81_FR_19255 81 FR 19191 - Emergency Use Authorization of Medical Products and Related Authorities; Draft Guidance for Industry and Public Health Stakeholders; Availability

81 FR 19191 - Emergency Use Authorization of Medical Products and Related Authorities; Draft Guidance for Industry and Public Health Stakeholders; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 64 (April 4, 2016)

Page Range19191-19194
FR Document2016-07478

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry and public health stakeholders entitled ``Emergency Use Authorization of Medical Products and Related Authorities.'' The purpose of this draft guidance is to explain FDA's current thinking about policies on the authorization of the emergency use of certain medical products under certain sections of the Federal Food, Drug, and Cosmetic Act (the FD&C Act) as amended or added by the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (PAHPRA). The provisions in PAHPRA include key legal authorities to sustain and strengthen national preparedness for public health, military, and domestic emergencies involving chemical, biological, radiological, and nuclear (CBRN) agents, including emerging infectious disease threats. This guidance, when finalized, will replace the current guidance ``Emergency Use Authorization of Medical Products'' (July 2007) and ``Emergency Use Authorization Questions and Answers'' (April 2009).

Federal Register, Volume 81 Issue 64 (Monday, April 4, 2016)
[Federal Register Volume 81, Number 64 (Monday, April 4, 2016)]
[Notices]
[Pages 19191-19194]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-07478]



[[Page 19191]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-D-1025]


Emergency Use Authorization of Medical Products and Related 
Authorities; Draft Guidance for Industry and Public Health 
Stakeholders; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry and public health 
stakeholders entitled ``Emergency Use Authorization of Medical Products 
and Related Authorities.'' The purpose of this draft guidance is to 
explain FDA's current thinking about policies on the authorization of 
the emergency use of certain medical products under certain sections of 
the Federal Food, Drug, and Cosmetic Act (the FD&C Act) as amended or 
added by the Pandemic and All-Hazards Preparedness Reauthorization Act 
of 2013 (PAHPRA). The provisions in PAHPRA include key legal 
authorities to sustain and strengthen national preparedness for public 
health, military, and domestic emergencies involving chemical, 
biological, radiological, and nuclear (CBRN) agents, including emerging 
infectious disease threats. This guidance, when finalized, will replace 
the current guidance ``Emergency Use Authorization of Medical 
Products'' (July 2007) and ``Emergency Use Authorization Questions and 
Answers'' (April 2009).

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by June 3, 2016. Submit either electronic or written comments 
on the collection of information by June 3, 2016.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2016-D-1025 for ``Emergency Use Authorization of Medical Products 
and Related Authorities; Draft Guidance for Industry and Public Health 
Stakeholders.'' Received comments will be placed in the docket and, 
except for those submitted as ``Confidential Submissions,'' publicly 
viewable at http://www.regulations.gov or at the Division of Dockets 
Management between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper 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, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    Submit written requests for single copies of the draft guidance to 
Office of Counterterrorism and Emerging Threats, Office of the 
Commissioner, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 1, Rm. 4343, Silver Spring, MD 20993-0002, 301-796-8510. Send one 
self-addressed adhesive label to assist that office in processing your 
requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.

FOR FURTHER INFORMATION CONTACT: With regard to the draft guidance: 
Carol Drew, Office of Counterterrorism and Emerging Threats, Food and 
Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4320, 
Silver Spring, MD 20993-0002, 301-796-8510 (this is not a toll free 
number).
    With regard to the proposed collection of information: FDA PRA 
Staff, Office of Operations, Food and Drug Administration, 8455 
Colesville Rd., COLE-141526, Silver Spring, MD 20993-0002, 
[email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
and public health stakeholders entitled ``Emergency Use Authorization 
of Medical Products and Related Authorities.'' This draft guidance 
explains FDA's policies

[[Page 19192]]

applicable to the authorization of the emergency use of certain medical 
products under sections 564, 564A, and 564B of the FD&C Act \1\ (21 
U.S.C. 360bbb-3, 360bbb-3a, and 360bbb-3b) as amended or added by 
PAHPRA (Pub. L. 113-5). The provisions in PAHPRA include key legal 
authorities to sustain and strengthen national preparedness for public 
health, military, and domestic emergencies involving CBRN agents, 
including emerging infectious disease threats such as pandemic 
influenza. PAHPRA clarifies and enhances FDA's authority to support 
emergency preparedness and response, and fosters the development and 
availability of medical products for use in these emergencies. These 
medical products, also referred to as ``medical countermeasures'' 
(MCMs), include drugs, biological products (e.g., vaccines, blood 
products, and biological therapeutics), and devices (e.g., in vitro 
diagnostics and personal protective equipment).
---------------------------------------------------------------------------

    \1\ Section 564 was first added to the FD&C Act by the Project 
BioShield Act of 2004 (Pub. L. 108-276). Hereafter in this document, 
statutory references (e.g., ``section __'') are to the FD&C Act, 
except where otherwise indicated.
---------------------------------------------------------------------------

