.C. 355–1(h)).
                                                                                                          REMS modifications and revisions
                                                  combination with granulocyte-                                                                                 This guidance also provides information
                                                                                                          should be submitted to FDA and how
                                                  macrophage colony-stimulating factor                                                                          on how REMS modifications and
                                                                                                          FDA intends to review and act on these
                                                  (GM–CSF), interleukin-2 (IL–2), and 13-                                                                       revisions should be submitted to FDA
                                                                                                          submissions. The definitions of REMS
                                                  cis-retinoic acid (RA), for the treatment                                                                     and how FDA intends to review and act
                                                                                                          modifications and revisions apply to all
                                                  of pediatric patients with high-risk                                                                          on these submissions.
                                                                                                          types of REMS.
                                                  neuroblastoma who achieve at least a                                                                             If FDA determines that a REMS is
                                                  partial response to prior first-line                    DATES: Although you can comment on                    necessary to ensure that the benefits of
                                                  multiagent, multimodality therapy.                      any guidance at any time (see 21 CFR                  a drug outweigh its risks, FDA is
                                                  Neuroblastoma is the most common                        10.115(g)(5)), to ensure that the Agency              authorized to require a REMS for such
                                                  pediatric solid tumor occurring outside                 considers your comment on this                        drugs under section 505–1 of the FD&C
                                                  the brain, and it is the most common                    guidance before it begins work on the                 Act,1 added by section 901 of the Food
                                                  cancer in infants.                                      final version of the guidance, submit                 and Drug Administration Amendments
                                                    For further information about the Rare                either electronic or written comments                 Act of 2007 (Pub. L. 110–85).2 Section
                                                  Pediatric Disease Priority Review                       on the guidance by June 8, 2015. Submit               505–1(g) and (h) of the FD&C Act
                                                  Voucher Program and for a link to the                   either electronic or written comments                 include provisions for the assessment
                                                  full text of section 529 of the FD&C Act,               concerning the proposed collection of                 and modification of an approved REMS.
                                                  go to http://www.fda.gov/ForIndustry/                   information by June 8, 2015.                             In 2009, FDA issued draft guidance on
                                                  DevelopingProductsforRareDiseases                       ADDRESSES: Submit written requests for                the format and content of REMS, REMS
                                                  Conditions/RarePediatricDiseasePriority                 single copies of the guidance to the                  assessments, and proposed REMS
                                                  VoucherProgram/default.htm.                             Division of Drug Information, Center for              modifications. In that guidance, based
                                                    For further information about                         Drug Evaluation and Research, Food                    on the language of section 505–1(g) and
                                                  UNITUXIN (dinutuximab), go to the                       and Drug Administration, 10001 New                    (h) of the FD&C Act before the
                                                  Drugs@FDA Web site at http://www.                       Hampshire Ave. Hillandale Building,                   amendments made by the Food and
                                                  accessdata.fda.gov/scripts/cder/                        4th Floor, Silver Spring, MD 20993–                   Drug Administration Safety and
                                                  drugsatfda/index.cfm.                                   0002; or the Office of Communication,                 Innovation Act (Pub. L. 112–144)
                                                    Dated: April 2, 2015.                                 Outreach, and Development, Center for                 (FDASIA), FDA stated that any
                                                  Leslie Kux,
                                                                                                          Biologics Evaluation and Research,                    proposed modification to an approved
                                                                                                          Food and Drug Administration, 10903                   REMS, including proposed changes to
                                                  Associate Commissioner for Policy.
                                                                                                          New Hampshire Ave. Bldg. 71, Rm.                      materials that are appended to the
                                                  [FR Doc. 2015–08014 Filed 4–6–15; 8:45 am]
                                                                                                          3128, Silver Spring, MD 20993–0002.                   REMS document, must be submitted as
                                                  BILLING CODE CODE 4164–01–P                             Send one self-addressed adhesive label                a proposed REMS modification in the
                                                                                                          to assist that office in processing your              form of a prior approval supplement
                                                                                                          requests. See the SUPPLEMENTARY                       and must include a REMS assessment.
                                                  DEPARTMENT OF HEALTH AND                                INFORMATION section for electronic
                                                  HUMAN SERVICES                                                                                                The guidance stated that the proposed
                                                                                                          access to the guidance document.
                                                  Food and Drug Administration                               Submit electronic comments on the                     1 Section 505–1 of the FD&C Act applies to

