80_FR_44446 80 FR 44303 - Food Labeling: Revision of the Nutrition and Supplement Facts Labels; Supplemental Proposed Rule To Solicit Comment on Limited Additional Provisions

80 FR 44303 - Food Labeling: Revision of the Nutrition and Supplement Facts Labels; Supplemental Proposed Rule To Solicit Comment on Limited Additional Provisions

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 143 (July 27, 2015)

Page Range44303-44312
FR Document2015-17928

The Food and Drug Administration (FDA or we) is revising certain provisions of the proposed rule, issued in March 2014, that would amend FDA's labeling regulations for conventional foods and dietary supplements to provide updated nutrition information on the Nutrition Facts and Supplement Facts labels to assist consumers in maintaining healthy dietary practices (``the NFL/SFL proposed rule''). We are proposing text for the footnotes to be used on the Nutrition Facts label. We are taking this action after completing our consumer research in which we tested various footnote text options for the label. We are also proposing to establish a Daily Reference Value (DRV) of 10 percent of total energy intake from added sugars, proposing to require the declaration of the percent Daily Value (DV) for added sugars on the label, and are providing additional rationale for the declaration of added sugars on the label. We are taking these actions based, in part, on the science underlying a new report released by the 2015 Dietary Guidelines Advisory Committee.

Federal Register, Volume 80 Issue 143 (Monday, July 27, 2015)
[Federal Register Volume 80, Number 143 (Monday, July 27, 2015)]
[Proposed Rules]
[Pages 44303-44312]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-17928]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 101

[Docket No. FDA-2012-N-1210]


Food Labeling: Revision of the Nutrition and Supplement Facts 
Labels; Supplemental Proposed Rule To Solicit Comment on Limited 
Additional Provisions

AGENCY: Food and Drug Administration, HHS.

ACTION: Proposed rule; supplemental notice of proposed rulemaking.

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

SUMMARY: The Food and Drug Administration (FDA or we) is revising 
certain provisions of the proposed rule, issued in March 2014, that 
would amend FDA's labeling regulations for conventional foods and 
dietary supplements to provide updated nutrition information on the 
Nutrition Facts and Supplement Facts labels to assist consumers in 
maintaining healthy dietary practices (``the NFL/SFL proposed rule''). 
We are proposing text for the footnotes to be used on the Nutrition 
Facts label. We are taking this action after completing our consumer 
research in which we tested various footnote text options for the 
label. We are also proposing to establish a Daily Reference Value (DRV) 
of 10 percent of total energy intake from added sugars, proposing to 
require the declaration of the percent Daily Value (DV) for added 
sugars on the label, and are providing additional rationale for the 
declaration of added sugars on the label. We are taking these actions 
based, in part, on the science underlying a new report released by the 
2015 Dietary Guidelines Advisory Committee.

DATES: Submit either electronic or written comments on the supplemental 
notice of proposed rulemaking by October 13, 2015. Submit comments on 
information collection issues under the Paperwork Reduction Act of 1995 
by August 26, 2015, (see the ``Paperwork Reduction Act of 1995'' 
section of this document).

ADDRESSES: You may submit comments by any of the following methods, 
except that comments on information collection issues under the 
Paperwork Reduction Act of 1995 (the PRA) must be submitted to the 
Office of Information and Regulatory Affairs, Office of Management and 
Budget (OMB) (see the ``Paperwork Reduction Act of 1995'' section of 
this document).

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.

Written Submissions

    Submit written submissions in the following ways:
     Mail/Hand delivery/Courier (for paper submissions): 
Division of Dockets Management (HFA-305), Food and Drug Administration, 
5360 Fishers Lane, Rm. 1061, Rockville, MD 20852.
    Instructions: All submissions received must include the Docket No. 
FDA-2012-N-1210 for this rulemaking. All comments received may be 
posted without change to http://www.regulations.gov, including any 
personal information provided. For additional information on submitting 
comments, see the ``How to Submit Comments'' heading of the 
SUPPLEMENTARY INFORMATION section of this document.
    Docket: For access to the docket to read background documents or 
comments received, go to http://www.regulations.gov and insert the 
docket number, found in brackets in the heading of this document, into 
the ``Search'' box and follow the prompts and/or go to the Division of 
Dockets Management, 5600 Fishers Lane, Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: With regard to the supplemental notice 
of proposed rulemaking: Blakeley Fitzpatrick, Center for Food Safety 
and Applied Nutrition (HFS-830), Food and Drug Administration, 5100 
Paint Branch Pkwy., College Park, MD 20740, 240-402-5429, email: 
[email protected]. With regard to the information 
collection: FDA PRA Staff, Office of Operations, Food and Drug 
Administration, 8455 Colesville Rd., COLE-14526, Silver Spring, MD 
20993-0002, email: [email protected].

SUPPLEMENTARY INFORMATION:

Executive Summary

Purpose of the Regulatory Action

    FDA is revising certain provisions of the proposed rule that 
published in the Federal Register on March 3, 2014 (79 FR 11879), that 
would amend FDA's labeling regulations for conventional foods and 
dietary supplements to provide updated nutrition information on the 
NFL/SFL proposed rule.
    In the NFL/SFL proposed rule, we proposed to remove the requirement 
for the footnote listing the reference values for certain nutrients for 
2,000 and 2,500 calorie diets and reserved space to provide a proposed 
footnote. We stated in the preamble of the NFL/SFL proposed rule that 
we would continue to perform research during this rulemaking process to 
evaluate how variations in label format may affect consumer 
understanding and use of the Nutrition Facts label. We also stated that 
we would publish the results of our research for public review and 
comment. We are making results of our research available in this 
document. We are also proposing text for the footnotes to be used on 
the Nutrition Facts label. We are taking this action after completing 
our consumer research in which we tested various footnote text options 
for the label. We are also providing an exemption from the footnote 
requirement for certain foods.
    In addition, the NFL/SFL proposed rule would require the 
declaration of added sugars as an indented line item underneath the 
declaration of ``Sugars'' on the Nutrition Facts label. We discussed in 
the NFL/SFL proposed rule that we were considering whether to use the 
term ``Total Sugars'' instead of ``Sugars'' on the label if we finalize 
a declaration of added sugars.
    We stated in the NFL/SFL proposed rule that we were planning to 
conduct a consumer study that would include, among other things, 
questions regarding the declaration of added sugars on the Nutrition 
Facts label in order to help enhance our understanding of how consumers 
would comprehend and use this new information. We also stated that we 
would publish the results of the study when they become available.
    As we prepared to make the consumer study results for the footnote 
and added sugars declaration available, new information emerged from 
the ``Scientific Report of the 2015 Dietary Guidelines Advisory 
Committee'' (the 2015 DGAC report) regarding added sugars. The new 
information on added sugars led us to reconsider our thinking for not 
establishing a DRV or requiring the declaration of a percent DV for 
added sugars on the Nutrition Facts and Supplement Facts labels. 
Specifically, the 2015 DGAC report provided evidence suggesting a 
strong association between a dietary pattern of intake characterized, 
in part, by a reduced intake of added sugars and a reduced risk of 
cardiovascular disease. The evidence also suggested an applicable

[[Page 44304]]

reference amount for added sugars, i.e., limiting added sugars intake 
to no more than 10 percent of total daily caloric intake. As a result 
of our review of the science underlying the 2015 DGAC report, we are 
proposing to establish a DRV for added sugars and to require the 
percent DV declaration of added sugars on the Nutrition Facts and 
Supplement Facts labels. We are not proposing to establish a DRV for 
total sugars or to require the mandatory declaration of a percent DV 
for total sugars because there is no quantitative intake level or other 
reference amount for which there is sufficient scientific evidence upon 
which we can base a DRV for total sugars. We are proposing to establish 
a DRV for added sugars because science underlying the 2015 DGAC report 
provided a scientific basis for a reference amount for added sugars 
upon which we can propose a DRV (a recommended maximum of 10 percent of 
total energy intake). We also received many comments suggesting that, 
if added sugars are declared on the label, a percent DV declaration 
would assist consumers in putting the amount of added sugars in a 
serving of a product into the context of their total daily diet.
    A summary of the results of FDA's consumer research on footnote 
text options and on the added sugars declaration is available in 
section I.C., and a detailed description of the results is available in 
the docket.

Summary of the Major Provisions of the Regulatory Action in Question

    We are proposing to establish a DRV for added sugars of 50 grams 
(g) for children 4 years of age and older and adults, and of 25 g for 
children 1 through 3 years of age. We are also proposing to require the 
declaration of the percent DV for added sugars on Nutrition and 
Supplement Facts labels, and have proposed revisions to the NFL/SFL 
proposed rule codified to reflect these changes. These proposed 
revisions are outlined in section III. We are also proposing footnote 
text for the space reserved in Sec.  101.9(d)(9) (21 CFR 101.9(d)(9)) 
of the NFL/SFL proposed rule. The footnote text would explain that the 
% Daily Value tells you how much a nutrient in a serving of food 
contributes to a daily diet and that 2,000 calories a day is used for 
general nutrition advice. The language in this footnote is similar to 
the wording of one of the options tested in our study (as described in 
section I.C.), except that the sentences have been reversed. We believe 
this footnote explains the %DV in the most concise manner by providing 
a brief description of ``% Daily Value,'' which is lacking in the 
current footnote. While the consumer research study did not suggest 
strong support for a particular footnote, the language in this footnote 
was perceived by study participants to be more useful than the current 
footnote. We consider that switching the order of the sentences is 
important because it allows the first sentence to clearly follow the 
asterisk in the ``%DV'' column heading that leads to the footnote. When 
consumers look down to the footnote to see what additional information 
is linked to the asterisk that they see after the ``%DV'' column 
heading, they may expect to find the sentence that explains percent 
daily value first, rather than a sentence about calories. This 
supplemental notice of proposed rulemaking would also allow the 
footnote proposed in Sec.  101.9(d) to be omitted from products that 
qualify for a simplified format (Sec.  101.9(f)), and on small or 
intermediate packages (Sec.  101.9(j)(13)(ii)(A)(1); Sec.  
101.9(j)(13)(ii)(A)(2)), provided that the following abbreviated 
statement is used: ``%DV = % Daily Value.''
    The proposed statement is shorter than the current statement to 
allow for more space on the label. In addition, we realize that the 
standard format in the NFL/SFL proposed rule for the Nutrition Facts 
label had a placeholder for the footnote and did not explain the 
``%DV.'' It is important for consumers to know what ``%DV'' on the 
label means. Consequently, we are proposing a statement that spells out 
``%DV'' for products that qualify for a simplified format and on small 
or intermediate packages.
    This supplemental notice of proposed rulemaking also proposes an 
exemption to the proposed footnote requirement in section Sec.  
101.9(d)(9) for the foods that can use the terms ``calorie free,'' 
``free of calories,'' ``no calories,'' ``zero calories,'' ``without 
calories,'' ``trivial source of calories,'' ``negligible source of 
calories,'' or ``dietary insignificant source of calories'' on the 
label or in the labeling of foods as defined in 21 CFR 101.60(b). Such 
products would have little to no impact on the average daily 2,000 
calorie intake, which the footnote addresses. Exempting the footnote 
for these packages is a practical solution that would assure adequate 
space is still available for the required nutrient declarations.
    We are inviting comment only with respect to the following issues 
discussed in greater detail later in this document: (1) New information 
from the 2015 DGAC report and the science upon which that report is 
based regarding added sugars; (2) the proposal to establish a DRV for 
added sugars and to require the declaration of the percent DV for added 
sugars on the Nutrition and Supplement Facts labels; (3) using the term 
``Total Sugars'' instead of ``Sugars'' on the label (4) the proposed 
text for the footnotes to be used on the Nutrition Facts label; (5) 
exemptions from the proposed footnote requirement; (6) whether we 
should make changes to the footnote used on the Supplement Facts label; 
and (7) whether there should be a footnote on labels of food 
represented for infants 7 through 12 months of age or children 1 
through 3 years of age, and, if so, what that footnote should say. We 
will not consider comments outside the scope of these issues.

Costs and Benefits

    In the NFL/SFL proposed rule we stated that we have developed one 
comprehensive Preliminary Regulatory Impact Analysis (PRIA) that 
presents the benefits and costs of this proposed rule as well as the 
proposed rule entitled ``Food Labeling: Serving Sizes of Foods That Can 
Reasonably Be Consumed at One Eating Occasion; Dual Column Labeling; 
Updating, Modifying, and Establishing Certain Reference Amounts 
Customarily Consumed; Serving Size for Breath Mints; and Technical 
Amendments'' (the original PRIA). As stated earlier, we are proposing 
revisions to the NFL/SFL proposed rule. We are proposing footnote text 
and an exemption to that text for certain foods, and we are proposing 
that manufacturers declare the percent DV for added sugars on the 
Nutrition Facts and Supplement Facts labels. We estimate that just the 
changes specified in this supplemental notice of proposed rulemaking, 
if finalized, will generate annualized costs of $10 million (at 7 
percent discount rate) and $8 million (at 3 percent discount rate), 
annualized benefits of $200 million (at 7 percent) and $300 million (at 
3 percent), and annualized net benefits of $190 million (at 7 percent) 
and $292 million (at 3 percent) on top of those estimated in the 
previous proposed rules. In total, we estimate that these rules, 
including the changes outlined in this proposal, if finalized, will 
generate annualized costs of $200 million (at both 3 and 7 percent), 
annualized benefits of $2.1 billion (at 7 percent) and $2.3 billion (at 
3 percent), and annualized net benefits of $1.9 billion (at 7 percent) 
and $2.1 billion (at 3 percent). This represents an annual increase in 
net benefits from the original PRIA's estimates of approximately $200 
million per year.
    We summarize the annualized costs and benefits (over a 20-year 
period discounted at both 3 percent and 7

[[Page 44305]]

percent) of the previous and revised proposed rules in the following 
table.

          Summary of Annualized Costs and Benefits Over 20 Years of Previous and Revised Proposed Rules
                                          [In billions of 2011 dollars]
----------------------------------------------------------------------------------------------------------------
                                                                     Benefits          Costs       Net benefits
----------------------------------------------------------------------------------------------------------------
Previous Proposed Rules:
    Annualized @3%..............................................            $2.0            $0.2            $1.8
    Annualized @7%..............................................             1.9             0.2             1.7
Revised Proposed Rules:
    Annualized @3%..............................................             2.3             0.2             2.1
    Annualized @7%..............................................             2.1             0.2             1.9
----------------------------------------------------------------------------------------------------------------
Notes: Compliance period is 24 months. Analysis assumes that the proposed rules will be enacted together. Costs
  include relabeling and reformulation costs, which are one-time costs, as well as recordkeeping costs, which
  recur. Recordkeeping costs, because of their recurring nature, differ by discount rate; however, such costs
  comprise a very small percentage of total costs.

I. Background

A. NFL/SFL Proposed Rule

    In the Federal Register of March 3, 2014 (79 FR 11879), we 
published a proposed rule entitled ``Food Labeling: Revision of the 
Nutrition and Supplement Facts Labels'' (the ``NFL/SFL proposed 
rule''). The NFL/SFL proposed rule would amend our labeling regulations 
for conventional foods and dietary supplements to provide updated 
nutrition information on the label to assist consumers in maintaining 
healthy dietary practices. In the NFL/SFL proposed rule, we proposed 
to: (1) Update the list of nutrients that are required or permitted to 
be declared; (2) provide updated DRVs and Reference Daily Intake values 
that are based on current dietary recommendations from U.S. consensus 
reports; (3) amend requirements for foods represented or purported to 
be specifically for children under the age of 4 years and pregnant and 
lactating women and establish nutrient reference values specifically 
for these population subgroups; and (4) revise the format and 
appearance of the Nutrition Facts label.
    In the NFL/SFL proposed rule, we proposed to remove the requirement 
for the footnote listing the reference values for certain nutrients for 
2,000 and 2,500 calorie diets and reserved space to provide a proposed 
footnote (proposed Sec.  101.9(d)(9)). We stated in the preamble of the 
NFL/SFL proposed rule that we would continue to perform research during 
this rulemaking process to evaluate how variations in label format may 
affect consumer understanding and use of the Nutrition Facts label. We 
also stated that we would publish the results of our research for 
public review and comment (79 FR 11879 at 11882). See section I.C. for 
a summary of the consumer study results.
    In addition, the NFL/SFL proposed rule would require the 
declaration of added sugars as an indented line item underneath the 
declaration of ``Sugars'' on the Nutrition Facts label (proposed Sec.  
101.9(c)(6)(iii)). Such a declaration would only be required for the 
Supplement Facts label if added sugars are present in quantitative 
amounts that exceed the amount that can be declared as zero in Sec.  
101.9(c) (see proposed Sec.  101.36(b)(2)(i)). Given our proposal to 
require the declaration of added sugars, we also considered 
establishing a DRV for added sugars. However, based on our review of 
scientific evidence and recommendations of U.S. consensus reports, we 
tentatively concluded in the NFL/SFL proposed rule that there was no 
sound scientific basis for the establishment of a quantitative intake 
recommendation upon which a DRV could be derived for total sugars (79 
FR 11879 at 11902) and added sugars (79 FR 11879 at 11906). Therefore, 
we did not propose a DRV for added sugars. Accordingly, we proposed to 
require the declaration of added sugars on the Nutrition Facts label 
only in absolute amounts (in grams), similar to the declaration of 
total sugars.
    We stated in the NFL/SFL proposed rule that we were planning to 
conduct a consumer study that would include, among other things, 
questions regarding the declaration of added sugars on the Nutrition 
Facts label to help enhance our understanding of how consumers would 
comprehend and use this new information. We stated that we would 
publish the results of the study when they became available. We also 
stated that we were interested in receiving, as part of any comment, 
other available research data and other factual information relevant to 
these issues, including the proposed double indented placement of added 
sugars below total sugars (79 FR 11879 at 11952). See section I.C. for 
a summary of the consumer study results.