    This document is intended to inform industry, government agencies, 
public health and emergency response stakeholders, and FDA staff of 
FDA's general recommendations and procedures for:
     Issuance of emergency use authorizations (EUAs) under 
section 564;
     Implementation of the emergency use authorities set forth 
in section 564A; and
     Reliance on the governmental pre-positioning authority set 
forth in section 564B.
    Section 564, as amended by PAHPRA, permits the Commissioner to 
authorize the emergency use of an unapproved medical product or an 
unapproved use of an approved medical product for certain emergency 
circumstances after the Department of Health and Human Services 
Secretary has made a declaration of an emergency or threat justifying 
emergency use. The Commissioner may issue an EUA to allow an MCM to be 
used in an emergency to diagnose, treat, or prevent serious or life-
threatening diseases or conditions caused by a CBRN agent when 
available data meet specified criteria to support such uses and there 
are no adequate, approved, and available alternatives.
    Section 564A, as added by PAHPRA, establishes streamlined 
mechanisms to facilitate preparedness and response activities involving 
certain FDA-approved MCMs without FDA issuing EUAs, which can be a 
resource-intensive process. These authorities, which apply only to 
eligible FDA-approved medical products intended for use during a CBRN 
emergency, include provisions that:
     Empower FDA to extend the expiration date of an eligible 
FDA-approved MCM stockpiled for use in a CBRN emergency and establish 
appropriate conditions relating to such extensions, such as appropriate 
storage, sampling, and labeling;
     Permit FDA to waive otherwise-applicable current good 
manufacturing practice requirements (e.g., storage or handling) to 
accommodate emergency response needs;
     Allow emergency dispensing of MCMs during an actual CBRN 
emergency event without requiring an individual prescription for each 
recipient of the MCM or all of the information otherwise required, or 
by responders who may not otherwise be licensed to dispense if 
permitted by State law in the State where such dispensing occurs, or if 
in accordance with an order issued by FDA; and
     Permit the Centers for Disease Control and Prevention to 
create and issue ``emergency use instructions'' concerning the FDA-
approved conditions of use for eligible products.
    These authorities, and the definition of eligible products to which 
they apply, are discussed in the draft guidance.
    To enable stakeholders to prepare for potential rapid deployment of 
MCMs during an actual CBRN emergency, section 564B (also added by 
PAHPRA) permits Federal, State, and local governments to pre-position 
(e.g., stockpile, forward-deploy) MCMs in anticipation of FDA approval 
or clearance, authorization of an investigational use, or the issuance 
of an EUA. This authority is also discussed in the draft guidance.
    The provisions of this guidance, when finalized, will replace the 
current guidance ``Emergency Use Authorization of Medical Products'' 
(July 2007) and ``Emergency Use Authorization Questions and Answers'' 
(April 2009).

II. Significance of Guidance

    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on emergency use 
authorization of medical products and related authorities. It does not 
establish any rights for any person and is not binding on FDA or the 
public. You can use an alternative approach if it satisfies the 
requirements of the applicable statutes and regulations.

III. Paperwork Reduction Act of 1995

    Under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520) 
(the PRA), Federal Agencies must obtain approval from the Office of 
Management and Budget (OMB) for each collection of information they 
conduct or sponsor. ``Collection of information'' is defined in 44 
U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes Agency requests or 
requirements that members of the public submit reports, keep records, 
or provide information to a third party. Section 3506(c)(2)(A) of the 
PRA (44 U.S.C. 3506(c)(2)(A)) requires Federal Agencies to provide a 
60-day notice in the Federal Register concerning each proposed 
collection of information before submitting the collection to OMB for 
approval. To comply with this requirement, FDA is publishing notice of 
the proposed collection of information set forth in this document.
    With respect to the following collection of information, FDA 
invites comments on these topics: (1) Whether the proposed collection 
of information is necessary for the proper performance of FDA's 
functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.

Reporting and Recordkeeping for Emergency Use Authorization of Medical 
Products and Related Authorities--OMB Control Number 0910-0595

    This guidance explains FDA's policies applicable to the 
authorization of the emergency use of certain medical products under 
sections 564, 564A, and 564B of the FD&C Act as amended or added by 
PAHPRA. FDA has previously submitted, and OMB has approved under OMB 
control number 0910-0595, reporting and recordkeeping burden estimates 
for the EUA provisions of this guidance imposed by section 564 of the 
FD&C Act. This guidance incorporates provisions of the current guidance 
linked to OMB control number 0910-0595, ``Emergency Use Authorization 
of Medical Products'' (July 2007).

[[Page 19193]]