                                                                                                          guidance to http://www.regulations.gov.               applications for prescription drugs submitted under
                                                  [Docket No. FDA–2014–D–1747]                            Submit written comments to the                        subsection 505(b) (i.e., new drug applications) or (j)
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          Division of Dockets Management (HFA–                  (i.e., abbreviated new drug applications) of the
                                                  Risk Evaluation and Mitigation                                                                                FD&C Act (21 U.S.C. 355) and applications under
                                                                                                          305), Food and Drug Administration,                   section 351 of the Public Health Service Act (i.e.,
                                                  Strategies: Modifications and                           5630 Fishers Lane, Rm. 1061, Rockville,               biologics license applications).
                                                  Revisions; Guidance for Industry;                       MD 20852.                                                2 See http://www.fda.gov/RegulatoryInformation/
                                                  Availability                                                                                                  Legislation/FederalFoodDrugand
                                                                                                          FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                CosmeticActFDCAct/SignificantAmendmentsto
                                                  AGENCY:    Food and Drug Administration,                Kristen Everett, Center for Drug                      theFDCAct/FoodandDrugAdministration
                                                  HHS.                                                    Evaluation and Research, Food and                     AmendmentsActof2007/default.htm.



                                             VerDate Sep<11>2014   17:46 Apr 06, 2015   Jkt 235001   PO 00000   Frm 00044   Fmt 4703   Sfmt 4703   E:\FR\FM\07APN1.SGM   07APN1


                                                  18630                           Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices

                                                  modification(s) may not be                              revisions—it has binding effect, except                  Concerning REMS revisions,
                                                  implemented until approved by FDA.                      for the portion of the guidance setting               application holders should include the
                                                     FDASIA amended the REMS                              forth the submission procedure for                    following information in each
                                                  modification provisions under section                   REMS revisions, which will, when final,               submission: (1) A full description of the
                                                  505–1(g) and (h) of the FD&C Act.                       have binding effect.                                  changes to the REMS and/or appended
                                                  Section 505–1(h), as amended by                                                                               materials, the date the changes will be
                                                  FDASIA, requires FDA to review and act                  II. Paperwork Reduction Act of 1995
                                                                                                                                                                implemented, and a REMS history that
                                                  on proposed ‘‘minor modifications,’’ as                    This guidance contains information                 outlines all changes made to the REMS
                                                  defined in guidance, within 60 days.3 It                collection provisions that are subject to             since its approval; (2) a clean Word
                                                  also requires FDA to establish, through                 review by the Office of Management and                version of the revised REMS and all
                                                  guidance, that ‘‘certain modifications’’                Budget (OMB) under the Paperwork                      appended REMS materials; (3) a
                                                  can be implemented following                            Reduction Act of 1995 (44 U.S.C. 3501–                redlined (tracked changes) Word version
                                                  notification to FDA.4 In addition,                      3520). The title, description, and                    of the revised REMS and revised
                                                  FDASIA requires FDA to review and act                   respondent description of the                         appended REMS materials that shows
                                                  on REMS modifications due to approved                   information collection are given under                the changes from the previous versions;
                                                  safety label changes, or to a safety label              this section with an estimate of the                  (4) an updated REMS supporting
                                                  change that FDA has directed the                        annual reporting burden. Included in
                                                  application holder to make pursuant to                                                                        document, if needed; and (5) Form FDA
                                                                                                          the estimate is the time for reviewing                356h indicating that the submission is a
                                                  section 505(o)(4) of the FD&C Act                       instructions, searching existing data
                                                  within 60 days.5 Finally, FDASIA                                                                              REMS revision. (Form FDA 356h is
                                                                                                          sources, gathering and maintaining the                approved by OMB under control
                                                  specifies that proposed REMS                            data needed, and completing and
                                                  modifications no longer require                                                                               number 0910–0338.) Each REMS
                                                                                                          reviewing the collection of information.
                                                  submission of a REMS assessment;                                                                              revision that is submitted to FDA
                                                                                                             We invite comments on these topics:
                                                  instead, proposed modifications must                                                                          should also be documented in the next
                                                                                                          (1) Whether the proposed collection of
                                                  include an adequate rationale for the                                                                         annual report for the application under
                                                                                                          information is necessary for the proper
                                                  proposed changes. This guidance is                                                                            21 CFR 314.81(b)(2) (the burden hours
                                                                                                          performance of FDA’s functions,
                                                  issued pursuant to section 505–                         including whether the information will                for preparing and submitting annual
                                                  1(h)(2)(A)(ii), (h)(2)(A)(iii), and                     have practical utility; (2) the accuracy of           reports for NDAs and ANDAs is
                                                  (h)(2)(A)(iv) of the FD&C Act.                          FDA’s estimate of the burden of the                   approved by OMB under control
                                                     This guidance is being issued                        proposed collection of information,                   number 0910–0001, and for BLAs under
                                                  consistent with FDA’s good guidance                     including the validity of the                         control number 0910–0338). All
                                                  practices regulation (21 CFR 10.115).                   methodology and assumptions used; (3)                 subsequent REMS submissions (i.e.,
                                                  This guidance, except for the portion                   ways to enhance the quality, utility, and             proposed modifications or additional
                                                  setting forth the submission procedures                 clarity of the information to be                      REMS revisions) should include
                                                  for REMS revisions, is being                            collected; and (4) ways to minimize the               previously implemented REMS
                                                  implemented without prior public                        burden of the collection of information               revisions in the REMS document and
                                                  comment because the Agency has                          on respondents, including through the                 appended materials, and should be
                                                  determined that prior public                            use of automated collection techniques,               noted in the REMS history.
                                                  participation is not feasible or                        when appropriate, and other forms of
                                                  appropriate (21 CFR 10.115(g)(2)). The                                                                           Currently, there are 117 application
                                                                                                          information technology.                               holders with approved REMS that
                                                  Agency made this determination
                                                                                                             Title: Guidance for Industry on Risk               include 152 drugs. Based on FDA’s
                                                  because, consistent with the
                                                                                                          Evaluation and Mitigation Strategies:                 current review of REMS submissions for
                                                  requirements of FDASIA, FDA is issuing
                                                                                                          Modifications and Revisions                           approved NDAs, ANDAs, and BLAs,
                                                  this guidance to establish a less
                                                                                                             Description: The guidance provides                 and anticipating an average of 1 REMS
                                                  burdensome policy and process for
                                                                                                          information on submitting to FDA                      revision across the entire group of
                                                  submitting certain changes to REMS that
                                                                                                          modifications and revisions to approved               REMS, we estimate that annually a total
                                                  is consistent with public health.
                                                  Although the guidance document is                       REMS for approved new drug                            of approximately 117 application
                                                  immediately in effect, except for the                   applications (NDAs), abbreviated new                  holders (‘‘Number of Respondents’’ in
                                                  submission procedures for REMS                          drug applications (ANDAs), or biologics               table 1) will submit to FDA
                                                  revisions, it remains subject to comment                license applications (BLAs).                          approximately 152 REMS revision
                                                  in accordance with the Agency’s good                       REMS modifications are submitted to                submissions (‘‘Total Annual Responses’’
                                                  guidance practices. Insofar as this                     FDA as supplements to approved NDAs                   in table 1) as described in this document
                                                  guidance establishes the modifications                  under 21 CFR 314.70 and for ANDAs                     and in the guidance. We also estimate
                                                  to an approved REMS that may be                         under 21 CFR 314.97, and as                           that it will take an application holder
                                                  implemented following notification to                   supplements to approved BLAs under                    approximately 30 hours to prepare and
                                                  the Secretary under section 505–                        21 CFR 601.12. The burden hours for                   submit to FDA each REMS revision
                                                  1(h)(2)(A)(iv)—here referred to as REMS                 preparing and submitting supplements                  (‘‘Average Burden per Response’’ in
                                                                                                          to NDAs and ANDAs is approved by                      table 1).
                                                    3 See section 505–1(h)(2)(A)(ii) of the FD&C Act.     OMB under control number 0910–0001,
                                                    4 See section 505–1(h)(2)(A)(iv) of the FD&C Act.     and for BLAs under control number                        The total estimated reporting burden
                                                    5 See section 505–1(h)(2)(A)(iii) of the FD&C Act.    0910–0338.                                            for the guidance is as follows:
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                                                                                          Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices                                                 18631