B. Public Outreach

    We requested comments on the NFL/SFL proposed rule by June 2, 2014, 
and comments on information collection issues under the PRA by April 2, 
2014 (79 FR 11879). In the Federal Register of May 27, 2014 (79 FR 
30055), we extended the comment period until August 1, 2014. In the 
Federal Register of May 29, 2014 (79 FR 30763), we announced our intent 
to hold a public meeting to discuss the NFL/SFL proposed rule and a 
proposed rule on serving sizes. The purpose of the public meeting was 
to inform the public of the provisions of the proposed rules, to invite 
oral stakeholder and public comments on the proposed rules, and to 
respond to questions about the proposed rules.
    Nearly 300,000 comments were submitted to the docket on the NFL/SFL 
proposed rule. We continue to review these comments as part of our 
development of the NFL/SFL final rule. However, for the reasons 
discussed in section II., we are issuing revisions to certain 
provisions in the NFL/SFL proposed rule and requesting comment on the 
revisions.

C. Experimental Study on Consumer Responses to Nutrition Facts Labels 
With Various Footnote Formats and Declaration of Amount of Added Sugars

    We conducted research to examine how a declaration of added sugars 
and alternative footnote statements may influence consumer use of the 
Nutrition Facts label in the absence of any consumer education. The 
study was a controlled, randomized, Web-based experiment completed in 
2014. Although the research involved a single data collection effort, 
this data collection was composed of two separate experiments; one 
designed to address the effects of added sugars declarations and the 
other designed to address the effects of modified

[[Page 44306]]

footnotes. At the time the research was designed, we were not aware of 
any previous studies of consumer responses to added sugars information. 
This research was undertaken to help inform consumer education if added 
sugars were declared on the Nutrition Facts label. The research design 
did not include a percent DV for added sugars on the food label or the 
ingredient listing that will appear on packages, so we do not have data 
on how those pieces of information would affect consumer responses to 
an added sugars declaration. The study achieved its intended objectives 
of providing an initial understanding of potential consumer reactions 
to added sugars declarations and modified footnote information on 
Nutrition Facts labels. This information will help inform our future 
educational efforts related to food labeling. As with other new 
information, we would expect consumer understanding of an added sugars 
declaration, if finalized, to improve as the public's exposure to added 
sugars information increases and educational activities to explain the 
concept and how to use the new information on the Nutrition Facts label 
are undertaken.
1. Added Sugars Experiment
    In the added sugars experiment, participants viewed Nutrition Facts 
label images displayed in one of three possible Nutrition Facts formats 
(see Ref. 1 for label formats):
     The ``Added Sugars'' Format, where an added sugars 
declaration was indented below a ``Sugars'' declaration;
     The ``Total Sugars + Added Sugars'' Format, where an added 
sugars declaration was indented below a ``Total Sugars'' declaration; 
and
     The Control Format, where participants viewed the current 
Nutrition Facts label throughout the study.
    While viewing these label images, participants were asked a series 
of questions on their ability to accurately recognize and compare 
nutrients on the Nutrition Facts label, and their judgments about the 
foods' overall healthfulness and relative nutrient levels. Participants 
responded to these questions in the context of a one-product judgment 
task and a two-product comparison task. Participants were not given the 
proposed definition of added sugars or provided with the ingredients 
lists for the products tested, which could have affected their 
understanding.
    The study found that when both total and added sugars declarations 
appeared on the label, the majority correctly reported the added sugars 
amount and accurately identified which products had less added sugars. 
The ``Total Sugars + Added Sugars'' format appeared to help 
participants better comprehend the total amount of sugars in a food 
than the ``Added Sugars'' format. The effect of the added sugars 
declarations on product judgments varied depending on the food category 
and the level of added sugars in the product. When declared, higher 
amounts of added sugars tended to produce more negative judgments about 
the product's healthfulness. Although the majority of the respondents 
correctly identified the total amount of sugars in a serving of food 
with each label presented that included an added sugars declaration, 
the added sugars experiment results show that a number of participants 
were confused about the distinction between sugars and added sugars, 
regardless of whether added sugars declarations appeared on the 
Nutrition Facts label. When participants were viewing Nutrition Facts 
labels without added sugars declarations, they could not accurately 
determine the amount of added sugars in the products, with the majority 
reporting that the total sugars amount was the amount of added sugars. 
Moreover, many participants who viewed Nutrition Facts labels without 
added sugars declarations assumed that the more nutritious products in 
the study had less added sugars.
    A full description of the Added Sugars Experiment is in the Docket 
(Ref. 1).
2. Footnote Experiment
    The footnote experiment compared consumer reactions to seven 
footnote formats, which included five modified footnotes, in addition 
to the current footnote and no footnote at all, for explaining percent 
DVs and how to use them. Results indicated that none of the modified 
footnotes significantly affected product perceptions or judgments of 
nutrient levels; all five footnote options produced similar perceptions 
and judgments relative to the current footnote and a no-footnote 
control. Nevertheless, all five modified footnotes were rated as easier 
to understand than the current footnote. Footnote 1 was perceived to be 
more believable than the current footnote. Footnote 1 stated the 
following: ``2,000 calories a day is used for general nutrition advice. 
*The % Daily Value tells you how much a nutrient in a serving of food 
contributes to a daily diet.'' We are proposing footnote text from 
Footnote 1 in this supplemental notice of proposed rulemaking. See 
section III.B. A full description of the Footnote Experiment is in the 
Docket (Ref. 2).

II. Decision To Issue Supplemental Notice of Proposed Rulemaking 
Regarding Limited Additional Provisions

    As we prepared to make the consumer study results discussed in 
section I.C. available, new information emerged from the 2015 DGAC 
report (Ref. 3) regarding added sugars. The DGAC reviews the scientific 
evidence on specific topics and provides their assessment of the 
scientific evidence and recommendations. The new information on added 
sugars led us to reconsider our thinking for not establishing a DRV or 
requiring the declaration of a percent DV for added sugars on the 
Nutrition Facts and Supplement Facts labels. The 2015 DGAC report also 
included new important information and analysis related to requiring 
the declaration of added sugars on the Nutrition Facts label, which we 
had proposed in the NFL/SFL proposed rule, specifically evidence 
related to dietary patterns and risk of disease.
    We have considered the evidence that the DGAC relied upon and have 
tentatively concluded that the new evidence provided in the 2015 DGAC 
report related to dietary patterns of intake that are associated with a 
reduced risk of chronic disease (specifically cardiovascular disease 
(CVD)) as well as the evidence provided in the report related to excess 
intake of added sugars in the U.S. supports our proposal to require the 
mandatory declaration of added sugars on the Nutrition and Supplement 
Facts labels. The DGAC report also provides evidence to support a 
reference amount for added sugars upon which we can establish a DRV for 
use in calculating a percent DV on the label. The percent DV is 
included to assist consumers in understanding the relative significance 
of the amount of added sugars in a serving of a product in the context 
of a total daily diet.
    The 2015 DGAC report does not contain federal government 
recommendations. The independent advisory committee's views will be 
taken into consideration by the Federal government as the dietary 
guidelines are updated. In this supplemental notice of proposed 
rulemaking, we have considered the scientific evidence underpinning the 
recommendations provided in the advisory committee's report. As a 
result of our review of the 2015 DGAC report and the evidence that the 
DGAC relied upon, we are proposing to establish a DRV and to require 
the

[[Page 44307]]

percent DV declaration for added sugars on the Nutrition Facts and 
Supplement Facts labels.
    We are also proposing text for the footnotes to be used on the 
Nutrition Facts label. We are not proposing any revisions to the 
footnote text used on the Supplement Facts label. As discussed in the 
NFL/SFL proposed rule, the current footnote statement required for the 
Supplement Facts label differs from that which is currently required on 
the Nutrition Facts label. We stated that based on the results of the 
consumer study, we will consider whether it is necessary to make 
corresponding changes to the footnote used on the Supplement Facts 
label when certain macronutrients are declared. We invited comment on 
whether we should consider changes to the footnote statement on the 
Supplement Facts label to be consistent with any changes to the 
footnote statement in the Nutrition Facts label (79 11879 at 11948). We 
also noted that ``[a] comment to the 2007 ANPRM requested that we 
permit the use of a footnote statement about not limiting fat intake on 
foods represented or purported to be specifically for infants and 
children less than 2 years to enable consumers to make informed 
choices, should the Agency decide to propose the mandatory declaration 
of saturated fat for infants and children less than 2 years. The 
comment noted that saturated fat should not be limited in the diets of 
children less than 2 years of age. The comment provided no consumer 
data about such a footnote statement. At this time, we are not 
proposing to require a footnote stating that total fat and other types 
of fat should not be limited in infants and children less than 2 years 
in response to this comment. However, we request comments and 
information on how consumers would understand and use the amount of 
saturated fat and cholesterol declared on the Nutrition Facts label, as 
well as on the need for an explanatory footnote to accompany the 
declaration of saturated fat and cholesterol, on food represented or 
purported to specifically for infants 7 through 12 months or children 1 
through 3 years'' (79 FR 11879 at 11934-11935). We did not receive many 
comments on these issues in response to the proposed rule. We are 
inviting comment on whether we should consider requiring, instead of 
the current footnote for the Supplement Facts label that links the 
percent DV with a 2,000 calorie level, part of the Nutrition Facts 
label footnote text we are proposing for the Nutrition Facts label that 
states ``2,000 calories a day is used for general nutrition advice.'' 
We are also inviting further comment on whether we should consider a 
footnote for foods, other than infant formula, represented or purported 
to be specifically for infants 7 through 12 months or children 1 
through 3 years of age in the NFL/SFL proposed rule, and if so, what 
the footnote should say.
    This supplemental notice of proposed rulemaking provides the public 
with the opportunity to provide comment on our tentative conclusions 
with respect to the footnote, the DRV, the percent DV declaration for 
added sugars, and the new information from the 2015 DGAC report for the 
added sugars declaration. As noted, we are not seeking and will not 
consider comments with respect to other issues.

III. Description of the Supplemental Notice of Proposed Rulemaking

A. Proposing To Establish a DRV and Require the Declaration of the 
Percent DV for ``Added Sugars''

    As originally proposed, the NFL/SFL proposed rule would require the 
declaration of the gram amount of added sugars on the Nutrition Facts 
and Supplement Facts labels, but would not establish a DRV or require 
the disclosure of the percent DV for added sugars. The proposed 
requirement for the declaration of the gram amount of ``added sugars'' 
was based, in large part, on data and information in the Dietary 
Guidelines for Americans, 2010 (2010 DGA)(Ref. 4) related to the intake 
of excess calories in the U.S. diet from solid fats and added sugars, 
and the impact that these excess calories may have on the nutrient 
density of the diet. As discussed in the NFL/SFL proposed rule, no more 
than 5 to 15 percent of calories from solid fats and added sugars 
combined can be reasonably accommodated in the U.S. Department of 
Agriculture (USDA) Food Patterns for most people to avoid excess 
calorie consumption, yet added sugars alone contributed an average of 
16 percent of the total calories in American diets (79 FR 11879 at 
11903 through 11904).
    In the 2014 NFL/SFL proposed rule we stated that although there is 
sufficient science to support a relationship between the intake of 
sugar-sweetened beverages and an increase in adiposity (body fat) in 
children, ``inadequate evidence exists to support the direct 
contribution of added sugars to obesity or heart disease.'' (79 FR 
11879 at 11904). Thus, we included the evidence that added sugars 
contribute excess calories to the American diet as part of our 
rationale for proposing the mandatory declaration of added sugars.
    We did not propose to establish a DRV or to require the declaration 
of a percent DV for added sugars in the NFL/SFL proposed rule because, 
at the time we issued the NFL/SFL proposed rule, there was ``no 
scientifically supported quantitative intake recommendation for added 
sugars on which a DRV for added sugars can be derived'' (79 FR 11879 at 
11906). Following publication of the NFL/SFL proposed rule, the 2015 
DGAC, a group of outside experts, submitted its recommendations to the 
Secretaries of the Department of Health and Human Services (HHS) and 
USDA, to inform the Dietary Guidelines for Americans, 2015. The 
Secretaries released the advisory committee's recommendations report 
online on February 19, 2015, making it available for public review and 
comment (see http://www.health.gov/dietaryguidelines/2015-scientific-report/).
    The 2015 DGAC reaffirmed recommendations in the 2010 DGA, which 
included recommending reducing the intake of added sugars. The 2015 
DGAC examined the relationship between dietary patterns and health 
outcomes more extensively than did earlier DGAC reports, through the 
use of a food modeling approach using the USDA Food Patterns (Ref. 5). 
The 2015 DGAC reviewed the current science, status and trends in the 
dietary pattern of intake in the U.S. population compared to a 
``Healthy U.S.-style Pattern,'' a ``Healthy Mediterranean-style 
Pattern,'' and a ``Healthy Vegetarian Pattern'' associated with health 
benefits. The report found the current U.S. population intake of solid 
fats and added sugars is high across all age groups and genders with 
nearly 90 percent of the general population ``exceeding the recommended 
daily limits'' (Ref. 6). Added sugars intake alone remains high at 13.4 
percent of total calories per day among the total population ages 1 
year and older (Ref. 7). Importantly, the 2015 DGAC found strong and 
consistent evidence demonstrating that, relative to less healthy 
patterns, dietary patterns associated with decreased risk of 
cardiovascular disease (CVD) are characterized by higher consumption of 
vegetables, fruits, whole grains, low-fat dairy, and seafood, and lower 
consumption of red and processed meat, and lower intakes of refined 
grain, and sugar-sweetened foods and beverages (Ref. 8). The 2015 DGAC 
suggested the NFL/SFL should include an added sugars declaration and 
the declaration of a percent DV for added sugars (Ref. 9). The Federal 
government has not issued

[[Page 44308]]