Therefore, we are including in this notice the reporting and 
recordkeeping burden estimates for the EUA provisions included in the 
prior guidance as imposed by section 564 of the FD&C Act. In addition, 
sections 564A and 564B of the FD&C Act, as added by PAHPRA, establish 
streamlined mechanisms to facilitate preparedness and response 
activities involving certain FDA-approved MCMs without requiring FDA to 
issue an EUA. These new FDA authorities include provisions that allow 
FDA to extend the expiration date of an eligible FDA-approved MCM 
stockpiled for use in a CBRN emergency. The expiration date extension 
authority in section 564A applies to any eligible, approved MCM, 
including eligible MCMs tested through the Federal Shelf-Life Extension 
Program (SLEP) and State and local public health authorities who 
maintain their own stockpiles of MCMs.
    At this time FDA is not proposing or recommending any changes to 
the Federal SLEP or procedures for expiration date extensions for 
products tested by FDA through SLEP. Federal participants in SLEP will 
continue to submit requests to extend the expiration date of eligible 
MCMs using established processes.
    For drug products not tested within the SLEP program, this guidance 
recommends that stakeholders consult with the relevant review Center 
regarding extending the useful shelf-life of a particular product. 
Stakeholders may need to submit a request for expiry date extensions 
for stockpiled medical products. Because any such request would be for 
an approved product, the burden on manufacturers making any such 
request would be covered by previously approved collections of 
information, including OMB control number 0910-0139 through May 31, 
2018, and OMB control number 0910-0073 through February 28, 2017. FDA 
anticipates, however, that some requests for expiration date extensions 
may come from public health authorities maintaining non-Federal 
stockpiles of MCMs for emergency uses. Therefore, FDA is calculating 
reporting burden for State and local public health authorities who may 
need to submit such requests. FDA is not calculating any additional 
recordkeeping burden for these non-Federal public health authorities 
because currently these stakeholders maintain records for the MCMs they 
stockpile, which would include records of any expiration date requests 
or extensions.
    This draft guidance refers to previously approved collections of 
information. These collections of information are subject to review by 
the OMB under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3520). These collections have been approved as follows: Adverse 
experience reporting for biological products is approved under OMB 
control number 0910-0308 through February 28, 2018; adverse drug 
experience reporting is approved under OMB control number 0910-0230 
through December 31, 2018; adverse device experience reporting is 
approved under OMB control number 0910-0471 through May 31, 2017; 
investigational new drug application regulations are approved under OMB 
control number 0910-0014 through February 28, 2019; investigational 
device exemption reporting is approved under OMB control number 0910-
0078 through March 31, 2016; current good manufacturing practices for 
finished pharmaceuticals are approved under OMB control number 0910-
0139 through May 31, 2018; quality system regulations for finished 
devices are approved under OMB control number 0910-0073 through 
February 28, 2017; risk evaluation and mitigation strategy requirements 
are approved under OMB control number 0910-0001 for drug products 
through December 31, 2017, for biological products under OMB control 
number 0910-0338 through January 31, 2017, and for devices under OMB 
control numbers 0910-0078 through March 31, 2016 and 0910-0471 through 
May 31, 2017.
    FDA estimates the burden of this collection of information as 
follows:

                                 Table 1--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of                        Average
       Type of respondent            Number of     responses per   Total annual     burden per      Total hours
                                    respondents     respondent       responses       response
----------------------------------------------------------------------------------------------------------------
Manufacturer, Request to Issue                 6               3              18              45             810
 an EUA or a Substantive
 Amendment to an Existing EUA...
Manufacturer, Request for FDA                 13               6              78              34           2,652
 Review of a Pre-EUA Package or
 an Amendment Thereto...........
Manufacturer of an Unapproved                  5               2              10               2              20
 EUA Product; Conditions of
 Authorization..................
Public Health Authority;                      30               3              90               2             180
 Unapproved EUA Product;
 Conditions of Authorization....
Public Health Authority; Request               7               1               7               2              14
 for Expiration Date Extension..
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............  ..............  ..............           3,676
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


                               Table 2--Estimated Annual Recordkeeping Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of                        Average
       Type of respondent            Number of      records per    Total annual     burden per      Total hours
                                   recordkeepers   recordkeeper       records      recordkeeping
----------------------------------------------------------------------------------------------------------------
Manufacturers; Unapproved EUA                  5               2              10              25             250
 Product........................
Public Health Authorities;                    30               3              90               3             270
 Unapproved EUA Product.........
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............  ..............  ..............             520
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


[[Page 19194]]

IV. Electronic Access

    Persons with access to the Internet may obtain the draft guidance 
at http://www.fda.gov/RegulatoryInformation/Guidances/, http://www.regulations.gov, or http://www.fda.gov/medicalcountermeasures.

    Dated: March 29, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-07478 Filed 4-1-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                  Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Notices                                           19191