                                                                                                           TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                           Number of                             Average
                                                    Guidance for industry on risk evaluation and mitigation                              Number of                          Total annual
                                                                                                                                                         responses per                         burden per   Total hours
                                                           strategies: modifications and revisions                                      respondents                          responses
                                                                                                                                                           respondent                           response

                                                  REMS revisions ...................................................................       117                   1              152               30          4,560
                                                     1 There    are no capital costs or operating and maintenance costs associated with this collection of information.


                                                  III. Comments                                                       National Health Service Corps Loan                     Fishers Lane, Room 11W–37, Rockville,
                                                     Interested persons may submit either                             Repayment Program (NHSC LRP),                          MD 20857, Telephone: 301–443–1587.
                                                  electronic comments regarding this                                  Students to Service, (S2S), NHSC                       SUPPLEMENTARY INFORMATION:
                                                  document to http://www.regulations.gov                              Student/Resident Experiences and
                                                  or written comments to the Division of                              Rotations in Community Health                          I. Explanation of Changes
                                                                                                                      (SEARCH), NURSE Corps Loan
                                                  Dockets Management (see ADDRESSES). It
                                                                                                                      Repayment Program (NURSE Corps                            • The system of records notice name
                                                  is only necessary to send one set of                                                                                       has been shortened to ‘‘HHS/HRSA/
                                                  comments. Identify comments with the                                LRP) formerly the Nursing Education
                                                                                                                      Loan Repayment Program (NELRP),                        BHW Scholarship and Loan Repayment
                                                  docket number found in brackets in the                                                                                     Program Records.’’
                                                  heading of this document. Received                                  NURSE Corps Scholarship Program
                                                                                                                      (NURSE Corps SP) formerly the Nursing                     • The Nursing Scholarship Program
                                                  comments may be seen in the Division                                                                                       (NSP) has been renamed the NURSE
                                                  of Dockets Management between 9 a.m.                                Scholarship Program (NSP), Native
                                                                                                                      Hawaiian Health Scholarship Program                    Corps Scholarship Program (NURSE
                                                  and 4 p.m., Monday through Friday, and                                                                                     Corps SP), and the Nursing Education
                                                  will be posted to the docket at http://                             (NHHSP), and Faculty Loan Repayment
                                                                                                                      Program (FLRP), Applicants and/or                      Loan Repayment Program (NELRP) has
                                                  www.regulations.gov.                                                                                                       been renamed the NURSE Corps Loan
                                                                                                                      Participants Records System, HHS/
                                                  IV. Electronic Access                                               HRSA/BHW,’’ No. 09–15–0037. The                        Repayment Program (NURSE Corps
                                                    Persons with access to the Internet                               proposed alterations affect the system                 LRP) and all associated records have
                                                  may obtain the document at http://                                  name, system location, categories of                   been merged into a new central database
                                                  www.fda.gov/Drugs/                                                  records, purposes, routine uses,                       system as noted below.
                                                  GuidanceCompliance                                                  safeguards, records retention and                         • A new information system, BHW
                                                  RegulatoryInformation/Guidances/                                    disposal, system manager title and                     Management Information System
                                                  default.htm, http://www.fda.gov/                                    address, as well as minor editorial                    Solution (BMISS), has replaced Bureau
                                                  BiologicsBloodVaccines/                                             corrections and clarifications.                        of Health Care Delivery and Assistance
                                                  GuidanceCompliance                                                  DATES: HRSA filed an altered system                    NET (BHCDANET), and serves as the
                                                  RegulatoryInformation/default.htm, or                               report with the Chair of the House                     central database for information
                                                  http://www.regulations.gov.                                         Committee on Government Reform and                     concerning the, NHSC SP, NHSC LRP,
                                                                                                                      Oversight, the Chair of the Senate                     S2S, NURSE Corps SP, NURSE Corps