a final 2015 Dietary Guidelines for Americans report.
    Based on our review of the evidence presented in the 2015 DGAC 
report (see link to individual studies reviewed by the 2015 DGAC--
(http://www.nel.gov/--then click on ``Dietary Patterns and Health 
Outcomes Systematic Review Report.''), we find that the evidence 
further supports FDA's proposal to require an added sugars declaration 
in the Nutrition and Supplement Facts labels. Specifically, there is 
evidence of a strong association between a dietary pattern of intake 
characterized, in part, by a reduced intake of sugar-sweetened foods 
and beverages and a reduced risk of CVD. There is also evidence to 
support a reference amount for added sugars, i.e., limiting added 
sugars intake to no more than 10 percent of total daily caloric intake.
    The 2015 DGAC report also recommended that Americans keep added 
sugars intake below 10 percent of total energy intake (Ref. 10). The 
2015 DGAC based this ``less than 10 percent'' recommendation on 
modeling of dietary patterns, current added sugars consumption data, 
and a published meta-analysis on sugars intake and body weight. (Ref. 
11). Based on the scientific evidence, we tentatively conclude that 
limiting consumption of added sugars to 10 percent of daily calories is 
a reasonable goal for consumers to achieve and is consistent with the 
goals of the Dietary Guidelines for Americans to provide advice for 
choosing and maintaining a healthful dietary pattern.
    In the NFL/SFL proposed rule, we recognized that we did not have a 
scientifically supported quantitative intake recommendation for added 
sugars, based on a biomarker of risk of disease or other public health 
endpoint, on which a DRV for added sugars could be derived. However, we 
did consider a reference point for added sugars consumption based on 
the calories from solid fats and added sugars limits at each calorie 
level in the USDA Food Patterns in the 2010 DGAC report (79 FR 11879 at 
11906). Based on that analysis, and without a declaration in the 
Nutrition Facts label of ``calories from solid fats and added sugars,'' 
consumers would have to multiply grams of saturated, trans fats, and 
added sugars by the number of calories per gram to determine the amount 
of calories from solid fats and added sugars in a product. The 2015 
DGAC report, in its analysis of added sugars as part of a dietary 
pattern of intake among the U.S. population, found a strong association 
with that pattern of intake to an increase in CVD risk, in comparison 
to healthier dietary patterns with lower added sugars intakes. This 
analysis included publications of clinical trials and prospective 
cohort studies (http://www.nel.gov/--then click on ``Dietary Patterns 
and Health Outcomes Systematic Review Report.'') Therefore, we 
tentatively conclude that the 2015 DGAC report and the scientific 
information on which it relies provide a basis for FDA to establish a 
DRV reference point for the added sugars declaration at 10 percent of 
calories that is based on a public health endpoint and is necessary to 
assist consumers to maintain healthy dietary practices.
    We are proposing a DRV of 50 g for added sugars from which the 
percent DV can be calculated. We determine a DRV of 50 g by first 
multiplying the 2,000 reference calorie intake by 10 percent (2,000 x 
.10 = 200 calories). The 2,000 reference calorie intake is used for 
other nutrients to calculate the DRV when the recommendations for the 
nutrient intake may fluctuate based on calorie intake. The 2,000 
calorie value represents a reference intake for adults and children 4 
years of age and older, including pregnant and lactating women. 
Dividing 200 calories by 4 calories/g (200 calories / 4 calories/g = 50 
g) provides us with the gram amount (50 g) of added sugars as a 
reference amount for use as the DRV. A 1,000 calorie reference amount 
would be used to calculate the DRV for children 1 through 3 years of 
age at 25 g of added sugars (1,000 calories x .10 = 100 calories and 
100 calories / 4 calories/g = 25 g).
    The comments we received on the NFL/SFL proposed rule were 
generally supportive of a DRV of no more than 10 percent of total 
energy intake from added sugars. Many of the comments in support of a 
DRV of no more than 10 percent of total energy intake cited the 2014 
World Health Organization (WHO) draft guideline. This WHO guideline, 
however, is not a U.S consensus report and was not specific to added 
sugars. There were also some comments that did not support a DRV for 
added sugars, citing a lack of scientific evidence to set a 
quantitative intake recommendation. We now have the 2015 DGAC report 
that supports a proposal to establish a DRV of 10 percent of total 
energy intake from added sugars and to require the declaration of 
percent DV for added sugars on the label. Specifying and requiring a 
percent DV declaration is also supported by comments we received 
stating that such a declaration will help consumers determine the 
amount of added sugars on the label in the context of their total daily 
diet.
    If we finalize a declaration of added sugars, we tentatively 
conclude that a DRV or point of reference for consumers to understand 
the declaration of added sugars and what that number means in the 
context of the total daily diet is needed. We are proposing in section 
III.A. that a percent DV be declared for added sugars on the label.
    Further, as discussed in the NFL/SFL proposed rule (79 FR 11879 at 
11902), we are considering whether to use the term ``Total Sugars'' 
instead of ``Sugars'' on the label if we finalize a declaration of 
added sugars. The use of ``Total Sugars'' was supported by many 
comments. In addition, our added sugars experiment did show that use of 
the term ``Total Sugars'' helped improve study participants' 
understanding that added sugars are part of the total amount of sugars 
in the product. Therefore, we intend to consider finalizing the use of 
the term ``Total Sugars'' instead of ``Sugars'' on the label, if we 
finalize a declaration of added sugars. We are not proposing to 
establish a DRV for total sugars or to require the mandatory 
declaration of a percent DV for total sugars because there is no 
quantitative intake level or other reference amount for which there is 
sufficient scientific evidence upon which we can base a DRV for total 
sugars.
    Given the discussion in section III.A., this supplemental notice of 
proposed rulemaking would:
     Amend Sec.  101.9(c)(9) to add ``Added sugars'' to the 
list of food components with established DRVs with a unit of 
measurement of ``Grams (g),'' and to establish a DRV for adults and 
children 4 years of age and older, including pregnant and lactating 
women, of 50 g and a DRV for children 1 through 3 years of age of 25 g.
     Amend Sec.  101.36(b)(2)(iii)(D) to require that the 
percent DV for added sugars be declared when added sugars are present 
in a dietary supplement at an amount greater than 1 gram per serving, 
such that the proposed requirement would say that if the percent of 
Daily Value is declared for total fat, saturated fat, total 
carbohydrate, dietary fiber, protein, or added sugars, a symbol shall 
follow the value listed for those nutrients that refers to the same 
symbol that is placed at the bottom of the nutrition label, below the 
bar required under Sec.  101.9(e)(6) and inside the box, that is 
followed by the statement ``Percent Daily Values are based on a 2,000 
calorie diet.''

Proposing to require the declaration of the percent DV for added sugars 
on the label are not the only revisions to the codified that would be 
needed if we

[[Page 44309]]

finalized the added sugars provisions. We proposed additional 
amendments related to added sugars and they are described in the NFL/
SFL proposed rule (79 FR 11879 at 11905-11907).

B. Proposing the Footnote Text That Would Be Required on Certain 
Packages and Proposed Exemptions From the Footnote Requirement

    In the NFL/SFL proposed rule, we proposed to remove the requirement 
for the footnote listing the reference values for certain nutrients for 
2,000 and 2,500 calorie diets and reserved space to provide a proposed 
footnote (proposed Sec.  101.9(d)(9)). We consider that a succinct 
statement about daily calorie intake (2,000 calories) is a necessary 
part of the footnote because 2,000 calories is consistent with widely 
used food plans, the percent DV of certain nutrients (e.g., total fat, 
total carbohydrate, and dietary fiber) is based on 2,000 calories, and 
2,000 calories approximates the estimated energy need for adults who 
are sedentary to moderately active. However, we recognize that a 
succinct statement about daily calorie intake should not suggest that 
the percent DV of all nutrients is linked to a 2,000 calorie diet.
    We received comments on the footnote and many comments requested 
that the footnote continue to explain that percent DVs are based on a 
2,000 calorie diet but individual calorie needs may be higher or lower. 
Many comments also emphasized that any revisions to the footnote should 
be research-based and that the results of our consumer research studies 
should be made available for review and comment.
    Many comments emphasized that because the NFL/SFL proposed rule 
does not specify the exact footnote text and the amount of space the 
new footnote would require, more information is needed in order to 
comment on the footnote. Some comments emphasized that the footnote 
should be brief and not take up too much space, and expressed concerns 
about how the footnote would fit on small packages.
    This supplemental notice of proposed rulemaking would add language 
to the space reserved in proposed Sec.  101.9(d)(9) to explain that the 
% Daily Value tells you how much a nutrient in a serving of food 
contributes to a daily diet and that 2,000 calories a day is used for 
general nutrition advice. The language in this footnote is similar to 
one of the options tested during the consumer research study described 
in section I.C., except that we have reversed the order of the 
sentences from the footnote tested. While the consumer research study 
did not suggest strong support for a particular footnote, the language 
in this footnote was perceived by study participants to be more useful 
than the current footnote. We consider that switching the order of the 
sentences is important because it allows the first sentence to clearly 
follow the asterisk in the ``%DV'' column heading that leads to the 
footnote. When consumers look down to the footnote, to see what 
additional information is linked to the asterisk that they see after 
the ``% DV'' column heading, they may expect to find the sentence that 
explains percent daily value first, rather than a sentence about 
calories. We believe that this footnote explains the ``% DV'' in the 
most concise manner.
    Previously, in the 1993 final rule entitled ``Food Labeling: 
Mandatory Status of Nutrition Labeling and Nutrient Content Revision, 
Format for Nutrition'' (58 FR 2079 (January 6, 1993)) (1993 final 
rule), we noted that prior research had shown that although most 
consumers do not notice footnotes, those who are given the information 
(and by inference, those who do read the footnote) are able to 
interpret it appropriately (58 FR 2079 at 2131). Consistent with our 
rationale in 1993, we continue to expect that the provision of a simple 
footnote will help those consumers who do read it in understanding the 
information on the nutrition label. The second sentence of the proposed 
footnote is the same as the succinct statement that will be required on 
menus and menu boards under our final rule entitled ``Food Labeling; 
Nutrition Labeling of Standard Menu Items in Restaurants and Similar 
Retail Food Establishments'' (79 FR 71156 (December 1, 2014)). It is 
important to explain calories in the context of the total daily diet 
and also provide consistency in the wording of this nutritional advice 
between packaged and restaurant foods.
    Some packaged foods do not require the full footnote. The footnote 
information specified in Sec.  101.9(d)(9)(i) (which includes the 
footnote table) can be omitted from products that qualify for a 
simplified format and small or intermediate packages, provided that the 
following abbreviated footnote statement is used: ``Percent Daily 
Values are based on a 2,000 calorie diet'' (Sec. Sec.  101.9(f)(5) and 
101.9(j)(13)). In this supplemental notice of proposed rulemaking, we 
propose to allow the footnote proposed in Sec.  101.9(d) to be omitted 
from products that qualify for a simplified format (Sec.  101.9(f)), 
and from small or intermediate packages (Sec.  101.9(j)(13)(ii)(A)(1); 
Sec.  101.9(j)(13)(ii)(A)(2)), provided that the following abbreviated 
statement is used: ``%DV =% Daily Value.'' The proposed statement for 
these packages shortens it from what is currently required and allows 
for more space on the label. In addition, we realize that the standard 
format in the NFL/SFL proposed rule for the Nutrition Facts label had a 
placeholder for the footnote and did not explain the ``%DV.'' It is 
important for consumers to know what ``%DV'' on the label means. 
Consequently, we are proposing a statement for these packages that 
spells out ``%DV.'' We recognize that for these packages, additional 
information in the footnote is not needed. In this supplemental 
proposed rulemaking, we apply the same rationale we used in the 1993 
final rule with regards to exempting small and intermediate packages 
from some of the footnote language we required for large packages. The 
1993 final rule allowed manufacturers flexibility in using the complete 
footnote on all product labels. We recognized that the benefits of 
requiring this footnote were not relative to the specific product that 
carries the information, and that the information would be available to 
consumers if it appeared on a significant percentage of food labels (58 
FR 2079 at 2129).
    This supplemental notice of proposed rulemaking proposes an 
exemption to the proposed footnote requirement in Sec.  101.9(d)(9) for 
the foods that can use the terms ``calorie free,'' ``free of 
calories,'' ``no calories,'' ``zero calories,'' ``without calories,'' 
``trivial source of calories,'' ``negligible source of calories,'' or 
``dietary insignificant source of calories'' on the label or in the 
labeling of foods as defined in Sec.  101.60(b). Such products would 
have little to no impact on the average daily 2,000 calorie intake, 
which the footnote addresses. Exempting the footnote for these packages 
is a practical solution that would assure adequate space is still 
available for the required nutrient declarations.
    We believe that consumer education programs regarding using and 
understanding the Nutrition Facts and Supplement Facts labels 
(including the footnote) are important, and plan to work with our 
federal partners to develop such programs after publication of the 
final rule.
    Given the discussion in section III.B., this supplemental notice of 
proposed rulemaking would:
    a. Amend Sec.  101.9(d)(9) to replace the reserved space. 
Specifically, after the language in Sec.  101.9(d)(8) explaining that 
when listed horizontally in two

[[Page 44310]]

columns, vitamin D and calcium should be listed on the first line and 
iron and potassium should be listed on the second line--the proposed 
requirement would replace ``[Reserved]'' with text stating that a 
footnote, preceded by an asterisk, shall be placed beneath the list of 
vitamins and minerals and be separated from the list by a hairline, 
except that the footnote may be omitted from foods that can use the 
terms ``calorie free,'' ``free of calories,'' ``without calories,'' 
``trivial source of calories,'' ``negligible source of calories,'' or 
``dietary insignificant source of calories'' on the label or in the 
labeling of foods as defined in Sec.  101.60(b). The footnote text 
would explain that the %Daily Value tells you how much a nutrient in a 
serving of food contributes to a daily diet and that 2,000 calories a 
day is used for general nutrition advice.
    b. Amend Sec.  101.9(j)(13)(ii)(C) to revise the footnote text. 
Specifically, after ``Sugar alcohol--Sugar alc,'' the proposed 
requirement would provide for omitting the footnote statement and 
placing another asterisk at the bottom of the label followed by the 
statement `%DV = %Daily Value'.''

C. Other Related Provisions-Future Revisions to the Sample Labels

    The revisions to the NFL/SFL proposed rule described in this 
section would require revisions to the labels illustrated in Sec. Sec.  
101.9(d)(11)(iii), 101.9(d)(12), 101.9(d)(13)(ii), 101.9(e)(5), 
101.9(e)(6)(i), 101.9(e)(6)(ii), 101.9(f)(4), 101.9(j)(13)(ii)(A)(1), 
and 101.9(j)(13)(ii)(A)(2) of the NFL/SFL proposed rule. As stated in 
section VII. we provided a sample label in proposed Sec.  
101.9(j)(5)(i) for foods, other than infant formula, represented or 
purported to be specifically for infants 7 through 12 months or 
children 1 through 3 years of age in the NFL/SFL proposed rule, 
however, we invite further input on whether such a footnote is needed 
and, if so, what it should say. If the NFL/SFL is finalized as proposed 
in this supplemental notice, we will make the changes needed to the 
labels in the codified in the NFL/SFL final rule.

IV. Preliminary Regulatory Economic Analysis of Impacts

    As explained in the NFL/SFL proposed rule, we performed the 
necessary analyses to examine the impacts of the proposed rule under 
Executive Order 12866, Executive Order 13563, the Regulatory 
Flexibility Act (5 U.S.C. 601-612), the Unfunded Mandates Reform Act of 
1995 (Pub. L. 104-4), and the PRA (44 U.S.C. 3501-3520). We provided a 
PRIA of the proposed rule (see Ref. 187 of the NFL/SFL proposed rule) 
for public input (79 FR 11879 at 11959).
    We performed additional analysis to examine the impacts of the 
revised proposed provisions described in the Federal Register document 
under Executive Order 12866, Executive Order 13563, the Regulatory 
Flexibility Act, the Unfunded Mandates Reform Act of 1995, and the PRA. 
We present our additional analyses, including the total estimated costs 
and benefits of this supplement to the NFL/SFL proposed rule, in our 
supplemental PRIA for this proposed rule (Ref. 12), which will be made 
available at http://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/. We invite comment on our additional analyses.

V. Paperwork Reduction Act of 1995

    This supplemental notice of proposed rulemaking contains 
information collection provisions that are subject to review by OMB 
under the PRA. As explained in the NFL/SFL proposed rule, we performed 
the necessary analyses to examine the impacts of the proposed rule 
under Executive Order 12866, Executive Order 13563, the Regulatory 
Flexibility Act, the Unfunded Mandates Reform Act of 1995, and the PRA. 
We provided a PRIA of the NFL/SFL proposed rule (see Ref. 187 of the 
NFL/SFL proposed rule) for public input (79 FR 11879 at 11959). A 
description of the information collection provisions of the NFL/SFL 
proposed rule was given in the PRIA of the NFL/SFL proposed rule with 
an estimate of the annual third-party disclosure burden. A description 
of the information collection provisions of the supplemental notice of 
proposed rulemaking is given in the Description section with an 
estimate of the annual third-party disclosure 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 each collection of information.
    We invite comments on these topics: (1) Whether the proposed 
collection of information is necessary for the proper performance of 
our functions, including whether the information will have practical 
utility; (2) the accuracy of our 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: Revision of the Nutrition and Supplement Facts Labels and 
Serving Sizes of Foods That Can Reasonably Be Consumed At One-Eating 
Occasion.
    Description: This supplemental notice of proposed rulemaking 
proposes two changes to the third-party disclosure requirements 
discussed in the analysis of the NFL/SFL proposed rule: A percent DV 
labeling requirement as well as footnote requirements.
    Description of Respondents: The likely respondents to this 
information collection are manufacturers of retail food products 
marketed in the United States whose products contain (1) a mixture of 
naturally occurring and added sugars or (2) a mixture of non-digestible 
carbohydrates that do and do not meet the proposed definition of 
dietary fiber. The likely respondents to this information collection 
also include manufacturers of retail food products marketed in the 
United States whose products contain (1) mixtures of different forms of 
vitamin E or (2) both folate and folic acid.
    We estimate the burden of the information collection provisions of 
the supplemental notice of proposed rulemaking as follows. After 
careful review of the burden estimate analysis provided in the PRIA for 
the NFL/SFL proposed rule, we tentatively conclude that our previous 
estimate of the burden hours has not changed meaningfully as a result 
of this supplemental notice of proposed rulemaking. Thus, we have 
calculated no additional burden related to the proposed percent DV 
labeling requirement for added sugars described in this supplemental 
notice of proposed rulemaking.
    With regard to the proposed footnote labeling requirements in this 
supplemental notice of proposed rulemaking, we note that the text of 
the footnote statements would be supplied by FDA in the final 
regulation. We tentatively conclude that the proposed footnote 
provisions in this supplemental notice of proposed rulemaking are 
``public disclosure[s] of information originally supplied by the 
Federal government to the recipient for the purpose of disclosure to 
the public'' (5 CFR 1320.3(c)(2)) and are therefore not subject to 
review by OMB under the PRA. Thus, we have calculated no additional 
burden related to the proposed footnote labeling requirements in this 
supplemental notice of proposed rulemaking.
    To ensure that comments on information collection are received, OMB 
recommends that written

[[Page 44311]]

comments be faxed to the Office of Information and Regulatory Affairs, 
OMB, Attn: FDA Desk Officer, FAX: 202-395-7285, or emailed to 
[email protected]. All comments should be identified with the 
title, ``Revision of the Nutrition and Supplement Facts Labels and 
Serving Sizes of Foods That Can Reasonably Be Consumed At One-Eating 
Occasion.''
    In compliance with the PRA, we have submitted the information 
collection provisions of this proposed rule to OMB for review. These 
requirements will not be effective until we obtain OMB approval. We 
will publish a notice concerning OMB approval of these requirements in 
the Federal Register.

VI. Analysis of Environmental Impact

    We have carefully considered the potential environmental effects of 
this action. This action revises certain provisions of the NFL/SFL 
proposed rule. For the NFL/SFL proposed rule, we concluded that the 
action would not have a significant impact on the human environment, 
and that an environmental impact statement was not required. Our 
finding of no significant impact and the evidence supporting that 
finding may be seen in the Division of Dockets Management (see 
ADDRESSES) between 9 a.m. and 4 p.m., Monday through Friday.
    We have not received any new information or comments that would 
affect our previous determination. Furthermore, we have reviewed the 
revisions to the NFL/SFL proposed rule as described herein, and have 
determined the revisions do not impact our previous determination. 
Therefore, our finding of no significant impact remains unchanged.