                                                  DEPARTMENT OF HEALTH AND                                the docket unchanged. Because your                    redacted/blacked out, will be available
                                                  HUMAN SERVICES                                          comment will be made public, you are                  for public viewing and posted on http://
                                                                                                          solely responsible for ensuring that your             www.regulations.gov. Submit both
                                                  Food and Drug Administration                            comment does not include any                          copies to the Division of Dockets
                                                  [Docket No. FDA–2016–D–1025]                            confidential information that you or a                Management. If you do not wish your
                                                                                                          third party may not wish to be posted,                name and contact information to be
                                                  Emergency Use Authorization of                          such as medical information, your or                  made publicly available, you can
                                                  Medical Products and Related                            anyone else’s Social Security number, or              provide this information on the cover
                                                  Authorities; Draft Guidance for                         confidential business information, such               sheet and not in the body of your
                                                  Industry and Public Health                              as a manufacturing process. Please note               comments and you must identify this
                                                  Stakeholders; Availability                              that if you include your name, contact                information as ‘‘confidential.’’ Any
                                                                                                          information, or other information that                information marked as ‘‘confidential’’
                                                  AGENCY:    Food and Drug Administration,                identifies you in the body of your                    will not be disclosed except in
                                                  HHS.                                                    comments, that information will be                    accordance with 21 CFR 10.20 and other
                                                  ACTION:   Notice of availability.                       posted on http://www.regulations.gov.                 applicable disclosure law. For more
                                                                                                            • If you want to submit a comment                   information about FDA’s posting of
                                                  SUMMARY:    The Food and Drug
                                                                                                          with confidential information that you                comments to public dockets, see 80 FR
                                                  Administration (FDA or Agency) is
                                                                                                          do not wish to be made available to the               56469, September 18, 2015, or access
                                                  announcing the availability of a draft
                                                                                                          public, submit the comment as a                       the information at: http://www.fda.gov/
                                                  guidance for industry and public health
                                                                                                          written/paper submission and in the                   regulatoryinformation/dockets/
                                                  stakeholders entitled ‘‘Emergency Use
                                                                                                          manner detailed (see ‘‘Written/Paper                  default.htm.
                                                  Authorization of Medical Products and
                                                                                                          Submissions’’ and ‘‘Instructions’’).                     Docket: For access to the docket to
                                                  Related Authorities.’’ The purpose of
                                                  this draft guidance is to explain FDA’s                 Written/Paper Submissions                             read background documents or the
                                                  current thinking about policies on the                                                                        electronic and written/paper comments
                                                                                                             Submit written/paper submissions as                received, go to http://
                                                  authorization of the emergency use of                   follows:                                              www.regulations.gov and insert the
                                                  certain medical products under certain                     • Mail/Hand delivery/Courier (for
                                                  sections of the Federal Food, Drug, and                                                                       docket number, found in brackets in the
                                                                                                          written/paper submissions): Division of
                                                  Cosmetic Act (the FD&C Act) as                                                                                heading of this document, into the
                                                                                                          Dockets Management (HFA–305), Food
                                                  amended or added by the Pandemic and                                                                          ‘‘Search’’ box and follow the prompts
                                                                                                          and Drug Administration, 5630 Fishers
                                                  All-Hazards Preparedness                                                                                      and/or go to the Division of Dockets
                                                                                                          Lane, Rm. 1061, Rockville, MD 20852.
                                                  Reauthorization Act of 2013 (PAHPRA).                      • For written/paper comments                       Management, 5630 Fishers Lane, Rm.
                                                  The provisions in PAHPRA include key                    submitted to the Division of Dockets                  1061, Rockville, MD 20852.
                                                  legal authorities to sustain and                                                                                 Submit written requests for single
                                                                                                          Management, FDA will post your
                                                  strengthen national preparedness for                                                                          copies of the draft guidance to Office of
                                                                                                          comment, as well as any attachments,
                                                  public health, military, and domestic                                                                         Counterterrorism and Emerging Threats,
                                                                                                          except for information submitted,
                                                  emergencies involving chemical,                                                                               Office of the Commissioner, Food and
                                                                                                          marked and identified, as confidential,
                                                  biological, radiological, and nuclear                                                                         Drug Administration, 10903 New
                                                                                                          if submitted as detailed in
                                                  (CBRN) agents, including emerging                                                                             Hampshire Ave., Bldg. 1, Rm. 4343,
                                                                                                          ‘‘Instructions.’’
                                                  infectious disease threats. This                           Instructions: All submissions received             Silver Spring, MD 20993–0002, 301–
                                                  guidance, when finalized, will replace                  must include the Docket No. FDA–                      796–8510. Send one self-addressed
                                                  the current guidance ‘‘Emergency Use                    2016–D–1025 for ‘‘Emergency Use                       adhesive label to assist that office in
                                                  Authorization of Medical Products’’                     Authorization of Medical Products and                 processing your requests. See the
                                                  (July 2007) and ‘‘Emergency Use                                                                               SUPPLEMENTARY INFORMATION section for
                                                                                                          Related Authorities; Draft Guidance for
                                                  Authorization Questions and Answers’’                   Industry and Public Health                            electronic access to the draft guidance
                                                  (April 2009).                                           Stakeholders.’’ Received comments will                document.
                                                  DATES: Although you can comment on                      be placed in the docket and, except for               FOR FURTHER INFORMATION CONTACT:
                                                  any guidance at any time (see 21 CFR                    those submitted as ‘‘Confidential                     With regard to the draft guidance: Carol
                                                  10.115(g)(5)), to ensure that the Agency                Submissions,’’ publicly viewable at                   Drew, Office of Counterterrorism and
                                                  considers your comment on this draft                    http://www.regulations.gov or at the                  Emerging Threats, Food and Drug
                                                  guidance before it begins work on the                   Division of Dockets Management                        Administration, 10903 New Hampshire
                                                  final version of the guidance, submit                   between 9 a.m. and 4 p.m., Monday                     Ave., Bldg. 1, Rm. 4320, Silver Spring,
                                                  either electronic or written comments                   through Friday.                                       MD 20993–0002, 301–796–8510 (this is
                                                  on the draft guidance by June 3, 2016.                     • Confidential Submissions—To                      not a toll free number).
                                                  Submit either electronic or written                     submit a comment with confidential                      With regard to the proposed collection
                                                  comments on the collection of                           information that you do not wish to be                of information: FDA PRA Staff, Office of
                                                  information by June 3, 2016.                            made publicly available, submit your                  Operations, Food and Drug
                                                  ADDRESSES: You may submit comments                      comments only as a written/paper                      Administration, 8455 Colesville Rd.,
                                                  as follows:                                             submission. You should submit two                     COLE–141526, Silver Spring, MD
                                                                                                          copies total. One copy will include the               20993–0002, PRAStaff@fda.hhs.gov.
                                                  Electronic Submissions                                  information you claim to be confidential              SUPPLEMENTARY INFORMATION:
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                    Submit electronic comments in the                     with a heading or cover note that states
                                                  following way:                                          ‘‘THIS DOCUMENT CONTAINS                              I. Background
                                                    • Federal eRulemaking Portal: http://                 CONFIDENTIAL INFORMATION.’’ The                          FDA is announcing the availability of
                                                  www.regulations.gov. Follow the                         Agency will review this copy, including               a draft guidance for industry and public
                                                  instructions for submitting comments.                   the claimed confidential information, in              health stakeholders entitled ‘‘Emergency
                                                  Comments submitted electronically,                      its consideration of comments. The                    Use Authorization of Medical Products
                                                  including attachments, to http://                       second copy, which will have the                      and Related Authorities.’’ This draft
                                                  www.regulations.gov will be posted to                   claimed confidential information                      guidance explains FDA’s policies