                                                    Dated: April 2, 2015.
                                                                                                                      Committee on Homeland Security and                     LRP, FLRP, and NHHSP.
                                                  Leslie Kux,
                                                                                                                      Governmental Affairs, and the                             • The system location section has
                                                  Associate Commissioner for Policy.
                                                                                                                      Administrator, Office of Information                   been updated to indicate that electronic
                                                  [FR Doc. 2015–08015 Filed 4–6–15; 8:45 am]
                                                                                                                      and Regulatory Affairs, Office of                      records and electronic copies of paper
                                                  BILLING CODE CODE 4164–01–P
                                                                                                                      Management and Budget (OMB) on                         records for applicants and participants
                                                                                                                      March 30, 2015. To ensure all parties                  under various programs are now stored
                                                                                                                      have adequate time in which to                         in BMISS and to include locations of
                                                  DEPARTMENT OF HEALTH AND
                                                                                                                      comment, the altered system, including                 records not stored in BMISS (for
                                                  HUMAN SERVICES
                                                                                                                      the routine uses, will become effective                example, Ambassador records are
                                                  Health Resources and Services                                       30 days from the publication of the                    electronic but currently maintained in
                                                  Administration                                                      notice or 40 days from the date it was                 an online Web site directory while a
                                                                                                                      submitted to OMB and Congress,                         BMISS database is being designed and
                                                  Privacy Act of 1974; Report of an                                   whichever is later, unless HRSA                        built, at which point the records will be
                                                  Altered System of Records                                           receives comments that require                         merged into BMISS).
                                                  AGENCY:  Health Resources and Services
                                                                                                                      alterations to this notice.                               • The categories of records have been
                                                  Administration (HRSA), Department of                                ADDRESSES: Please address comments                     updated to include ‘‘information
                                                  Health and Human Services (HHS or                                   to: Associate Administrator, Bureau of                 concerning educational loans.’’
                                                  Department).                                                        Health Workforce (BHW), Health                            • The purpose(s) section has been
                                                                                                                      Resources and Services Administration                  updated to consolidate certain
                                                  ACTION: Notice of an Altered System of
                                                                                                                      (HRSA), 5600 Fishers Lane, Room 11W–                   descriptions (i.e., to combine the loan
                                                  Records.                                                            37, Rockville, MD 20857, telephone                     repayment and scholarship program
                                                  SUMMARY:   In accordance with the                                   (301) 594–4130, or FAX (301) 594–4076.                 monitoring activities previously
                                                                                                                      Comments received will be available for
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                                                  requirements of the Privacy Act of 1974                                                                                    described in purpose 4 with the other
                                                  (5 U.S.C. 552a), the Health Resources                               inspection at this same address from                   program selection and monitoring
                                                  and Services Administration (HRSA) is                               9:00 a.m. to 3:00 p.m. (Eastern Standard               activities previously described in
                                                  publishing notice of a proposed                                     Time Zone), Monday through Friday.                     purpose 8), and to include intra-agency
                                                  alteration of the system of records                                 FOR FURTHER INFORMATION CONTACT:                       transfers of information previously
                                                  entitled and numbered ‘‘Public Health                               BMISS System Manager, Bureau of                        described as routine uses by mistake
                                                  and National Health Service Corps                                   Health Workforce, Health Resources and                 (i.e., transfers to HHS’ debt and
                                                  Scholarship Program (NHSC SP),                                      Services Administration (HRSA), 5600                   financial management systems).


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Document Created: 2018-02-21 10:05:31
Document Modified: 2018-02-21 10:05:31
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on this guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the guidance by June 8, 2015. Submit either electronic or written comments concerning the proposed collection of information by June 8, 2015.
ContactKristen Everett, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave. Bldg. 22, Rm. 6484, Silver Spring, MD 20993-0002, 301- 796-0453; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave. Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
FR Citation80 FR 18629 

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