VII. Request for Comments

    We are seeking comment only with respect to the following issues: 
(1) The new information from the 2015 DGAC report regarding added 
sugars; (2) the proposal to establish a DRV for added sugars and to 
require the declaration of the percent DV for added sugars on the 
Nutrition and Supplement Facts labels; (3) using the term ``Total 
Sugars'' instead of ``Sugars'' on the label; (4) the proposed text for 
the footnotes to be used on the Nutrition Facts label; (5) the 
exemptions from the proposed footnote requirement; (6) whether we 
should make changes to the footnote used on the Supplement Facts label; 
and (7) whether we should propose a footnote for foods other than 
infant formula, represented or purported to be specifically for infants 
7 through 12 months or children 1 through 3 years of age. We 
acknowledge that in the NFL/SFL proposed rule, we provided in proposed 
Sec.  101.9(j)(5)(i) a sample label for these foods that included a 
placeholder for a footnote. However, we would appreciate further input 
on whether such a footnote is needed and, if so, what it should say. We 
will not consider comments outside the scope of these issues.
    Comments previously submitted to the Division of Dockets Management 
do not need to be resubmitted, because all comments submitted to the 
docket number, found in brackets in the heading of this document, will 
be considered in development of the final rule.

VIII. How To Submit Comments

    Interested persons may submit either electronic or written 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.

IX. References

    The following references have been placed on display in the 
Division of Dockets Management (see ADDRESSES) and may be seen by 
interested persons between 9 a.m. and 4 p.m., Monday through Friday. 
These references are also available electronically at http://www.regulations.gov. We have verified the Web site addresses in this 
section, but we are not responsible for subsequent changes to the Web 
sites after this document published in the Federal Register.

1. FDA Memorandum to the File--``Experimental Study on Consumer 
Responses to the Nutrition Facts Labels with Declaration of Amount 
of Added Sugars'' (OMB Control Number 0910-0764), 2015.
2. FDA Memorandum to the File--``Experimental Study on Consumer 
Responses to Nutrition Facts Labels with Various Footnote Formats'' 
(OMB Control Number 0910-0764), 2015.
3. USDA and HHS, Scientific Report of Dietary Guidelines for 
Americans, 2015, available at http://www.health.gov/dietaryguidelines/2015-scientific-report/.
4. USDA and HHS, Dietary Guidelines for Americans, 2010. 7th Ed., 
Washington, DC: U.S. Government Printing Office (2010). Retrieved 
from http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm.
5. USDA and HHS, Scientific Report of the 2015 Dietary Guidelines 
Advisory Committee, 2015, Part D. ``Chapter 1: Food and Nutrient 
Intakes, and Health: Current Status and Trends,'' pg. 3, available 
at http://www.health.gov/dietaryguidelines/2015-scientific-report/.
6. USDA and HHS, Scientific Report of the 2015 Dietary Guidelines 
Advisory Committee, 2015, Part D. ``Chapter 1: Food and Nutrient 
Intakes, and Health: Current Status and Trends,'' pg. 35, available 
at http://www.health.gov/dietaryguidelines/2015-scientific-report/.
7. USDA and HHS, Scientific Report of the 2015 Dietary Guidelines 
Advisory Committee, 2015, Part D. ``Chapter 5: Food Sustainability 
and Safety,'' pg. 18, available at http://www.health.gov/dietaryguidelines/2015-scientific-report/.
8. USDA and HHS, Scientific Report of the 2015 Dietary Guidelines 
Advisory Committee, 2015, Part D. ``Chapter 2: Dietary Patterns, 
Foods and Nutrients, and Health Outcomes,'' pg. 8, available at 
http://www.health.gov/dietaryguidelines/2015-scientific-report/.
9. USDA and HHS, Scientific Report of the 2015 Dietary Guidelines 
Advisory Committee, 2015, Part D. ``Chapter 6: Cross-Cutting Topics 
of Public Health Importance,'' pg. 27, available at http://www.health.gov/dietaryguidelines/2015-scientific-report/.
10. USDA and HHS, Scientific Report of the 2015 Dietary Guidelines 
Advisory Committee, 2015, Part D. ``Chapter 6: Cross-Cutting Topics 
of Public Health Importance,'' pgs. 20-21, available at http://www.health.gov/dietaryguidelines/2015-scientific-report/.
11. Te Morenga, L., S. Mallard, J. Mann, ``Dietary Sugars and Body 
Weight: Systematic Review and Meta-Analysis of Randomised Controlled 
Trials and Cohort Studies,'' BMJ 2013;346:e7492.
12. FDA, Supplemental Preliminary Regulatory Impact Analysis for 
Proposed Rules On ``Food Labeling: Revision of the Nutrition and 
Supplement Facts Labels'' (Docket No. FDA-2012-N-1210) and ``Food 
Labeling: Serving Sizes of Foods That Can Reasonably Be Consumed At 
One Eating Occasion; Dual-Column Labeling; Updating, Modifying, and 
Establishing Certain Reference Amounts Customarily Consumed; Serving 
Size for Breath Mints; and Technical Amendments'' (Docket No. FDA-
2004-N-0258), 2015.

List of Subjects in 21 CFR Part 101

    Food labeling, Nutrition, Reporting and recordkeeping requirements.

    Therefore, under the Federal Food, Drug, and Cosmetic Act and under 
authority delegated to the Commissioner of Food and Drugs, it is 
proposed that 21 CFR part 101, as proposed to be amended on March 3, 
2014 (79 FR 11879), be further amended as follows:

PART 101--FOOD LABELING

0
1. The authority citation for 21 CFR part 101 continues to read as 
follows:


[[Page 44312]]


    Authority:  15 U.S.C. 1453, 1454, 1455; 21 U.S.C. 321, 331, 342, 
343, 348, 371; 42 U.S.C. 243, 264, 271.

0
2. In Sec.  101.9, revise paragraphs (c)(9), (d)(9), and (j)(13)(ii)(C) 
to read as follows:


Sec.  101.9  Nutrition labeling of food.

* * * * *
    (c) * * *
    (9) The following DRVs, nomenclature, and units of measure are 
established for the following food components:

----------------------------------------------------------------------------------------------------------------
                                                                                DRV
                                                 ---------------------------------------------------------------
        Food component               Unit of        Adults and       Infants 7      Children 1     Pregnant and
                                   measurement     children >= 4    through 12       through 3       lactating
                                                       years          months           years           women
----------------------------------------------------------------------------------------------------------------
Fat...........................  Grams (g).......          \1\ 65              30          \2\ 39          \1\ 65
Saturated fatty acids.........  Grams (g).......          \1\ 20             N/A          \2\ 10          \1\ 20
Cholesterol...................  Milligrams (mg).             300             N/A             300             300
Total carbohydrate............  Grams (g).......         \1\ 300              95         \2\ 150         \1\ 300
Sodium........................  Milligrams (mg).           2,300             N/A           1,500           2,300
Dietary fiber.................  Grams (g).......          \1\ 28             N/A          \2\ 14          \1\ 28
Protein.......................  Grams (g).......          \1\ 50             N/A          \2\ 13             N/A
Added Sugars..................  Grams (g).......          \1\ 50             N/A          \2\ 25          \1\ 50
----------------------------------------------------------------------------------------------------------------
\1\ Based on the reference caloric intake of 2,000 calories for adults and children aged 4 years and older, and
  for pregnant and lactating women.
\2\ Based on the reference caloric intake of 1,000 calories for children 1 through 3 years of age.

    (d) * * *
    (9) A footnote, preceded by an asterisk, shall be placed beneath 
the list of vitamins and minerals and shall be separated from the list 
by a hairline, except that the footnote may be omitted from foods that 
can use the terms ``calorie free,'' ``free of calories,'' ``without 
calories,'' ``trivial source of calories,'' ``negligible source of 
calories,'' or ``dietary insignificant source of calories'' on the 
label or in the labeling of foods as defined in Sec.  101.60(b). The 
footnote shall state: *The % Daily Value tells you how much a nutrient 
in a serving of food contributes to a daily diet. 2,000 calories a day 
is used for general nutrition advice.
* * * * *
    (j) * * *
    (13) * * *
    (ii) * * *
    (C) Omitting the footnote statement required in paragraph (d)(9) of 
this section and placing another asterisk at the bottom of the label 
followed by the statement ``%DV=%Daily Value.''
* * * * *
0
3. In Sec.  101.36, revise paragraph (b)(2)(iii)(D) to read as follows:


Sec.  101.36  Nutrition labeling of dietary supplements.

* * * * *
    (b) * * *
    (2) * * *
    (iii) * * *
    (D) If the percent of Daily Value is declared for total fat, 
saturated fat, total carbohydrate, dietary fiber, protein, or added 
sugars, a symbol shall follow the value listed for those nutrients that 
refers to the same symbol that is placed at the bottom of the nutrition 
label, below the bar required under paragraph (e)(6) of this section 
and inside the box, that is followed by the statement ``Percent Daily 
Values are based on a 2,000 calorie diet.'' If the product is 
represented or purported to be for use by children 1 through 3 years of 
age, and if the percent of Daily Value is declared for total fat, total 
carbohydrate, dietary fiber, protein, or added sugars, a symbol shall 
follow the value listed for those nutrients that refers to the same 
symbol that is placed at the bottom of the nutrition label, below the 
bar required under paragraph (e)(6) of this section and inside the box, 
that is followed by the statement ``Percent Daily Values are based on a 
1,000 calorie diet.''
* * * * *

    Dated: July 17, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-17928 Filed 7-24-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                                              Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules                                           44303

                                                      Dated: July 17, 2015.                                  Reduction Act of 1995 (the PRA) must                  foods and dietary supplements to
                                                    Leslie Kux,                                              be submitted to the Office of                         provide updated nutrition information
                                                    Associate Commissioner for Policy.                       Information and Regulatory Affairs,                   on the NFL/SFL proposed rule.
                                                    [FR Doc. 2015–17929 Filed 7–24–15; 8:45 am]              Office of Management and Budget                          In the NFL/SFL proposed rule, we
                                                    BILLING CODE 4164–01–P
                                                                                                             (OMB) (see the ‘‘Paperwork Reduction                  proposed to remove the requirement for
                                                                                                             Act of 1995’’ section of this document).              the footnote listing the reference values
                                                                                                                                                                   for certain nutrients for 2,000 and 2,500
                                                                                                             Electronic Submissions                                calorie diets and reserved space to
                                                    DEPARTMENT OF HEALTH AND
                                                    HUMAN SERVICES                                             Submit electronic comments in the                   provide a proposed footnote. We stated
                                                                                                             following way:                                        in the preamble of the NFL/SFL
                                                    Food and Drug Administration                               • Federal eRulemaking Portal: http://               proposed rule that we would continue
                                                                                                             www.regulations.gov. Follow the                       to perform research during this
                                                    21 CFR Part 101                                          instructions for submitting comments.                 rulemaking process to evaluate how
                                                                                                                                                                   variations in label format may affect
                                                    [Docket No. FDA–2012–N–1210]                             Written Submissions
                                                                                                                                                                   consumer understanding and use of the
                                                                                                                Submit written submissions in the                  Nutrition Facts label. We also stated that
                                                    Food Labeling: Revision of the                           following ways:                                       we would publish the results of our
                                                    Nutrition and Supplement Facts                              • Mail/Hand delivery/Courier (for                  research for public review and
                                                    Labels; Supplemental Proposed Rule                       paper submissions): Division of Dockets               comment. We are making results of our
                                                    To Solicit Comment on Limited                            Management (HFA–305), Food and Drug                   research available in this document. We
                                                    Additional Provisions                                    Administration, 5360 Fishers Lane, Rm.                are also proposing text for the footnotes
                                                    AGENCY:    Food and Drug Administration,                 1061, Rockville, MD 20852.                            to be used on the Nutrition Facts label.
                                                    HHS.                                                        Instructions: All submissions received             We are taking this action after
                                                                                                             must include the Docket No. FDA–                      completing our consumer research in
                                                    ACTION: Proposed rule; supplemental
                                                                                                             2012–N–1210 for this rulemaking. All                  which we tested various footnote text
                                                    notice of proposed rulemaking.
                                                                                                             comments received may be posted                       options for the label. We are also
                                                    SUMMARY:   The Food and Drug                             without change to http://                             providing an exemption from the
                                                    Administration (FDA or we) is revising                   www.regulations.gov, including any                    footnote requirement for certain foods.
                                                    certain provisions of the proposed rule,                 personal information provided. For                       In addition, the NFL/SFL proposed
                                                    issued in March 2014, that would                         additional information on submitting                  rule would require the declaration of
                                                    amend FDA’s labeling regulations for                     comments, see the ‘‘How to Submit                     added sugars as an indented line item
                                                    conventional foods and dietary                           Comments’’ heading of the                             underneath the declaration of ‘‘Sugars’’
                                                    supplements to provide updated                           SUPPLEMENTARY INFORMATION section of                  on the Nutrition Facts label. We
                                                    nutrition information on the Nutrition                   this document.                                        discussed in the NFL/SFL proposed rule
                                                    Facts and Supplement Facts labels to                        Docket: For access to the docket to                that we were considering whether to use
                                                    assist consumers in maintaining healthy                  read background documents or                          the term ‘‘Total Sugars’’ instead of
                                                    dietary practices (‘‘the NFL/SFL                         comments received, go to http://                      ‘‘Sugars’’ on the label if we finalize a
                                                    proposed rule’’). We are proposing text                  www.regulations.gov and insert the                    declaration of added sugars.
                                                    for the footnotes to be used on the                      docket number, found in brackets in the                  We stated in the NFL/SFL proposed
                                                    Nutrition Facts label. We are taking this                heading of this document, into the                    rule that we were planning to conduct
                                                    action after completing our consumer                     ‘‘Search’’ box and follow the prompts                 a consumer study that would include,
                                                    research in which we tested various                      and/or go to the Division of Dockets                  among other things, questions regarding
                                                    footnote text options for the label. We                  Management, 5600 Fishers Lane, Rm.                    the declaration of added sugars on the
                                                    are also proposing to establish a Daily                  1061, Rockville, MD 20852.                            Nutrition Facts label in order to help
                                                    Reference Value (DRV) of 10 percent of                   FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                   enhance our understanding of how
                                                                                                             With regard to the supplemental notice                consumers would comprehend and use
                                                    total energy intake from added sugars,
                                                                                                             of proposed rulemaking: Blakeley                      this new information. We also stated
                                                    proposing to require the declaration of
                                                                                                             Fitzpatrick, Center for Food Safety and               that we would publish the results of the
                                                    the percent Daily Value (DV) for added
                                                                                                                                                                   study when they become available.
                                                    sugars on the label, and are providing                   Applied Nutrition (HFS–830), Food and
                                                                                                                                                                      As we prepared to make the consumer
                                                    additional rationale for the declaration                 Drug Administration, 5100 Paint Branch
                                                                                                                                                                   study results for the footnote and added
                                                    of added sugars on the label. We are                     Pkwy., College Park, MD 20740, 240–                   sugars declaration available, new
                                                    taking these actions based, in part, on                  402–5429, email:                                      information emerged from the
                                                    the science underlying a new report                      NutritionProgramStaff@fda.hhs.gov.                    ‘‘Scientific Report of the 2015 Dietary
                                                    released by the 2015 Dietary Guidelines                  With regard to the information                        Guidelines Advisory Committee’’ (the
                                                    Advisory Committee.                                      collection: FDA PRA Staff, Office of                  2015 DGAC report) regarding added
                                                    DATES: Submit either electronic or                       Operations, Food and Drug                             sugars. The new information on added
                                                    written comments on the supplemental                     Administration, 8455 Colesville Rd.,                  sugars led us to reconsider our thinking
                                                    notice of proposed rulemaking by                         COLE–14526, Silver Spring, MD 20993–                  for not establishing a DRV or requiring
                                                    October 13, 2015. Submit comments on                     0002, email: PRAStaff@fda.hhs.gov.                    the declaration of a percent DV for
                                                    information collection issues under the                  SUPPLEMENTARY INFORMATION:                            added sugars on the Nutrition Facts and
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                                                    Paperwork Reduction Act of 1995 by                       Executive Summary                                     Supplement Facts labels. Specifically,
                                                    August 26, 2015, (see the ‘‘Paperwork                                                                          the 2015 DGAC report provided
                                                    Reduction Act of 1995’’ section of this                  Purpose of the Regulatory Action                      evidence suggesting a strong association
                                                    document).                                                 FDA is revising certain provisions of               between a dietary pattern of intake
                                                    ADDRESSES: You may submit comments                       the proposed rule that published in the               characterized, in part, by a reduced
                                                    by any of the following methods, except                  Federal Register on March 3, 2014 (79                 intake of added sugars and a reduced
                                                    that comments on information                             FR 11879), that would amend FDA’s                     risk of cardiovascular disease. The
                                                    collection issues under the Paperwork                    labeling regulations for conventional                 evidence also suggested an applicable


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                                                    44304                     Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules

                                                    reference amount for added sugars, i.e.,                 current footnote. While the consumer                  require the declaration of the percent
                                                    limiting added sugars intake to no more                  research study did not suggest strong                 DV for added sugars on the Nutrition
                                                    than 10 percent of total daily caloric                   support for a particular footnote, the                and Supplement Facts labels; (3) using
                                                    intake. As a result of our review of the                 language in this footnote was perceived               the term ‘‘Total Sugars’’ instead of
                                                    science underlying the 2015 DGAC                         by study participants to be more useful               ‘‘Sugars’’ on the label (4) the proposed
                                                    report, we are proposing to establish a                  than the current footnote. We consider                text for the footnotes to be used on the
                                                    DRV for added sugars and to require the                  that switching the order of the sentences             Nutrition Facts label; (5) exemptions
                                                    percent DV declaration of added sugars                   is important because it allows the first              from the proposed footnote requirement;
                                                    on the Nutrition Facts and Supplement                    sentence to clearly follow the asterisk in            (6) whether we should make changes to
                                                    Facts labels. We are not proposing to                    the ‘‘%DV’’ column heading that leads                 the footnote used on the Supplement
                                                    establish a DRV for total sugars or to                   to the footnote. When consumers look                  Facts label; and (7) whether there
                                                    require the mandatory declaration of a                   down to the footnote to see what                      should be a footnote on labels of food
                                                    percent DV for total sugars because                      additional information is linked to the               represented for infants 7 through 12
                                                    there is no quantitative intake level or                 asterisk that they see after the ‘‘%DV’’              months of age or children 1 through 3
                                                    other reference amount for which there                   column heading, they may expect to                    years of age, and, if so, what that
                                                    is sufficient scientific evidence upon                   find the sentence that explains percent               footnote should say. We will not
                                                    which we can base a DRV for total                        daily value first, rather than a sentence             consider comments outside the scope of
                                                    sugars. We are proposing to establish a                  about calories. This supplemental notice              these issues.
                                                    DRV for added sugars because science                     of proposed rulemaking would also
                                                                                                                                                                   Costs and Benefits
                                                    underlying the 2015 DGAC report                          allow the footnote proposed in
                                                    provided a scientific basis for a                        § 101.9(d) to be omitted from products                   In the NFL/SFL proposed rule we
                                                    reference amount for added sugars upon                   that qualify for a simplified format                  stated that we have developed one
                                                    which we can propose a DRV (a                            (§ 101.9(f)), and on small or                         comprehensive Preliminary Regulatory
                                                    recommended maximum of 10 percent                        intermediate packages                                 Impact Analysis (PRIA) that presents the
                                                    of total energy intake). We also received                (§ 101.9(j)(13)(ii)(A)(1);                            benefits and costs of this proposed rule
                                                    many comments suggesting that, if                        § 101.9(j)(13)(ii)(A)(2)), provided that              as well as the proposed rule entitled
                                                    added sugars are declared on the label,                  the following abbreviated statement is                ‘‘Food Labeling: Serving Sizes of Foods
                                                    a percent DV declaration would assist                    used: ‘‘%DV = % Daily Value.’’                        That Can Reasonably Be Consumed at
                                                    consumers in putting the amount of                          The proposed statement is shorter                  One Eating Occasion; Dual Column
                                                    added sugars in a serving of a product                   than the current statement to allow for               Labeling; Updating, Modifying, and
                                                    into the context of their total daily diet.              more space on the label. In addition, we              Establishing Certain Reference Amounts
                                                       A summary of the results of FDA’s                     realize that the standard format in the               Customarily Consumed; Serving Size for
                                                    consumer research on footnote text                       NFL/SFL proposed rule for the                         Breath Mints; and Technical
                                                    options and on the added sugars                          Nutrition Facts label had a placeholder               Amendments’’ (the original PRIA). As
                                                    declaration is available in section I.C.,                for the footnote and did not explain the              stated earlier, we are proposing
                                                    and a detailed description of the results                ‘‘%DV.’’ It is important for consumers to             revisions to the NFL/SFL proposed rule.
                                                    is available in the docket.                              know what ‘‘%DV’’ on the label means.                 We are proposing footnote text and an
                                                                                                             Consequently, we are proposing a                      exemption to that text for certain foods,
                                                    Summary of the Major Provisions of the                                                                         and we are proposing that
                                                                                                             statement that spells out ‘‘%DV’’ for
                                                    Regulatory Action in Question                                                                                  manufacturers declare the percent DV
                                                                                                             products that qualify for a simplified
                                                      We are proposing to establish a DRV                    format and on small or intermediate                   for added sugars on the Nutrition Facts
                                                    for added sugars of 50 grams (g) for                     packages.                                             and Supplement Facts labels. We
                                                    children 4 years of age and older and                       This supplemental notice of proposed               estimate that just the changes specified
                                                    adults, and of 25 g for children 1                       rulemaking also proposes an exemption                 in this supplemental notice of proposed
                                                    through 3 years of age. We are also                      to the proposed footnote requirement in               rulemaking, if finalized, will generate
                                                    proposing to require the declaration of                  section § 101.9(d)(9) for the foods that              annualized costs of $10 million (at 7
                                                    the percent DV for added sugars on                       can use the terms ‘‘calorie free,’’ ‘‘free of         percent discount rate) and $8 million (at
                                                    Nutrition and Supplement Facts labels,                   calories,’’ ‘‘no calories,’’ ‘‘zero calories,’’       3 percent discount rate), annualized
                                                    and have proposed revisions to the                       ‘‘without calories,’’ ‘‘trivial source of             benefits of $200 million (at 7 percent)
                                                    NFL/SFL proposed rule codified to                        calories,’’ ‘‘negligible source of                    and $300 million (at 3 percent), and
                                                    reflect these changes. These proposed                    calories,’’ or ‘‘dietary insignificant                annualized net benefits of $190 million
                                                    revisions are outlined in section III. We                source of calories’’ on the label or in the           (at 7 percent) and $292 million (at 3
                                                    are also proposing footnote text for the                 labeling of foods as defined in 21 CFR                percent) on top of those estimated in the
                                                    space reserved in § 101.9(d)(9) (21 CFR                  101.60(b). Such products would have                   previous proposed rules. In total, we
                                                    101.9(d)(9)) of the NFL/SFL proposed                     little to no impact on the average daily              estimate that these rules, including the
                                                    rule. The footnote text would explain                    2,000 calorie intake, which the footnote              changes outlined in this proposal, if
                                                    that the % Daily Value tells you how                     addresses. Exempting the footnote for                 finalized, will generate annualized costs
                                                    much a nutrient in a serving of food                     these packages is a practical solution                of $200 million (at both 3 and 7
                                                    contributes to a daily diet and that 2,000               that would assure adequate space is still             percent), annualized benefits of $2.1
                                                    calories a day is used for general                       available for the required nutrient                   billion (at 7 percent) and $2.3 billion (at
                                                    nutrition advice. The language in this                   declarations.                                         3 percent), and annualized net benefits
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                                                    footnote is similar to the wording of one                   We are inviting comment only with                  of $1.9 billion (at 7 percent) and $2.1
                                                    of the options tested in our study (as                   respect to the following issues discussed             billion (at 3 percent). This represents an
                                                    described in section I.C.), except that                  in greater detail later in this document:             annual increase in net benefits from the
                                                    the sentences have been reversed. We                     (1) New information from the 2015                     original PRIA’s estimates of
                                                    believe this footnote explains the %DV                   DGAC report and the science upon                      approximately $200 million per year.
                                                    in the most concise manner by                            which that report is based regarding                     We summarize the annualized costs
                                                    providing a brief description of ‘‘%                     added sugars; (2) the proposal to                     and benefits (over a 20-year period
                                                    Daily Value,’’ which is lacking in the                   establish a DRV for added sugars and to               discounted at both 3 percent and 7


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                                                                                    Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules                                                                44305

                                                    percent) of the previous and revised
                                                    proposed rules in the following table.

                                                           SUMMARY OF ANNUALIZED COSTS AND BENEFITS OVER 20 YEARS OF PREVIOUS AND REVISED PROPOSED RULES
                                                                                                                                        [In billions of 2011 dollars]

                                                                                                                                                                                            Benefits         Costs          Net benefits

                                                    Previous Proposed Rules:
                                                        Annualized @3% ..................................................................................................................          $2.0              $0.2            $1.8
                                                        Annualized @7% ..................................................................................................................           1.9               0.2             1.7
                                                    Revised Proposed Rules:
                                                        Annualized @3% ..................................................................................................................              2.3            0.2             2.1
                                                        Annualized @7% ..................................................................................................................              2.1            0.2             1.9
                                                       Notes: Compliance period is 24 months. Analysis assumes that the proposed rules will be enacted together. Costs include relabeling and re-
                                                    formulation costs, which are one-time costs, as well as recordkeeping costs, which recur. Recordkeeping costs, because of their recurring nature,
                                                    differ by discount rate; however, such costs comprise a very small percentage of total costs.


                                                    I. Background                                                         underneath the declaration of ‘‘Sugars’’                          B. Public Outreach
                                                    A. NFL/SFL Proposed Rule                                              on the Nutrition Facts label (proposed                               We requested comments on the NFL/
                                                                                                                          § 101.9(c)(6)(iii)). Such a declaration                           SFL proposed rule by June 2, 2014, and
                                                      In the Federal Register of March 3,                                 would only be required for the
                                                    2014 (79 FR 11879), we published a                                                                                                      comments on information collection
                                                                                                                          Supplement Facts label if added sugars                            issues under the PRA by April 2, 2014
                                                    proposed rule entitled ‘‘Food Labeling:                               are present in quantitative amounts that
                                                    Revision of the Nutrition and                                                                                                           (79 FR 11879). In the Federal Register
                                                                                                                          exceed the amount that can be declared                            of May 27, 2014 (79 FR 30055), we
                                                    Supplement Facts Labels’’ (the ‘‘NFL/
                                                                                                                          as zero in § 101.9(c) (see proposed                               extended the comment period until
                                                    SFL proposed rule’’). The NFL/SFL
                                                    proposed rule would amend our                                         § 101.36(b)(2)(i)). Given our proposal to                         August 1, 2014. In the Federal Register
                                                    labeling regulations for conventional                                 require the declaration of added sugars,                          of May 29, 2014 (79 FR 30763), we
                                                    foods and dietary supplements to                                      we also considered establishing a DRV                             announced our intent to hold a public
                                                    provide updated nutrition information                                 for added sugars. However, based on our                           meeting to discuss the NFL/SFL
                                                    on the label to assist consumers in                                   review of scientific evidence and                                 proposed rule and a proposed rule on
                                                    maintaining healthy dietary practices. In                             recommendations of U.S. consensus                                 serving sizes. The purpose of the public
                                                    the NFL/SFL proposed rule, we                                         reports, we tentatively concluded in the                          meeting was to inform the public of the
                                                    proposed to: (1) Update the list of                                   NFL/SFL proposed rule that there was                              provisions of the proposed rules, to
                                                    nutrients that are required or permitted                              no sound scientific basis for the                                 invite oral stakeholder and public
                                                    to be declared; (2) provide updated                                   establishment of a quantitative intake                            comments on the proposed rules, and to
                                                    DRVs and Reference Daily Intake values                                recommendation upon which a DRV                                   respond to questions about the proposed
                                                    that are based on current dietary                                     could be derived for total sugars (79 FR                          rules.
                                                    recommendations from U.S. consensus                                   11879 at 11902) and added sugars (79                                 Nearly 300,000 comments were
                                                    reports; (3) amend requirements for                                                                                                     submitted to the docket on the NFL/SFL
                                                                                                                          FR 11879 at 11906). Therefore, we did
                                                    foods represented or purported to be                                                                                                    proposed rule. We continue to review
                                                                                                                          not propose a DRV for added sugars.
                                                    specifically for children under the age of                                                                                              these comments as part of our
                                                                                                                          Accordingly, we proposed to require the
                                                    4 years and pregnant and lactating                                                                                                      development of the NFL/SFL final rule.
                                                                                                                          declaration of added sugars on the                                However, for the reasons discussed in
                                                    women and establish nutrient reference                                Nutrition Facts label only in absolute
                                                    values specifically for these population                                                                                                section II., we are issuing revisions to
                                                                                                                          amounts (in grams), similar to the                                certain provisions in the NFL/SFL
                                                    subgroups; and (4) revise the format and
                                                                                                                          declaration of total sugars.                                      proposed rule and requesting comment
                                                    appearance of the Nutrition Facts label.
                                                      In the NFL/SFL proposed rule, we                                      We stated in the NFL/SFL proposed                               on the revisions.
                                                    proposed to remove the requirement for                                rule that we were planning to conduct                             C. Experimental Study on Consumer
                                                    the footnote listing the reference values                             a consumer study that would include,                              Responses to Nutrition Facts Labels
                                                    for certain nutrients for 2,000 and 2,500                             among other things, questions regarding                           With Various Footnote Formats and
                                                    calorie diets and reserved space to                                   the declaration of added sugars on the                            Declaration of Amount of Added Sugars
                                                    provide a proposed footnote (proposed                                 Nutrition Facts label to help enhance
                                                    § 101.9(d)(9)). We stated in the preamble                             our understanding of how consumers                                   We conducted research to examine
                                                    of the NFL/SFL proposed rule that we                                  would comprehend and use this new                                 how a declaration of added sugars and
                                                    would continue to perform research                                                                                                      alternative footnote statements may
                                                                                                                          information. We stated that we would
                                                    during this rulemaking process to                                                                                                       influence consumer use of the Nutrition
                                                                                                                          publish the results of the study when
                                                    evaluate how variations in label format                                                                                                 Facts label in the absence of any
                                                                                                                          they became available. We also stated
                                                    may affect consumer understanding and                                                                                                   consumer education. The study was a
                                                                                                                          that we were interested in receiving, as                          controlled, randomized, Web-based
                                                    use of the Nutrition Facts label. We also
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                                                    stated that we would publish the results                              part of any comment, other available                              experiment completed in 2014.
                                                    of our research for public review and                                 research data and other factual                                   Although the research involved a single
                                                    comment (79 FR 11879 at 11882). See                                   information relevant to these issues,                             data collection effort, this data
                                                    section I.C. for a summary of the                                     including the proposed double indented                            collection was composed of two
                                                    consumer study results.                                               placement of added sugars below total                             separate experiments; one designed to
                                                      In addition, the NFL/SFL proposed                                   sugars (79 FR 11879 at 11952). See                                address the effects of added sugars
                                                    rule would require the declaration of                                 section I.C. for a summary of the                                 declarations and the other designed to
                                                    added sugars as an indented line item                                 consumer study results.                                           address the effects of modified


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                                                    44306                     Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules