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                                                  19192                           Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Notices

                                                  applicable to the authorization of the                  approved MCMs without FDA issuing                     alternative approach if it satisfies the
                                                  emergency use of certain medical                        EUAs, which can be a resource-                        requirements of the applicable statutes
                                                  products under sections 564, 564A, and                  intensive process. These authorities,                 and regulations.
                                                  564B of the FD&C Act 1 (21 U.S.C.                       which apply only to eligible FDA-
                                                                                                                                                                III. Paperwork Reduction Act of 1995
                                                  360bbb–3, 360bbb–3a, and 360bbb–3b)                     approved medical products intended for
                                                  as amended or added by PAHPRA (Pub.                     use during a CBRN emergency, include                     Under the Paperwork Reduction Act
                                                  L. 113–5). The provisions in PAHPRA                     provisions that:                                      of 1995 (44 U.S.C. 3501–3520) (the
                                                  include key legal authorities to sustain                   • Empower FDA to extend the                        PRA), Federal Agencies must obtain
                                                  and strengthen national preparedness                    expiration date of an eligible FDA-                   approval from the Office of Management
                                                  for public health, military, and domestic               approved MCM stockpiled for use in a                  and Budget (OMB) for each collection of
                                                  emergencies involving CBRN agents,                      CBRN emergency and establish                          information they conduct or sponsor.
                                                  including emerging infectious disease                   appropriate conditions relating to such               ‘‘Collection of information’’ is defined
                                                  threats such as pandemic influenza.                     extensions, such as appropriate storage,              in 44 U.S.C. 3502(3) and 5 CFR
                                                  PAHPRA clarifies and enhances FDA’s                     sampling, and labeling;                               1320.3(c) and includes Agency requests
                                                  authority to support emergency                             • Permit FDA to waive otherwise-                   or requirements that members of the
                                                  preparedness and response, and fosters                  applicable current good manufacturing                 public submit reports, keep records, or
                                                  the development and availability of                     practice requirements (e.g., storage or               provide information to a third party.
                                                  medical products for use in these                       handling) to accommodate emergency                    Section 3506(c)(2)(A) of the PRA (44
                                                  emergencies. These medical products,                    response needs;                                       U.S.C. 3506(c)(2)(A)) requires Federal
                                                  also referred to as ‘‘medical                              • Allow emergency dispensing of                    Agencies to provide a 60-day notice in
                                                  countermeasures’’ (MCMs), include                       MCMs during an actual CBRN                            the Federal Register concerning each
                                                  drugs, biological products (e.g.,                       emergency event without requiring an                  proposed collection of information
                                                  vaccines, blood products, and biological                individual prescription for each                      before submitting the collection to OMB
                                                  therapeutics), and devices (e.g., in vitro              recipient of the MCM or all of the                    for approval. To comply with this
                                                  diagnostics and personal protective                     information otherwise required, or by                 requirement, FDA is publishing notice
                                                  equipment).                                             responders who may not otherwise be                   of the proposed collection of
                                                     This document is intended to inform                  licensed to dispense if permitted by                  information set forth in this document.
                                                  industry, government agencies, public                   State law in the State where such                        With respect to the following
                                                  health and emergency response                           dispensing occurs, or if in accordance                collection of information, FDA invites
                                                  stakeholders, and FDA staff of FDA’s                    with an order issued by FDA; and                      comments on these topics: (1) Whether
                                                  general recommendations and                                • Permit the Centers for Disease                   the proposed collection of information
                                                  procedures for:                                         Control and Prevention to create and                  is necessary for the proper performance
                                                     • Issuance of emergency use                          issue ‘‘emergency use instructions’’                  of FDA’s functions, including whether
                                                  authorizations (EUAs) under section                     concerning the FDA-approved                           the information will have practical
                                                  564;                                                    conditions of use for eligible products.              utility; (2) the accuracy of FDA’s
                                                     • Implementation of the emergency                       These authorities, and the definition              estimate of the burden of the proposed
                                                  use authorities set forth in section 564A;              of eligible products to which they apply,             collection of information, including the
                                                  and                                                     are discussed in the draft guidance.                  validity of the methodology and
                                                     • Reliance on the governmental pre-                     To enable stakeholders to prepare for              assumptions used; (3) ways to enhance
                                                  positioning authority set forth in section              potential rapid deployment of MCMs                    the quality, utility, and clarity of the
                                                  564B.                                                   during an actual CBRN emergency,                      information to be collected; and (4)
                                                     Section 564, as amended by PAHPRA,                   section 564B (also added by PAHPRA)                   ways to minimize the burden of the
                                                  permits the Commissioner to authorize                   permits Federal, State, and local                     collection of information on
                                                  the emergency use of an unapproved                      governments to pre-position (e.g.,                    respondents, including through the use
                                                  medical product or an unapproved use                    stockpile, forward-deploy) MCMs in                    of automated collection techniques,
                                                  of an approved medical product for                      anticipation of FDA approval or                       when appropriate, and other forms of
                                                  certain emergency circumstances after                   clearance, authorization of an                        information technology.
                                                  the Department of Health and Human                      investigational use, or the issuance of an
                                                  Services Secretary has made a                                                                                 Reporting and Recordkeeping for
                                                                                                          EUA. This authority is also discussed in              Emergency Use Authorization of
                                                  declaration of an emergency or threat                   the draft guidance.
                                                  justifying emergency use. The                                                                                 Medical Products and Related
                                                                                                             The provisions of this guidance, when
                                                  Commissioner may issue an EUA to                                                                              Authorities—OMB Control Number
                                                                                                          finalized, will replace the current
                                                  allow an MCM to be used in an                                                                                 0910–0595
                                                                                                          guidance ‘‘Emergency Use
                                                  emergency to diagnose, treat, or prevent                Authorization of Medical Products’’                      This guidance explains FDA’s policies
                                                  serious or life-threatening diseases or                 (July 2007) and ‘‘Emergency Use                       applicable to the authorization of the
                                                  conditions caused by a CBRN agent                       Authorization Questions and Answers’’                 emergency use of certain medical
                                                  when available data meet specified                      (April 2009).                                         products under sections 564, 564A, and
                                                  criteria to support such uses and there                                                                       564B of the FD&C Act as amended or
                                                  are no adequate, approved, and                          II. Significance of Guidance                          added by PAHPRA. FDA has previously
                                                  available alternatives.                                    This draft guidance is being issued                submitted, and OMB has approved
                                                     Section 564A, as added by PAHPRA,                    consistent with FDA’s good guidance                   under OMB control number 0910–0595,
                                                  establishes streamlined mechanisms to
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                                                                                                          practices regulation (21 CFR 10.115).                 reporting and recordkeeping burden
                                                  facilitate preparedness and response                    The draft guidance, when finalized, will              estimates for the EUA provisions of this
                                                  activities involving certain FDA-                       represent the current thinking of FDA                 guidance imposed by section 564 of the
                                                                                                          on emergency use authorization of                     FD&C Act. This guidance incorporates
                                                     1 Section 564 was first added to the FD&C Act by
                                                                                                          medical products and related                          provisions of the current guidance
                                                  the Project BioShield Act of 2004 (Pub. L. 108–276).
                                                  Hereafter in this document, statutory references
                                                                                                          authorities. It does not establish any                linked to OMB control number 0910–
                                                  (e.g., ‘‘section __’’) are to the FD&C Act, except      rights for any person and is not binding              0595, ‘‘Emergency Use Authorization of
                                                  where otherwise indicated.                              on FDA or the public. You can use an                  Medical Products’’ (July 2007).


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                                                                                             Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Notices                                                                                              19193

                                                  Therefore, we are including in this                                        regarding extending the useful shelf-life                                   as follows: Adverse experience
                                                  notice the reporting and recordkeeping                                     of a particular product. Stakeholders                                       reporting for biological products is
                                                  burden estimates for the EUA provisions                                    may need to submit a request for expiry                                     approved under OMB control number
                                                  included in the prior guidance as                                          date extensions for stockpiled medical                                      0910–0308 through February 28, 2018;
                                                  imposed by section 564 of the FD&C                                         products. Because any such request                                          adverse drug experience reporting is
                                                  Act. In addition, sections 564A and                                        would be for an approved product, the                                       approved under OMB control number
                                                  564B of the FD&C Act, as added by                                          burden on manufacturers making any                                          0910–0230 through December 31, 2018;
                                                  PAHPRA, establish streamlined                                              such request would be covered by                                            adverse device experience reporting is
                                                  mechanisms to facilitate preparedness                                      previously approved collections of                                          approved under OMB control number
                                                  and response activities involving certain                                  information, including OMB control                                          0910–0471 through May 31, 2017;
                                                  FDA-approved MCMs without requiring                                        number 0910–0139 through May 31,                                            investigational new drug application
                                                  FDA to issue an EUA. These new FDA                                         2018, and OMB control number 0910–                                          regulations are approved under OMB
                                                  authorities include provisions that                                        0073 through February 28, 2017. FDA                                         control number 0910–0014 through
                                                  allow FDA to extend the expiration date                                    anticipates, however, that some requests                                    February 28, 2019; investigational
                                                  of an eligible FDA-approved MCM                                            for expiration date extensions may come                                     device exemption reporting is approved
                                                  stockpiled for use in a CBRN                                               from public health authorities                                              under OMB control number 0910–0078
                                                  emergency. The expiration date                                             maintaining non-Federal stockpiles of                                       through March 31, 2016; current good
                                                  extension authority in section 564A                                        MCMs for emergency uses. Therefore,                                         manufacturing practices for finished
                                                  applies to any eligible, approved MCM,                                     FDA is calculating reporting burden for                                     pharmaceuticals are approved under
                                                  including eligible MCMs tested through                                     State and local public health authorities                                   OMB control number 0910–0139
                                                  the Federal Shelf-Life Extension                                           who may need to submit such requests.                                       through May 31, 2018; quality system
                                                  Program (SLEP) and State and local                                         FDA is not calculating any additional                                       regulations for finished devices are
                                                  public health authorities who maintain                                     recordkeeping burden for these non-                                         approved under OMB control number
                                                  their own stockpiles of MCMs.                                                                                                                          0910–0073 through February 28, 2017;
                                                                                                                             Federal public health authorities
                                                     At this time FDA is not proposing or
                                                                                                                             because currently these stakeholders                                        risk evaluation and mitigation strategy
                                                  recommending any changes to the
                                                  Federal SLEP or procedures for                                             maintain records for the MCMs they                                          requirements are approved under OMB
                                                  expiration date extensions for products                                    stockpile, which would include records                                      control number 0910–0001 for drug
                                                  tested by FDA through SLEP. Federal                                        of any expiration date requests or                                          products through December 31, 2017,
                                                  participants in SLEP will continue to                                      extensions.                                                                 for biological products under OMB
                                                  submit requests to extend the expiration                                     This draft guidance refers to                                             control number 0910–0338 through
                                                  date of eligible MCMs using established                                    previously approved collections of                                          January 31, 2017, and for devices under
                                                  processes.                                                                 information. These collections of                                           OMB control numbers 0910–0078
                                                     For drug products not tested within                                     information are subject to review by the                                    through March 31, 2016 and 0910–0471
                                                  the SLEP program, this guidance                                            OMB under the Paperwork Reduction                                           through May 31, 2017.
                                                  recommends that stakeholders consult                                       Act of 1995 (44 U.S.C. 3501–3520).                                             FDA estimates the burden of this
                                                  with the relevant review Center                                            These collections have been approved                                        collection of information as follows:

                                                                                                                TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                            Number of                                                Average
                                                                                                                                                 Number of                                            Total annual
                                                                               Type of respondent                                                                         responses per                                            burden per              Total hours
                                                                                                                                                respondents                                            responses
                                                                                                                                                                            respondent                                              response

                                                  Manufacturer, Request to Issue an EUA or a Substantive
                                                    Amendment to an Existing EUA ......................................                                              6                         3                         18                         45              810
                                                  Manufacturer, Request for FDA Review of a Pre-EUA
                                                    Package or an Amendment Thereto ................................                                               13                           6                        78                         34            2,652
                                                  Manufacturer of an Unapproved EUA Product; Conditions
                                                    of Authorization ................................................................                               5                           2                        10                           2              20
                                                  Public Health Authority; Unapproved EUA Product; Condi-
                                                    tions of Authorization ........................................................                                30                           3                        90                           2             180
                                                  Public Health Authority; Request for Expiration Date Ex-
                                                    tension ..............................................................................                          7                          1                           7                          2              14

                                                        Total ..............................................................................   ........................   ........................   ........................   ........................          3,676
                                                     1 There     are no capital costs or operating and maintenance costs associated with this collection of information.

                                                                                                           TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
                                                                                                                                                                             Number of                                             Average
                                                                                                                                                 Number of                                            Total annual
                                                                               Type of respondent                                                                           records per                                           burden per               Total hours
                                                                                                                                               recordkeepers                                            records
                                                                                                                                                                           recordkeeper                                         recordkeeping
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                                                  Manufacturers; Unapproved EUA Product ..........................                                                  5                           2                        10                         25              250
                                                  Public Health Authorities; Unapproved EUA Product ..........                                                     30                           3                        90                          3              270

                                                        Total ..............................................................................   ........................   ........................   ........................   ........................            520
                                                     1 There     are no capital costs or operating and maintenance costs associated with this collection of information.




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                                                  19194                           Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Notices