                                                    footnotes. At the time the research was                  accurately identified which products                  description of the Footnote Experiment
                                                    designed, we were not aware of any                       had less added sugars. The ‘‘Total                    is in the Docket (Ref. 2).
                                                    previous studies of consumer responses                   Sugars + Added Sugars’’ format
                                                                                                                                                                   II. Decision To Issue Supplemental
                                                    to added sugars information. This                        appeared to help participants better
                                                                                                                                                                   Notice of Proposed Rulemaking
                                                    research was undertaken to help inform                   comprehend the total amount of sugars                 Regarding Limited Additional
                                                    consumer education if added sugars                       in a food than the ‘‘Added Sugars’’                   Provisions
                                                    were declared on the Nutrition Facts                     format. The effect of the added sugars
                                                    label. The research design did not                       declarations on product judgments                        As we prepared to make the consumer
                                                    include a percent DV for added sugars                    varied depending on the food category                 study results discussed in section I.C.
                                                    on the food label or the ingredient                      and the level of added sugars in the                  available, new information emerged
                                                    listing that will appear on packages, so                 product. When declared, higher                        from the 2015 DGAC report (Ref. 3)
                                                    we do not have data on how those                         amounts of added sugars tended to                     regarding added sugars. The DGAC
                                                    pieces of information would affect                       produce more negative judgments about                 reviews the scientific evidence on
                                                    consumer responses to an added sugars                    the product’s healthfulness. Although                 specific topics and provides their
                                                    declaration. The study achieved its                      the majority of the respondents correctly             assessment of the scientific evidence
                                                    intended objectives of providing an                      identified the total amount of sugars in              and recommendations. The new
                                                    initial understanding of potential                       a serving of food with each label                     information on added sugars led us to
                                                    consumer reactions to added sugars                       presented that included an added sugars               reconsider our thinking for not
                                                    declarations and modified footnote                       declaration, the added sugars                         establishing a DRV or requiring the
                                                    information on Nutrition Facts labels.                   experiment results show that a number                 declaration of a percent DV for added
                                                    This information will help inform our                    of participants were confused about the               sugars on the Nutrition Facts and
                                                    future educational efforts related to food               distinction between sugars and added                  Supplement Facts labels. The 2015
                                                    labeling. As with other new                              sugars, regardless of whether added                   DGAC report also included new
                                                    information, we would expect consumer                    sugars declarations appeared on the                   important information and analysis
                                                    understanding of an added sugars                         Nutrition Facts label. When participants              related to requiring the declaration of
                                                    declaration, if finalized, to improve as                 were viewing Nutrition Facts labels                   added sugars on the Nutrition Facts
                                                    the public’s exposure to added sugars                    without added sugars declarations, they               label, which we had proposed in the
                                                    information increases and educational                    could not accurately determine the                    NFL/SFL proposed rule, specifically
                                                    activities to explain the concept and                                                                          evidence related to dietary patterns and
                                                                                                             amount of added sugars in the products,
                                                    how to use the new information on the                                                                          risk of disease.
                                                                                                             with the majority reporting that the total
                                                    Nutrition Facts label are undertaken.                                                                             We have considered the evidence that
                                                                                                             sugars amount was the amount of added                 the DGAC relied upon and have
                                                    1. Added Sugars Experiment                               sugars. Moreover, many participants                   tentatively concluded that the new
                                                                                                             who viewed Nutrition Facts labels                     evidence provided in the 2015 DGAC
                                                       In the added sugars experiment,                       without added sugars declarations
                                                    participants viewed Nutrition Facts                                                                            report related to dietary patterns of
                                                                                                             assumed that the more nutritious                      intake that are associated with a
                                                    label images displayed in one of three                   products in the study had less added
                                                    possible Nutrition Facts formats (see                                                                          reduced risk of chronic disease
                                                                                                             sugars.                                               (specifically cardiovascular disease
                                                    Ref. 1 for label formats):
                                                       • The ‘‘Added Sugars’’ Format, where                     A full description of the Added                    (CVD)) as well as the evidence provided
                                                    an added sugars declaration was                          Sugars Experiment is in the Docket (Ref.              in the report related to excess intake of
                                                    indented below a ‘‘Sugars’’ declaration;                 1).                                                   added sugars in the U.S. supports our
                                                       • The ‘‘Total Sugars + Added Sugars’’                 2. Footnote Experiment                                proposal to require the mandatory
                                                    Format, where an added sugars                                                                                  declaration of added sugars on the
                                                    declaration was indented below a ‘‘Total                   The footnote experiment compared                    Nutrition and Supplement Facts labels.
                                                    Sugars’’ declaration; and                                consumer reactions to seven footnote                  The DGAC report also provides
                                                       • The Control Format, where                           formats, which included five modified                 evidence to support a reference amount
                                                    participants viewed the current                          footnotes, in addition to the current                 for added sugars upon which we can
                                                    Nutrition Facts label throughout the                     footnote and no footnote at all, for                  establish a DRV for use in calculating a
                                                    study.                                                   explaining percent DVs and how to use                 percent DV on the label. The percent DV
                                                       While viewing these label images,                     them. Results indicated that none of the              is included to assist consumers in
                                                    participants were asked a series of                      modified footnotes significantly affected             understanding the relative significance
                                                    questions on their ability to accurately                 product perceptions or judgments of                   of the amount of added sugars in a
                                                    recognize and compare nutrients on the                   nutrient levels; all five footnote options            serving of a product in the context of a
                                                    Nutrition Facts label, and their                         produced similar perceptions and                      total daily diet.
                                                    judgments about the foods’ overall                       judgments relative to the current                        The 2015 DGAC report does not
                                                    healthfulness and relative nutrient                      footnote and a no-footnote control.                   contain federal government
                                                    levels. Participants responded to these                  Nevertheless, all five modified footnotes             recommendations. The independent
                                                    questions in the context of a one-                       were rated as easier to understand than               advisory committee’s views will be
                                                    product judgment task and a two-                         the current footnote. Footnote 1 was                  taken into consideration by the Federal
                                                    product comparison task. Participants                    perceived to be more believable than the              government as the dietary guidelines are
                                                    were not given the proposed definition                   current footnote. Footnote 1 stated the               updated. In this supplemental notice of
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                                                    of added sugars or provided with the                     following: ‘‘2,000 calories a day is used             proposed rulemaking, we have
                                                    ingredients lists for the products tested,               for general nutrition advice. *The %                  considered the scientific evidence
                                                    which could have affected their                          Daily Value tells you how much a                      underpinning the recommendations
                                                    understanding.                                           nutrient in a serving of food contributes             provided in the advisory committee’s
                                                       The study found that when both total                  to a daily diet.’’ We are proposing                   report. As a result of our review of the
                                                    and added sugars declarations appeared                   footnote text from Footnote 1 in this                 2015 DGAC report and the evidence that
                                                    on the label, the majority correctly                     supplemental notice of proposed                       the DGAC relied upon, we are proposing
                                                    reported the added sugars amount and                     rulemaking. See section III.B. A full                 to establish a DRV and to require the


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                                                                              Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules                                          44307

                                                    percent DV declaration for added sugars                  label that states ‘‘2,000 calories a day is           for proposing the mandatory declaration
                                                    on the Nutrition Facts and Supplement                    used for general nutrition advice.’’ We               of added sugars.
                                                    Facts labels.                                            are also inviting further comment on                     We did not propose to establish a
                                                       We are also proposing text for the                    whether we should consider a footnote                 DRV or to require the declaration of a
                                                    footnotes to be used on the Nutrition                    for foods, other than infant formula,                 percent DV for added sugars in the NFL/
                                                    Facts label. We are not proposing any                    represented or purported to be                        SFL proposed rule because, at the time
                                                    revisions to the footnote text used on                   specifically for infants 7 through 12                 we issued the NFL/SFL proposed rule,
                                                    the Supplement Facts label. As                           months or children 1 through 3 years of               there was ‘‘no scientifically supported
                                                    discussed in the NFL/SFL proposed                        age in the NFL/SFL proposed rule, and                 quantitative intake recommendation for
                                                    rule, the current footnote statement                     if so, what the footnote should say.                  added sugars on which a DRV for added
                                                    required for the Supplement Facts label                     This supplemental notice of proposed               sugars can be derived’’ (79 FR 11879 at
                                                    differs from that which is currently                     rulemaking provides the public with the               11906). Following publication of the
                                                    required on the Nutrition Facts label.                   opportunity to provide comment on our                 NFL/SFL proposed rule, the 2015
                                                    We stated that based on the results of                   tentative conclusions with respect to the             DGAC, a group of outside experts,
                                                    the consumer study, we will consider                     footnote, the DRV, the percent DV                     submitted its recommendations to the
                                                    whether it is necessary to make                          declaration for added sugars, and the                 Secretaries of the Department of Health
                                                    corresponding changes to the footnote                    new information from the 2015 DGAC                    and Human Services (HHS) and USDA,
                                                                                                             report for the added sugars declaration.              to inform the Dietary Guidelines for
                                                    used on the Supplement Facts label
                                                                                                             As noted, we are not seeking and will                 Americans, 2015. The Secretaries
                                                    when certain macronutrients are
                                                                                                             not consider comments with respect to                 released the advisory committee’s
                                                    declared. We invited comment on
                                                                                                             other issues.                                         recommendations report online on
                                                    whether we should consider changes to
                                                                                                                                                                   February 19, 2015, making it available
                                                    the footnote statement on the                            III. Description of the Supplemental                  for public review and comment (see
                                                    Supplement Facts label to be consistent                  Notice of Proposed Rulemaking                         http://www.health.gov/dietary
                                                    with any changes to the footnote
                                                                                                             A. Proposing To Establish a DRV and                   guidelines/2015-scientific-report/).
                                                    statement in the Nutrition Facts label                                                                            The 2015 DGAC reaffirmed
                                                    (79 11879 at 11948). We also noted that                  Require the Declaration of the Percent
                                                                                                             DV for ‘‘Added Sugars’’                               recommendations in the 2010 DGA,
                                                    ‘‘[a] comment to the 2007 ANPRM                                                                                which included recommending
                                                    requested that we permit the use of a                       As originally proposed, the NFL/SFL                reducing the intake of added sugars. The
                                                    footnote statement about not limiting fat                proposed rule would require the                       2015 DGAC examined the relationship
                                                    intake on foods represented or                           declaration of the gram amount of added               between dietary patterns and health
                                                    purported to be specifically for infants                 sugars on the Nutrition Facts and                     outcomes more extensively than did
                                                    and children less than 2 years to enable                 Supplement Facts labels, but would not                earlier DGAC reports, through the use of
                                                    consumers to make informed choices,                      establish a DRV or require the                        a food modeling approach using the
                                                    should the Agency decide to propose                      disclosure of the percent DV for added                USDA Food Patterns (Ref. 5). The 2015
                                                    the mandatory declaration of saturated                   sugars. The proposed requirement for                  DGAC reviewed the current science,
                                                    fat for infants and children less than 2                 the declaration of the gram amount of                 status and trends in the dietary pattern
                                                    years. The comment noted that                            ‘‘added sugars’’ was based, in large part,            of intake in the U.S. population
                                                    saturated fat should not be limited in                   on data and information in the Dietary                compared to a ‘‘Healthy U.S.-style
                                                    the diets of children less than 2 years of               Guidelines for Americans, 2010 (2010                  Pattern,’’ a ‘‘Healthy Mediterranean-
                                                    age. The comment provided no                             DGA)(Ref. 4) related to the intake of                 style Pattern,’’ and a ‘‘Healthy
                                                    consumer data about such a footnote                      excess calories in the U.S. diet from                 Vegetarian Pattern’’ associated with
                                                    statement. At this time, we are not                      solid fats and added sugars, and the                  health benefits. The report found the
                                                    proposing to require a footnote stating                  impact that these excess calories may                 current U.S. population intake of solid
                                                    that total fat and other types of fat                    have on the nutrient density of the diet.             fats and added sugars is high across all
                                                    should not be limited in infants and                     As discussed in the NFL/SFL proposed                  age groups and genders with nearly 90
                                                    children less than 2 years in response to                rule, no more than 5 to 15 percent of                 percent of the general population
                                                    this comment. However, we request                        calories from solid fats and added                    ‘‘exceeding the recommended daily
                                                    comments and information on how                          sugars combined can be reasonably                     limits’’ (Ref. 6). Added sugars intake
                                                    consumers would understand and use                       accommodated in the U.S. Department                   alone remains high at 13.4 percent of
                                                    the amount of saturated fat and                          of Agriculture (USDA) Food Patterns for               total calories per day among the total
                                                    cholesterol declared on the Nutrition                    most people to avoid excess calorie                   population ages 1 year and older (Ref.
                                                    Facts label, as well as on the need for                  consumption, yet added sugars alone                   7). Importantly, the 2015 DGAC found
                                                    an explanatory footnote to accompany                     contributed an average of 16 percent of               strong and consistent evidence
                                                    the declaration of saturated fat and                     the total calories in American diets (79              demonstrating that, relative to less
                                                    cholesterol, on food represented or                      FR 11879 at 11903 through 11904).                     healthy patterns, dietary patterns
                                                    purported to specifically for infants 7                     In the 2014 NFL/SFL proposed rule                  associated with decreased risk of
                                                    through 12 months or children 1                          we stated that although there is                      cardiovascular disease (CVD) are
                                                    through 3 years’’ (79 FR 11879 at                        sufficient science to support a                       characterized by higher consumption of
                                                    11934–11935). We did not receive many                    relationship between the intake of                    vegetables, fruits, whole grains, low-fat
                                                    comments on these issues in response to                  sugar-sweetened beverages and an                      dairy, and seafood, and lower
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                                                    the proposed rule. We are inviting                       increase in adiposity (body fat) in                   consumption of red and processed meat,
                                                    comment on whether we should                             children, ‘‘inadequate evidence exists to             and lower intakes of refined grain, and
                                                    consider requiring, instead of the                       support the direct contribution of added              sugar-sweetened foods and beverages
                                                    current footnote for the Supplement                      sugars to obesity or heart disease.’’ (79             (Ref. 8). The 2015 DGAC suggested the
                                                    Facts label that links the percent DV                    FR 11879 at 11904). Thus, we included                 NFL/SFL should include an added
                                                    with a 2,000 calorie level, part of the                  the evidence that added sugars                        sugars declaration and the declaration of
                                                    Nutrition Facts label footnote text we                   contribute excess calories to the                     a percent DV for added sugars (Ref. 9).
                                                    are proposing for the Nutrition Facts                    American diet as part of our rationale                The Federal government has not issued


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                                                    44308                     Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules

                                                    a final 2015 Dietary Guidelines for                      sugars intakes. This analysis included                DRV or point of reference for consumers
                                                    Americans report.                                        publications of clinical trials and                   to understand the declaration of added
                                                       Based on our review of the evidence                   prospective cohort studies (http://                   sugars and what that number means in
                                                    presented in the 2015 DGAC report (see                   www.nel.gov/—then click on ‘‘Dietary                  the context of the total daily diet is
                                                    link to individual studies reviewed by                   Patterns and Health Outcomes                          needed. We are proposing in section
                                                    the 2015 DGAC—(http://www.nel.gov/—                      Systematic Review Report.’’) Therefore,               III.A. that a percent DV be declared for
                                                    then click on ‘‘Dietary Patterns and                     we tentatively conclude that the 2015                 added sugars on the label.
                                                    Health Outcomes Systematic Review                        DGAC report and the scientific                           Further, as discussed in the NFL/SFL
                                                    Report.’’), we find that the evidence                    information on which it relies provide                proposed rule (79 FR 11879 at 11902),
                                                    further supports FDA’s proposal to                       a basis for FDA to establish a DRV                    we are considering whether to use the
                                                    require an added sugars declaration in                   reference point for the added sugars                  term ‘‘Total Sugars’’ instead of ‘‘Sugars’’
                                                    the Nutrition and Supplement Facts                       declaration at 10 percent of calories that            on the label if we finalize a declaration
                                                    labels. Specifically, there is evidence of               is based on a public health endpoint                  of added sugars. The use of ‘‘Total
                                                    a strong association between a dietary                   and is necessary to assist consumers to               Sugars’’ was supported by many
                                                    pattern of intake characterized, in part,                maintain healthy dietary practices.                   comments. In addition, our added
                                                    by a reduced intake of sugar-sweetened                      We are proposing a DRV of 50 g for                 sugars experiment did show that use of
                                                    foods and beverages and a reduced risk                   added sugars from which the percent                   the term ‘‘Total Sugars’’ helped improve
                                                    of CVD. There is also evidence to                        DV can be calculated. We determine a                  study participants’ understanding that
                                                    support a reference amount for added                     DRV of 50 g by first multiplying the                  added sugars are part of the total
                                                    sugars, i.e., limiting added sugars intake               2,000 reference calorie intake by 10                  amount of sugars in the product.
                                                    to no more than 10 percent of total daily                percent (2,000 × .10 = 200 calories). The             Therefore, we intend to consider
                                                    caloric intake.                                          2,000 reference calorie intake is used for            finalizing the use of the term ‘‘Total
                                                       The 2015 DGAC report also                             other nutrients to calculate the DRV                  Sugars’’ instead of ‘‘Sugars’’ on the
                                                    recommended that Americans keep                          when the recommendations for the                      label, if we finalize a declaration of
                                                    added sugars intake below 10 percent of                  nutrient intake may fluctuate based on                added sugars. We are not proposing to
                                                    total energy intake (Ref. 10). The 2015                  calorie intake. The 2,000 calorie value               establish a DRV for total sugars or to
                                                    DGAC based this ‘‘less than 10 percent’’                 represents a reference intake for adults              require the mandatory declaration of a
                                                    recommendation on modeling of dietary                    and children 4 years of age and older,                percent DV for total sugars because
                                                    patterns, current added sugars                           including pregnant and lactating                      there is no quantitative intake level or
                                                    consumption data, and a published                        women. Dividing 200 calories by 4                     other reference amount for which there
                                                    meta-analysis on sugars intake and body                  calories/g (200 calories ÷ 4 calories/g =             is sufficient scientific evidence upon
                                                    weight. (Ref. 11). Based on the scientific               50 g) provides us with the gram amount                which we can base a DRV for total
                                                    evidence, we tentatively conclude that                   (50 g) of added sugars as a reference                 sugars.
                                                    limiting consumption of added sugars to                  amount for use as the DRV. A 1,000                       Given the discussion in section III.A.,
                                                    10 percent of daily calories is a                        calorie reference amount would be used                this supplemental notice of proposed
                                                    reasonable goal for consumers to                         to calculate the DRV for children 1                   rulemaking would:
                                                    achieve and is consistent with the goals                 through 3 years of age at 25 g of added                  • Amend § 101.9(c)(9) to add ‘‘Added
                                                    of the Dietary Guidelines for Americans                  sugars (1,000 calories × .10 = 100                    sugars’’ to the list of food components
                                                    to provide advice for choosing and                       calories and 100 calories ÷ 4 calories/g              with established DRVs with a unit of
                                                    maintaining a healthful dietary pattern.                 = 25 g).
                                                       In the NFL/SFL proposed rule, we                                                                            measurement of ‘‘Grams (g),’’ and to
                                                                                                                The comments we received on the
                                                    recognized that we did not have a                                                                              establish a DRV for adults and children
                                                                                                             NFL/SFL proposed rule were generally
                                                    scientifically supported quantitative                    supportive of a DRV of no more than 10                4 years of age and older, including
                                                    intake recommendation for added                          percent of total energy intake from                   pregnant and lactating women, of 50 g
                                                    sugars, based on a biomarker of risk of                  added sugars. Many of the comments in                 and a DRV for children 1 through 3
                                                    disease or other public health endpoint,                 support of a DRV of no more than 10                   years of age of 25 g.
                                                    on which a DRV for added sugars could                    percent of total energy intake cited the                 • Amend § 101.36(b)(2)(iii)(D) to
                                                    be derived. However, we did consider a                   2014 World Health Organization (WHO)                  require that the percent DV for added
                                                    reference point for added sugars                         draft guideline. This WHO guideline,                  sugars be declared when added sugars
                                                    consumption based on the calories from                   however, is not a U.S consensus report                are present in a dietary supplement at
                                                    solid fats and added sugars limits at                    and was not specific to added sugars.                 an amount greater than 1 gram per
                                                    each calorie level in the USDA Food                      There were also some comments that                    serving, such that the proposed
                                                    Patterns in the 2010 DGAC report (79 FR                  did not support a DRV for added sugars,               requirement would say that if the
                                                    11879 at 11906). Based on that analysis,                 citing a lack of scientific evidence to set           percent of Daily Value is declared for
                                                    and without a declaration in the                         a quantitative intake recommendation.                 total fat, saturated fat, total
                                                    Nutrition Facts label of ‘‘calories from                 We now have the 2015 DGAC report                      carbohydrate, dietary fiber, protein, or
                                                    solid fats and added sugars,’’ consumers                 that supports a proposal to establish a               added sugars, a symbol shall follow the
                                                    would have to multiply grams of                          DRV of 10 percent of total energy intake              value listed for those nutrients that
                                                    saturated, trans fats, and added sugars                  from added sugars and to require the                  refers to the same symbol that is placed
                                                    by the number of calories per gram to                    declaration of percent DV for added                   at the bottom of the nutrition label,
                                                    determine the amount of calories from                    sugars on the label. Specifying and                   below the bar required under
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                                                    solid fats and added sugars in a product.                requiring a percent DV declaration is                 § 101.9(e)(6) and inside the box, that is
                                                    The 2015 DGAC report, in its analysis                    also supported by comments we                         followed by the statement ‘‘Percent
                                                    of added sugars as part of a dietary                     received stating that such a declaration              Daily Values are based on a 2,000
                                                    pattern of intake among the U.S.                         will help consumers determine the                     calorie diet.’’
                                                    population, found a strong association                   amount of added sugars on the label in                Proposing to require the declaration of
                                                    with that pattern of intake to an increase               the context of their total daily diet.                the percent DV for added sugars on the
                                                    in CVD risk, in comparison to healthier                     If we finalize a declaration of added              label are not the only revisions to the
                                                    dietary patterns with lower added                        sugars, we tentatively conclude that a                codified that would be needed if we


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                                                                              Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules                                               44309

                                                    finalized the added sugars provisions.                   of the sentences from the footnote                    (§ 101.9(j)(13)(ii)(A)(1);
                                                    We proposed additional amendments                        tested. While the consumer research                   § 101.9(j)(13)(ii)(A)(2)), provided that
                                                    related to added sugars and they are                     study did not suggest strong support for              the following abbreviated statement is
                                                    described in the NFL/SFL proposed rule                   a particular footnote, the language in                used: ‘‘%DV =% Daily Value.’’ The
                                                    (79 FR 11879 at 11905–11907).                            this footnote was perceived by study                  proposed statement for these packages
                                                                                                             participants to be more useful than the               shortens it from what is currently
                                                    B. Proposing the Footnote Text That
                                                                                                             current footnote. We consider that                    required and allows for more space on
                                                    Would Be Required on Certain Packages
                                                                                                             switching the order of the sentences is               the label. In addition, we realize that the
                                                    and Proposed Exemptions From the
                                                                                                             important because it allows the first                 standard format in the NFL/SFL
                                                    Footnote Requirement
                                                                                                             sentence to clearly follow the asterisk in            proposed rule for the Nutrition Facts
                                                      In the NFL/SFL proposed rule, we                       the ‘‘%DV’’ column heading that leads                 label had a placeholder for the footnote
                                                    proposed to remove the requirement for                   to the footnote. When consumers look                  and did not explain the ‘‘%DV.’’ It is
                                                    the footnote listing the reference values                down to the footnote, to see what                     important for consumers to know what
                                                    for certain nutrients for 2,000 and 2,500                additional information is linked to the               ‘‘%DV’’ on the label means.
                                                    calorie diets and reserved space to                      asterisk that they see after the ‘‘% DV’’             Consequently, we are proposing a
                                                    provide a proposed footnote (proposed                    column heading, they may expect to                    statement for these packages that spells
                                                    § 101.9(d)(9)). We consider that a                       find the sentence that explains percent               out ‘‘%DV.’’ We recognize that for these
                                                    succinct statement about daily calorie                   daily value first, rather than a sentence             packages, additional information in the
                                                    intake (2,000 calories) is a necessary                   about calories. We believe that this                  footnote is not needed. In this
                                                    part of the footnote because 2,000                       footnote explains the ‘‘% DV’’ in the                 supplemental proposed rulemaking, we
                                                    calories is consistent with widely used                  most concise manner.                                  apply the same rationale we used in the
                                                    food plans, the percent DV of certain                       Previously, in the 1993 final rule                 1993 final rule with regards to
                                                    nutrients (e.g., total fat, total                        entitled ‘‘Food Labeling: Mandatory                   exempting small and intermediate
                                                    carbohydrate, and dietary fiber) is based                Status of Nutrition Labeling and                      packages from some of the footnote
                                                    on 2,000 calories, and 2,000 calories                    Nutrient Content Revision, Format for                 language we required for large packages.
                                                    approximates the estimated energy need                   Nutrition’’ (58 FR 2079 (January 6,                   The 1993 final rule allowed
                                                    for adults who are sedentary to                          1993)) (1993 final rule), we noted that               manufacturers flexibility in using the
                                                    moderately active. However, we                           prior research had shown that although                complete footnote on all product labels.
                                                    recognize that a succinct statement                      most consumers do not notice footnotes,               We recognized that the benefits of
                                                    about daily calorie intake should not                    those who are given the information                   requiring this footnote were not relative
                                                    suggest that the percent DV of all                       (and by inference, those who do read                  to the specific product that carries the
                                                    nutrients is linked to a 2,000 calorie                   the footnote) are able to interpret it                information, and that the information
                                                    diet.                                                    appropriately (58 FR 2079 at 2131).                   would be available to consumers if it
                                                      We received comments on the                            Consistent with our rationale in 1993,                appeared on a significant percentage of
                                                    footnote and many comments requested                     we continue to expect that the provision              food labels (58 FR 2079 at 2129).
                                                    that the footnote continue to explain                    of a simple footnote will help those                     This supplemental notice of proposed
                                                    that percent DVs are based on a 2,000                    consumers who do read it in                           rulemaking proposes an exemption to
                                                    calorie diet but individual calorie needs                understanding the information on the                  the proposed footnote requirement in
                                                    may be higher or lower. Many                             nutrition label. The second sentence of               § 101.9(d)(9) for the foods that can use
                                                    comments also emphasized that any                        the proposed footnote is the same as the              the terms ‘‘calorie free,’’ ‘‘free of
                                                    revisions to the footnote should be                      succinct statement that will be required              calories,’’ ‘‘no calories,’’ ‘‘zero calories,’’
                                                    research-based and that the results of                   on menus and menu boards under our                    ‘‘without calories,’’ ‘‘trivial source of
                                                    our consumer research studies should                     final rule entitled ‘‘Food Labeling;                  calories,’’ ‘‘negligible source of
                                                    be made available for review and                         Nutrition Labeling of Standard Menu                   calories,’’ or ‘‘dietary insignificant
                                                    comment.                                                 Items in Restaurants and Similar Retail               source of calories’’ on the label or in the
                                                      Many comments emphasized that                          Food Establishments’’ (79 FR 71156                    labeling of foods as defined in
                                                    because the NFL/SFL proposed rule                        (December 1, 2014)). It is important to               § 101.60(b). Such products would have
                                                    does not specify the exact footnote text                 explain calories in the context of the                little to no impact on the average daily
                                                    and the amount of space the new                          total daily diet and also provide                     2,000 calorie intake, which the footnote
                                                    footnote would require, more                             consistency in the wording of this                    addresses. Exempting the footnote for
                                                    information is needed in order to                        nutritional advice between packaged                   these packages is a practical solution
                                                    comment on the footnote. Some                            and restaurant foods.                                 that would assure adequate space is still
                                                    comments emphasized that the footnote                       Some packaged foods do not require                 available for the required nutrient
                                                    should be brief and not take up too                      the full footnote. The footnote                       declarations.
                                                    much space, and expressed concerns                       information specified in § 101.9(d)(9)(i)                We believe that consumer education
                                                    about how the footnote would fit on                      (which includes the footnote table) can               programs regarding using and
                                                    small packages.                                          be omitted from products that qualify                 understanding the Nutrition Facts and
                                                      This supplemental notice of proposed                   for a simplified format and small or                  Supplement Facts labels (including the
                                                    rulemaking would add language to the                     intermediate packages, provided that                  footnote) are important, and plan to
                                                    space reserved in proposed § 101.9(d)(9)                 the following abbreviated footnote                    work with our federal partners to
                                                    to explain that the % Daily Value tells                  statement is used: ‘‘Percent Daily Values
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                                                                                                                                                                   develop such programs after publication
                                                    you how much a nutrient in a serving                     are based on a 2,000 calorie diet’’                   of the final rule.
                                                    of food contributes to a daily diet and                  (§§ 101.9(f)(5) and 101.9(j)(13)). In this               Given the discussion in section III.B.,
                                                    that 2,000 calories a day is used for                    supplemental notice of proposed                       this supplemental notice of proposed
                                                    general nutrition advice. The language                   rulemaking, we propose to allow the                   rulemaking would:
                                                    in this footnote is similar to one of the                footnote proposed in § 101.9(d) to be                    a. Amend § 101.9(d)(9) to replace the
                                                    options tested during the consumer                       omitted from products that qualify for a              reserved space. Specifically, after the
                                                    research study described in section I.C.,                simplified format (§ 101.9(f)), and from              language in § 101.9(d)(8) explaining that
                                                    except that we have reversed the order                   small or intermediate packages                        when listed horizontally in two


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                                                    44310                     Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules

                                                    columns, vitamin D and calcium should                    proposed rule (see Ref. 187 of the NFL/               of automated collection techniques,
                                                    be listed on the first line and iron and                 SFL proposed rule) for public input (79               when appropriate, and other forms of
                                                    potassium should be listed on the                        FR 11879 at 11959).                                   information technology.
                                                    second line—the proposed requirement                       We performed additional analysis to                    Title: Revision of the Nutrition and
                                                    would replace ‘‘[Reserved]’’ with text                   examine the impacts of the revised                    Supplement Facts Labels and Serving
                                                    stating that a footnote, preceded by an                  proposed provisions described in the                  Sizes of Foods That Can Reasonably Be
                                                    asterisk, shall be placed beneath the list               Federal Register document under                       Consumed At One-Eating Occasion.
                                                    of vitamins and minerals and be                          Executive Order 12866, Executive Order                   Description: This supplemental notice
                                                    separated from the list by a hairline,                   13563, the Regulatory Flexibility Act,                of proposed rulemaking proposes two
                                                    except that the footnote may be omitted                  the Unfunded Mandates Reform Act of                   changes to the third-party disclosure
                                                    from foods that can use the terms                        1995, and the PRA. We present our                     requirements discussed in the analysis
                                                    ‘‘calorie free,’’ ‘‘free of calories,’’                  additional analyses, including the total              of the NFL/SFL proposed rule: A
                                                    ‘‘without calories,’’ ‘‘trivial source of                estimated costs and benefits of this                  percent DV labeling requirement as well
                                                    calories,’’ ‘‘negligible source of                       supplement to the NFL/SFL proposed                    as footnote requirements.
                                                    calories,’’ or ‘‘dietary insignificant                   rule, in our supplemental PRIA for this                  Description of Respondents: The
                                                    source of calories’’ on the label or in the              proposed rule (Ref. 12), which will be                likely respondents to this information
                                                    labeling of foods as defined in                          made available at http://www.fda.gov/                 collection are manufacturers of retail
                                                    § 101.60(b). The footnote text would                     AboutFDA/ReportsManualsForms/                         food products marketed in the United
                                                    explain that the %Daily Value tells you                  Reports/EconomicAnalyses/. We invite                  States whose products contain (1) a
                                                    how much a nutrient in a serving of                      comment on our additional analyses.                   mixture of naturally occurring and
                                                    food contributes to a daily diet and that                                                                      added sugars or (2) a mixture of non-
                                                                                                             V. Paperwork Reduction Act of 1995                    digestible carbohydrates that do and do
                                                    2,000 calories a day is used for general
                                                    nutrition advice.                                          This supplemental notice of proposed                not meet the proposed definition of
                                                       b. Amend § 101.9(j)(13)(ii)(C) to revise              rulemaking contains information                       dietary fiber. The likely respondents to
                                                    the footnote text. Specifically, after                   collection provisions that are subject to             this information collection also include
                                                    ‘‘Sugar alcohol—Sugar alc,’’ the                         review by OMB under the PRA. As                       manufacturers of retail food products
                                                    proposed requirement would provide                       explained in the NFL/SFL proposed                     marketed in the United States whose
                                                    for omitting the footnote statement and                  rule, we performed the necessary                      products contain (1) mixtures of
                                                    placing another asterisk at the bottom of                analyses to examine the impacts of the                different forms of vitamin E or (2) both
                                                    the label followed by the statement                      proposed rule under Executive Order                   folate and folic acid.
                                                    ‘%DV = %Daily Value’.’’                                  12866, Executive Order 13563, the                        We estimate the burden of the
                                                                                                             Regulatory Flexibility Act, the                       information collection provisions of the
                                                    C. Other Related Provisions-Future                       Unfunded Mandates Reform Act of                       supplemental notice of proposed
                                                    Revisions to the Sample Labels                           1995, and the PRA. We provided a PRIA                 rulemaking as follows. After careful
                                                       The revisions to the NFL/SFL                          of the NFL/SFL proposed rule (see Ref.                review of the burden estimate analysis
                                                    proposed rule described in this section                  187 of the NFL/SFL proposed rule) for                 provided in the PRIA for the NFL/SFL
                                                    would require revisions to the labels                    public input (79 FR 11879 at 11959). A                proposed rule, we tentatively conclude
                                                    illustrated in §§ 101.9(d)(11)(iii),                     description of the information collection             that our previous estimate of the burden
                                                    101.9(d)(12), 101.9(d)(13)(ii),                          provisions of the NFL/SFL proposed                    hours has not changed meaningfully as
                                                    101.9(e)(5), 101.9(e)(6)(i), 101.9(e)(6)(ii),            rule was given in the PRIA of the NFL/                a result of this supplemental notice of
                                                    101.9(f)(4), 101.9(j)(13)(ii)(A)(1), and                 SFL proposed rule with an estimate of                 proposed rulemaking. Thus, we have
                                                    101.9(j)(13)(ii)(A)(2) of the NFL/SFL                    the annual third-party disclosure                     calculated no additional burden related
                                                    proposed rule. As stated in section VII.                 burden. A description of the                          to the proposed percent DV labeling
                                                    we provided a sample label in proposed                   information collection provisions of the              requirement for added sugars described
                                                    § 101.9(j)(5)(i) for foods, other than                   supplemental notice of proposed                       in this supplemental notice of proposed
                                                    infant formula, represented or purported                 rulemaking is given in the Description                rulemaking.
                                                    to be specifically for infants 7 through                 section with an estimate of the annual                   With regard to the proposed footnote
                                                    12 months or children 1 through 3 years                  third-party disclosure burden. Included               labeling requirements in this
                                                    of age in the NFL/SFL proposed rule,                     in the estimate is the time for reviewing             supplemental notice of proposed
                                                    however, we invite further input on                      instructions, searching existing data                 rulemaking, we note that the text of the
                                                    whether such a footnote is needed and,                   sources, gathering and maintaining the                footnote statements would be supplied
                                                    if so, what it should say. If the NFL/SFL                data needed, and completing and                       by FDA in the final regulation. We
                                                    is finalized as proposed in this                         reviewing each collection of                          tentatively conclude that the proposed
                                                    supplemental notice, we will make the                    information.                                          footnote provisions in this supplemental
                                                    changes needed to the labels in the                        We invite comments on these topics:                 notice of proposed rulemaking are
                                                    codified in the NFL/SFL final rule.                      (1) Whether the proposed collection of                ‘‘public disclosure[s] of information
                                                                                                             information is necessary for the proper               originally supplied by the Federal
                                                    IV. Preliminary Regulatory Economic                      performance of our functions, including               government to the recipient for the
                                                    Analysis of Impacts                                      whether the information will have                     purpose of disclosure to the public’’ (5
                                                      As explained in the NFL/SFL                            practical utility; (2) the accuracy of our            CFR 1320.3(c)(2)) and are therefore not
                                                    proposed rule, we performed the                          estimate of the burden of the proposed                subject to review by OMB under the
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                                                    necessary analyses to examine the                        collection of information, including the              PRA. Thus, we have calculated no
                                                    impacts of the proposed rule under                       validity of the methodology and                       additional burden related to the
                                                    Executive Order 12866, Executive Order                   assumptions used; (3) ways to enhance                 proposed footnote labeling requirements
                                                    13563, the Regulatory Flexibility Act                    the quality, utility, and clarity of the              in this supplemental notice of proposed
                                                    (5 U.S.C. 601–612), the Unfunded                         information to be collected; and (4)                  rulemaking.
                                                    Mandates Reform Act of 1995 (Pub. L.                     ways to minimize the burden of the                       To ensure that comments on
                                                    104–4), and the PRA (44 U.S.C. 3501–                     collection of information on                          information collection are received,
                                                    3520). We provided a PRIA of the                         respondents, including through the use                OMB recommends that written