                                                  IV. Electronic Access                                   confidential information that you or a                made publicly available, you can
                                                    Persons with access to the Internet                   third party may not wish to be posted,                provide this information on the cover
                                                  may obtain the draft guidance at http://                such as medical information, your or                  sheet and not in the body of your
                                                  www.fda.gov/RegulatoryInformation/                      anyone else’s Social Security number, or              comments and you must identify this
                                                  Guidances/, http://www.regulations.gov,                 confidential business information, such               information as ‘‘confidential.’’ Any
                                                  or http://www.fda.gov/medicalcounter                    as a manufacturing process. Please note               information marked as ‘‘confidential’’
                                                  measures.                                               that if you include your name, contact                will not be disclosed except in
                                                                                                          information, or other information that                accordance with 21 CFR 10.20 and other
                                                    Dated: March 29, 2016.                                identifies you in the body of your                    applicable disclosure law. For more
                                                  Leslie Kux,                                             comments, that information will be                    information about FDA’s posting of
                                                  Associate Commissioner for Policy.                      posted on http://www.regulations.gov.                 comments to public dockets, see 80 FR
                                                  [FR Doc. 2016–07478 Filed 4–1–16; 8:45 am]                • If you want to submit a comment                   56469, September 18, 2015, or access
                                                  BILLING CODE 4164–01–P                                  with confidential information that you                the information at: http://www.fda.gov/
                                                                                                          do not wish to be made available to the               regulatoryinformation/dockets/
                                                                                                          public, submit the comment as a                       default.htm.
                                                  DEPARTMENT OF HEALTH AND                                written/paper submission and in the                      Docket: For access to the docket to
                                                  HUMAN SERVICES                                          manner detailed (see ‘‘Written/Paper                  read background documents or the
                                                                                                          Submissions’’ and ‘‘Instructions’’).                  electronic and written/paper comments
                                                  Food and Drug Administration                                                                                  received, go to http://
                                                                                                          Written/Paper Submissions
                                                  [Docket No. FDA–2016–D–0643]                                                                                  www.regulations.gov and insert the
                                                                                                             Submit written/paper submissions as                docket number, found in brackets in the
                                                  Labeling for Biosimilar Products; Draft                 follows:                                              heading of this document, into the
                                                  Guidance for Industry; Availability                        • Mail/Hand delivery/Courier (for
                                                                                                                                                                ‘‘Search’’ box and follow the prompts
                                                                                                          written/paper submissions): Division of
                                                  AGENCY:    Food and Drug Administration,                                                                      and/or go to the Division of Dockets
                                                                                                          Dockets Management (HFA–305), Food
                                                  HHS.                                                                                                          Management, 5630 Fishers Lane, Rm.
                                                                                                          and Drug Administration, 5630 Fishers
                                                                                                                                                                1061, Rockville, MD 20852.
                                                  ACTION:   Notice of availability.                       Lane, Rm. 1061, Rockville, MD 20852.
                                                                                                             • For written/paper comments                          Submit written requests for single
                                                  SUMMARY:   The Food and Drug                            submitted to the Division of Dockets                  copies of the draft guidance to the
                                                  Administration (FDA or Agency) is                       Management, FDA will post your                        Division of Drug Information, Center for
                                                  announcing the availability of a draft                  comment, as well as any attachments,                  Drug Evaluation and Research, Food
                                                  guidance for industry entitled ‘‘Labeling               except for information submitted,                     and Drug Administration, 10001 New
                                                  for Biosimilar Products.’’ This draft                   marked and identified, as confidential,               Hampshire Ave., Hillandale Building,
                                                  guidance is intended to assist applicants               if submitted as detailed in                           4th Floor, Silver Spring, MD 20993–
                                                  in developing draft prescription drug                   ‘‘Instructions.’’                                     0002, or the Office of Communication,
                                                  labeling for proposed biosimilar                           Instructions: All submissions received             Outreach and Development, Center for
                                                  products. The recommendations for                       must include the Docket No. FDA–                      Biologics Evaluation and Research,
                                                  prescription drug labeling in this                      2016–D–0643 for ‘‘Labeling for                        Food and Drug Administration, 10903
                                                  guidance pertain only to the prescribing                Biosimilar Products; Draft Guidance for               New Hampshire Ave., Bldg. 71, Rm.
                                                  information (commonly referred to as                    Industry; Availability.’’ Received                    3128, Silver Spring, MD 20993–0002.
                                                  the package insert). This draft guidance                comments will be placed in the docket                 Send one self-addressed adhesive label
                                                  provides an overview of FDA’s                           and, except for those submitted as                    to assist that office in processing your
                                                  recommendations for labeling for                        ‘‘Confidential Submissions,’’ publicly                requests. See the SUPPLEMENTARY
                                                  biosimilar products licensed under the                  viewable at http://www.regulations.gov                INFORMATION section for electronic
                                                  Public Health Service Act (PHS Act).                    or at the Division of Dockets                         access to the draft guidance document.
                                                  DATES: Although you can comment on                      Management between 9 a.m. and 4 p.m.,                 FOR FURTHER INFORMATION CONTACT:
                                                  any guidance at any time (see 21 CFR                    Monday through Friday.                                Sandra Benton, Center for Drug
                                                  10.115(g)(5)), to ensure that the Agency                   • Confidential Submissions—To                      Evaluation and Research, Food and
                                                  considers your comment on this draft                    submit a comment with confidential                    Drug Administration, 10903 New
                                                  guidance before it begins work on the                   information that you do not wish to be                Hampshire Ave., Bldg. 51, Rm. 6340,
                                                  final version of the guidance, submit                   made publicly available, submit your                  Silver Spring, MD 20993, 301–796–
                                                  either electronic or written comments                   comments only as a written/paper                      1042, or Stephen Ripley, Center for
                                                  on the draft guidance by June 3, 2016.                  submission. You should submit two                     Biologics Evaluation and Research,
                                                  ADDRESSES: You may submit comments                      copies total. One copy will include the               Food and Drug Administration, 10903
                                                  as follows:                                             information you claim to be confidential              New Hampshire Ave., Bldg. 71, Rm.
                                                                                                          with a heading or cover note that states              7301, Silver Spring, MD 20993–0002,
                                                  Electronic Submissions                                  ‘‘THIS DOCUMENT CONTAINS                              240–402–7911.
                                                    Submit electronic comments in the                     CONFIDENTIAL INFORMATION.’’ The                       SUPPLEMENTARY INFORMATION:
                                                  following way:                                          Agency will review this copy, including
                                                    • Federal eRulemaking Portal: http://                 the claimed confidential information, in              I. Background
                                                  www.regulations.gov. Follow the                         its consideration of comments. The                       FDA is announcing the availability of
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                                                  instructions for submitting comments.                   second copy, which will have the                      a draft guidance for industry entitled
                                                  Comments submitted electronically,                      claimed confidential information                      ‘‘Labeling for Biosimilar Products.’’ The
                                                  including attachments, to http://                       redacted/blacked out, will be available               Biologics Price Competition and
                                                  www.regulations.gov will be posted to                   for public viewing and posted on http://              Innovation Act of 2009 (BCPI Act),
                                                  the docket unchanged. Because your                      www.regulations.gov. Submit both                      enacted as part of the Patient Protection
                                                  comment will be made public, you are                    copies to the Division of Dockets                     and Affordable Care Act (Affordable
                                                  solely responsible for ensuring that your               Management. If you do not wish your                   Care Act) (Pub. L. 111–148) on March
                                                  comment does not include any                            name and contact information to be                    23, 2010, created an abbreviated


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Document Created: 2016-04-02 03:53:38
Document Modified: 2016-04-02 03:53:38
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of availability.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance by June 3, 2016. Submit either electronic or written comments on the collection of information by June 3, 2016.
ContactWith regard to the draft guidance: Carol Drew, Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4320, Silver Spring, MD 20993-0002, 301-796-8510 (this is not a toll free number).
FR Citation81 FR 19191 

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