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                                                                              Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules                                               44311

                                                    comments be faxed to the Office of                       SFL proposed rule, we provided in                     5. USDA and HHS, Scientific Report of the
                                                    Information and Regulatory Affairs,                      proposed § 101.9(j)(5)(i) a sample label                   2015 Dietary Guidelines Advisory
                                                    OMB, Attn: FDA Desk Officer, FAX:                        for these foods that included a                            Committee, 2015, Part D. ‘‘Chapter 1:
                                                                                                                                                                        Food and Nutrient Intakes, and Health:
                                                    202–395–7285, or emailed to oira_                        placeholder for a footnote. However, we                    Current Status and Trends,’’ pg. 3,
                                                    submission@omb.eop.gov. All                              would appreciate further input on                          available at http://www.health.gov/
                                                    comments should be identified with the                   whether such a footnote is needed and,                     dietaryguidelines/2015-scientific-report/.
                                                    title, ‘‘Revision of the Nutrition and                   if so, what it should say. We will not                6. USDA and HHS, Scientific Report of the
                                                    Supplement Facts Labels and Serving                      consider comments outside the scope of                     2015 Dietary Guidelines Advisory
                                                    Sizes of Foods That Can Reasonably Be                    these issues.                                              Committee, 2015, Part D. ‘‘Chapter 1:
                                                    Consumed At One-Eating Occasion.’’                          Comments previously submitted to                        Food and Nutrient Intakes, and Health:
                                                       In compliance with the PRA, we have                                                                              Current Status and Trends,’’ pg. 35,
                                                                                                             the Division of Dockets Management do                      available at http://www.health.gov/
                                                    submitted the information collection                     not need to be resubmitted, because all                    dietaryguidelines/2015-scientific-report/.
                                                    provisions of this proposed rule to OMB                  comments submitted to the docket                      7. USDA and HHS, Scientific Report of the
                                                    for review. These requirements will not                  number, found in brackets in the                           2015 Dietary Guidelines Advisory
                                                    be effective until we obtain OMB                         heading of this document, will be                          Committee, 2015, Part D. ‘‘Chapter 5:
                                                    approval. We will publish a notice                       considered in development of the final                     Food Sustainability and Safety,’’ pg. 18,
                                                    concerning OMB approval of these                         rule.                                                      available at http://www.health.gov/
                                                    requirements in the Federal Register.                                                                               dietaryguidelines/2015-scientific-report/.
                                                                                                             VIII. How To Submit Comments                          8. USDA and HHS, Scientific Report of the
                                                    VI. Analysis of Environmental Impact                                                                                2015 Dietary Guidelines Advisory
                                                                                                               Interested persons may submit either                     Committee, 2015, Part D. ‘‘Chapter 2:
                                                       We have carefully considered the                      electronic or written comments                             Dietary Patterns, Foods and Nutrients,
                                                    potential environmental effects of this                  regarding this document to http://                         and Health Outcomes,’’ pg. 8, available
                                                    action. This action revises certain                      www.regulations.gov or written                             at http://www.health.gov/
                                                    provisions of the NFL/SFL proposed                       comments to the Division of Dockets                        dietaryguidelines/2015-scientific-report/.
                                                    rule. For the NFL/SFL proposed rule,                     Management (see ADDRESSES). It is only                9. USDA and HHS, Scientific Report of the
                                                    we concluded that the action would not                                                                              2015 Dietary Guidelines Advisory
                                                                                                             necessary to send one set of comments.
                                                    have a significant impact on the human                                                                              Committee, 2015, Part D. ‘‘Chapter 6:
                                                                                                             Identify comments with the docket                          Cross-Cutting Topics of Public Health
                                                    environment, and that an environmental
                                                                                                             number found in brackets in the                            Importance,’’ pg. 27, available at http://
                                                    impact statement was not required. Our
                                                                                                             heading of this document. Received                         www.health.gov/dietaryguidelines/2015-
                                                    finding of no significant impact and the
                                                                                                             comments may be seen in the Division                       scientific-report/.
                                                    evidence supporting that finding may be                                                                        10. USDA and HHS, Scientific Report of the
                                                                                                             of Dockets Management between 9 a.m.
                                                    seen in the Division of Dockets                                                                                     2015 Dietary Guidelines Advisory
                                                                                                             and 4 p.m., Monday through Friday, and
                                                    Management (see ADDRESSES) between 9                                                                                Committee, 2015, Part D. ‘‘Chapter 6:
                                                                                                             will be posted to the docket at http://
                                                    a.m. and 4 p.m., Monday through                                                                                     Cross-Cutting Topics of Public Health
                                                                                                             www.regulations.gov.                                       Importance,’’ pgs. 20–21, available at
                                                    Friday.
                                                       We have not received any new                          IX. References                                             http://www.health.gov/
                                                    information or comments that would                                                                                  dietaryguidelines/2015-scientific-report/.
                                                                                                               The following references have been                  11. Te Morenga, L., S. Mallard, J. Mann,
                                                    affect our previous determination.
                                                                                                             placed on display in the Division of                       ‘‘Dietary Sugars and Body Weight:
                                                    Furthermore, we have reviewed the                                                                                   Systematic Review and Meta-Analysis of
                                                                                                             Dockets Management (see ADDRESSES)
                                                    revisions to the NFL/SFL proposed rule                                                                              Randomised Controlled Trials and
                                                                                                             and may be seen by interested persons
                                                    as described herein, and have                                                                                       Cohort Studies,’’ BMJ 2013;346:e7492.
                                                                                                             between 9 a.m. and 4 p.m., Monday
                                                    determined the revisions do not impact                                                                         12. FDA, Supplemental Preliminary
                                                                                                             through Friday. These references are                       Regulatory Impact Analysis for Proposed
                                                    our previous determination. Therefore,
                                                                                                             also available electronically at http://                   Rules On ‘‘Food Labeling: Revision of
                                                    our finding of no significant impact
                                                                                                             www.regulations.gov. We have verified                      the Nutrition and Supplement Facts
                                                    remains unchanged.
                                                                                                             the Web site addresses in this section,                    Labels’’ (Docket No. FDA–2012–N–1210)
                                                    VII. Request for Comments                                but we are not responsible for                             and ‘‘Food Labeling: Serving Sizes of
                                                                                                             subsequent changes to the Web sites                        Foods That Can Reasonably Be
                                                      We are seeking comment only with                                                                                  Consumed At One Eating Occasion;
                                                    respect to the following issues: (1) The                 after this document published in the
                                                                                                                                                                        Dual-Column Labeling; Updating,
                                                    new information from the 2015 DGAC                       Federal Register.                                          Modifying, and Establishing Certain
                                                    report regarding added sugars; (2) the                   1. FDA Memorandum to the File—                             Reference Amounts Customarily
                                                    proposal to establish a DRV for added                        ‘‘Experimental Study on Consumer                       Consumed; Serving Size for Breath
                                                    sugars and to require the declaration of                     Responses to the Nutrition Facts Labels                Mints; and Technical Amendments’’
                                                    the percent DV for added sugars on the                       with Declaration of Amount of Added                    (Docket No. FDA–2004–N–0258), 2015.
                                                    Nutrition and Supplement Facts labels;                       Sugars’’ (OMB Control Number 0910–
                                                                                                                 0764), 2015.
                                                                                                                                                                   List of Subjects in 21 CFR Part 101
                                                    (3) using the term ‘‘Total Sugars’’                      2. FDA Memorandum to the File—                          Food labeling, Nutrition, Reporting
                                                    instead of ‘‘Sugars’’ on the label; (4) the                  ‘‘Experimental Study on Consumer                  and recordkeeping requirements.
                                                    proposed text for the footnotes to be                        Responses to Nutrition Facts Labels with            Therefore, under the Federal Food,
                                                    used on the Nutrition Facts label; (5) the                   Various Footnote Formats’’ (OMB
                                                                                                                                                                   Drug, and Cosmetic Act and under
                                                    exemptions from the proposed footnote                        Control Number 0910–0764), 2015.
                                                                                                             3. USDA and HHS, Scientific Report of                 authority delegated to the Commissioner
                                                    requirement; (6) whether we should
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                                                                                                                 Dietary Guidelines for Americans, 2015,           of Food and Drugs, it is proposed that
                                                    make changes to the footnote used on
                                                                                                                 available at http://www.health.gov/               21 CFR part 101, as proposed to be
                                                    the Supplement Facts label; and (7)
                                                                                                                 dietaryguidelines/2015-scientific-report/.        amended on March 3, 2014 (79 FR
                                                    whether we should propose a footnote
                                                                                                             4. USDA and HHS, Dietary Guidelines for               11879), be further amended as follows:
                                                    for foods other than infant formula,                         Americans, 2010. 7th Ed., Washington,
                                                    represented or purported to be                               DC: U.S. Government Printing Office               PART 101—FOOD LABELING
                                                    specifically for infants 7 through 12                        (2010). Retrieved from http://
                                                    months or children 1 through 3 years of                      www.cnpp.usda.gov/DGAs2010-                       ■ 1. The authority citation for 21 CFR
                                                    age. We acknowledge that in the NFL/                         PolicyDocument.htm.                               part 101 continues to read as follows:


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                                                    44312                              Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules

                                                      Authority: 15 U.S.C. 1453, 1454, 1455; 21                              ■ 2. In § 101.9, revise paragraphs (c)(9),                    (c) * * *
                                                    U.S.C. 321, 331, 342, 343, 348, 371; 42 U.S.C.                           (d)(9), and (j)(13)(ii)(C) to read as                         (9) The following DRVs,
                                                    243, 264, 271.                                                           follows:                                                    nomenclature, and units of measure are
                                                                                                                             § 101.9      Nutrition labeling of food.                    established for the following food
                                                                                                                             *        *        *        *        *                       components:

                                                                                                                                                                                                      DRV

                                                                   Food component                                         Unit of measurement                         Adults and          Infants 7         Children 1     Pregnant and
                                                                                                                                                                       children          through 12         through 3        lactating
                                                                                                                                                                      ≥ 4 years            months             years           women

                                                    Fat .....................................................   Grams (g) .........................................             1 65                30              2 39            1 65

                                                    Saturated fatty acids .........................             Grams (g) .........................................             1 20               N/A              2 10            1 20

                                                    Cholesterol ........................................        Milligrams (mg) .................................                300               N/A              300             300
                                                    Total carbohydrate ............................             Grams (g) .........................................            1 300                95            2 150            1 300

                                                    Sodium ..............................................       Milligrams (mg) .................................              2,300               N/A            1,500           2,300
                                                    Dietary fiber .......................................       Grams (g) .........................................              1 28              N/A              2 14            1 28

                                                    Protein ...............................................     Grams (g) .........................................              1 50              N/A              2 13            N/A
                                                    Added Sugars ...................................            Grams (g) .........................................              1 50              N/A              2 25            1 50

                                                        1 Based     on the reference caloric intake of 2,000 calories for adults and children aged 4 years and older, and for pregnant and lactating women.
                                                        2 Based     on the reference caloric intake of 1,000 calories for children 1 through 3 years of age.


                                                       (d) * * *                                                             (e)(6) of this section and inside the box,                  Moving Ahead for Progress in the 21st
                                                       (9) A footnote, preceded by an                                        that is followed by the statement                           Century Act and the Highway
                                                    asterisk, shall be placed beneath the list                               ‘‘Percent Daily Values are based on a                       Transportation and Funding Act of 2014
                                                    of vitamins and minerals and shall be                                    2,000 calorie diet.’’ If the product is                     and related guidance that affect
                                                    separated from the list by a hairline,                                   represented or purported to be for use                      reporting under ERISA section 4010. In
                                                    except that the footnote may be omitted                                  by children 1 through 3 years of age,                       addition, PBGC is proposing to limit the
                                                    from foods that can use the terms                                        and if the percent of Daily Value is                        reporting waiver under the current
                                                    ‘‘calorie free,’’ ‘‘free of calories,’’                                  declared for total fat, total carbohydrate,                 regulation tied to aggregate plan
                                                    ‘‘without calories,’’ ‘‘trivial source of                                dietary fiber, protein, or added sugars, a                  underfunding of $15 million or less to
                                                    calories,’’ ‘‘negligible source of                                       symbol shall follow the value listed for                    smaller plans and to add reporting
                                                    calories,’’ or ‘‘dietary insignificant                                   those nutrients that refers to the same                     waivers for plans that must file solely
                                                    source of calories’’ on the label or in the                              symbol that is placed at the bottom of                      on the basis of either a statutory lien
                                                    labeling of foods as defined in                                          the nutrition label, below the bar                          resulting from missed contributions
                                                    § 101.60(b). The footnote shall state:                                   required under paragraph (e)(6) of this                     over $1 million or outstanding
                                                    *The % Daily Value tells you how much                                    section and inside the box, that is                         minimum funding waivers exceeding
                                                    a nutrient in a serving of food                                          followed by the statement ‘‘Percent                         the same amount (provided the missed
                                                    contributes to a daily diet. 2,000 calories                              Daily Values are based on a 1,000                           contributions or funding waivers were
                                                    a day is used for general nutrition                                      calorie diet.’’                                             previously reported to PBGC). The
                                                    advice.                                                                  *      *     *     *     *                                  proposed rule also makes some
                                                    *       *    *       *     *                                                                                                         technical changes.
                                                                                                                               Dated: July 17, 2015.
                                                       (j) * * *                                                                                                                         DATES: Comments must be submitted on
                                                       (13) * * *                                                            Leslie Kux,
                                                                                                                                                                                         or before September 25, 2015.
                                                       (ii) * * *                                                            Associate Commissioner for Policy.
                                                                                                                                                                                         ADDRESSES: Comments may be
                                                       (C) Omitting the footnote statement                                   [FR Doc. 2015–17928 Filed 7–24–15; 8:45 am]
                                                                                                                                                                                         submitted by any of the following
                                                    required in paragraph (d)(9) of this                                     BILLING CODE 4164–01–P
                                                                                                                                                                                         methods:
                                                    section and placing another asterisk at
                                                                                                                                                                                            • Federal eRulemaking Portal: http://
                                                    the bottom of the label followed by the
                                                                                                                                                                                         www.regulations.gov. Follow the Web
                                                    statement ‘‘%DV=%Daily Value.’’                                          PENSION BENEFIT GUARANTY                                    site instructions for submitting
                                                    *       *    *       *     *                                             CORPORATION                                                 comments.
                                                    ■ 3. In § 101.36, revise paragraph                                                                                                      • Email: reg.comments@pbgc.gov.
                                                    (b)(2)(iii)(D) to read as follows:                                       29 CFR Part 4010                                               • Fax: 202–326–4224.
                                                    § 101.36 Nutrition labeling of dietary                                   RIN 1212–AB30                                                  • Mail or Hand Delivery: Office of the
                                                    supplements.                                                                                                                         General Counsel, Pension Benefit
                                                                                                                             Annual Financial and Actuarial                              Guaranty Corporation, 1200 K Street
                                                    *       *    *     *     *                                               Information Reporting; Changes to
                                                       (b) * * *                                                                                                                         NW., Washington, DC 20005–4026.
                                                       (2) * * *                                                             Waivers                                                     All submissions must include the
                                                       (iii) * * *                                                                                                                       Regulatory Identification Number for
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                                                                                                                             AGENCY:  Pension Benefit Guaranty
                                                       (D) If the percent of Daily Value is                                  Corporation.                                                this rulemaking (RIN 1212–AB30).
                                                    declared for total fat, saturated fat, total                             ACTION: Proposed rule.                                      Comments received, including personal
                                                    carbohydrate, dietary fiber, protein, or                                                                                             information provided, will be posted to
                                                    added sugars, a symbol shall follow the                                  SUMMARY:  The Pension Benefit Guaranty                      www.pbgc.gov. Copies of comments may
                                                    value listed for those nutrients that                                    Corporation (PBGC) is proposing to                          also be obtained by writing to
                                                    refers to the same symbol that is placed                                 amend its regulation on Annual                              Disclosure Division, Office of the
                                                    at the bottom of the nutrition label,                                    Financial and Actuarial Information                         General Counsel, Pension Benefit
                                                    below the bar required under paragraph                                   Reporting to codify provisions of the                       Guaranty Corporation, 1200 K Street


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Document Created: 2018-02-23 09:26:50
Document Modified: 2018-02-23 09:26:50
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionProposed rule; supplemental notice of proposed rulemaking.
DatesSubmit either electronic or written comments on the supplemental notice of proposed rulemaking by October 13, 2015. Submit comments on information collection issues under the Paperwork Reduction Act of 1995 by August 26, 2015, (see the ``Paperwork Reduction Act of 1995'' section of this document).
ContactWith regard to the supplemental notice of proposed rulemaking: Blakeley Fitzpatrick, Center for Food Safety and Applied Nutrition (HFS-830), Food and Drug Administration, 5100 Paint Branch Pkwy., College Park, MD 20740, 240-402-5429, email: [email protected] With regard to the information collection: FDA PRA Staff, Office of Operations, Food and Drug Administration, 8455 Colesville Rd., COLE-14526, Silver Spring, MD 20993-0002, email: [email protected]
FR Citation80 FR 44303 
CFR AssociatedFood Labeling; Nutrition and Reporting and Recordkeeping Requirements

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