81_FR_23375 81 FR 23299 - Final Revised Vaccine Information Materials for 9-valent HPV (Human Papillomavirus) Vaccine

81 FR 23299 - Final Revised Vaccine Information Materials for 9-valent HPV (Human Papillomavirus) Vaccine

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 81, Issue 76 (April 20, 2016)

Page Range23299-23300
FR Document2016-09167

Under the National Childhood Vaccine Injury Act (NCVIA)(42 U.S.C. 300aa-26), CDC must develop vaccine information materials that all health care providers are required to give to patients/parents prior to administration of specific vaccines. On October 22, 2015, CDC published a notice in the Federal Register (80 FR 64002) seeking public comments on proposed updated vaccine information materials for 9-valent HPV (Human Papillomavirus) Gardasil[supreg]-9 vaccine. Following review of comments submitted and consultation as required under the law, CDC has finalized the materials. Copies of the final vaccine information materials for 9-valent HPV Gardasil[supreg]-9 vaccine are available to download from http://www.cdc.gov/vaccines/hcp/vis/index.html or http:// www.regulations.gov (see Docket Number CDC-2015-0089).

Federal Register, Volume 81 Issue 76 (Wednesday, April 20, 2016)
[Federal Register Volume 81, Number 76 (Wednesday, April 20, 2016)]
[Notices]
[Pages 23299-23300]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-09167]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2015-0089]


Final Revised Vaccine Information Materials for 9-valent HPV 
(Human Papillomavirus) Vaccine

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice.

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

SUMMARY: Under the National Childhood Vaccine Injury Act (NCVIA)(42 
U.S.C. 300aa-26), CDC must develop vaccine information materials that 
all health care providers are required to give to patients/parents 
prior to administration of specific vaccines. On October 22, 2015, CDC 
published a notice in the Federal Register (80 FR 64002) seeking public 
comments on proposed updated vaccine information materials for 9-valent 
HPV (Human Papillomavirus) Gardasil[supreg]-9 vaccine. Following review 
of comments submitted and consultation as required under the law, CDC 
has finalized the materials. Copies of the final vaccine information 
materials for 9-valent HPV Gardasil[supreg]-9 vaccine are available to 
download from http://www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov (see Docket Number CDC-2015-0089).

DATES: Beginning no later than July 1, 2016, each health care provider 
who administers 9-valent HPV (Human Papillomavirus) Gardasil[supreg]-9 
vaccine to any child or adult in the United States shall provide copies 
of the relevant vaccine information materials referenced in this 
notice, in conformance with the March 31, 2016 CDC Instructions for the 
Use of Vaccine Information Statements prior to providing such 
vaccinations.

FOR FURTHER INFORMATION CONTACT: Suzanne Johnson-DeLeon ([email protected]), 
National Center for Immunization and Respiratory Diseases, Centers for 
Disease Control and Prevention, Mailstop A-19, 1600 Clifton Road NE., 
Atlanta, Georgia 30329.

SUPPLEMENTARY INFORMATION: The National Childhood Vaccine Injury Act of 
1986 (Pub. L. 99-660), as amended by section 708 of Public Law 103-183, 
added section 2126 to the Public Health Service Act. Section 2126, 
codified at 42 U.S.C. 300aa-26, requires the Secretary of Health and 
Human Services to develop and disseminate vaccine information materials 
for distribution by all health care providers in the United States to 
any patient (or to the parent or legal representative in the case of a 
child) receiving vaccines covered under the National Vaccine Injury 
Compensation Program (VICP).
    Development and revision of the vaccine information materials, also 
known as Vaccine Information Statements (VIS), have been delegated by 
the Secretary to the Centers for Disease Control and Prevention (CDC). 
Section 2126 requires that the materials be developed, or revised, 
after notice to the public, with a 60-day comment period, and in 
consultation with the Advisory Commission on Childhood Vaccines, 
appropriate health care provider and parent organizations, and the Food 
and Drug Administration. The law also requires that the information 
contained in the materials be based on available data and information, 
be presented in understandable terms, and include:
    (1) A concise description of the benefits of the vaccine,
    (2) A concise description of the risks associated with the vaccine,
    (3) A statement of the availability of the National Vaccine Injury 
Compensation Program, and
    (4) Such other relevant information as may be determined by the 
Secretary.
    The vaccines initially covered under the National Vaccine Injury 
Compensation Program were diphtheria, tetanus, pertussis, measles, 
mumps, rubella, and poliomyelitis vaccines. Since April 15, 1992, any 
health care provider in the United States who intends to administer one 
of these covered vaccines is required to provide copies of the relevant 
vaccine information materials prior to administration of any of these 
vaccines. Since then, the following vaccines have been added to the 
National Vaccine Injury Compensation Program, requiring use of vaccine 
information materials for them as well: Hepatitis B, Haemophilus 
influenzae type b (Hib), varicella (chickenpox), pneumococcal 
conjugate, rotavirus, hepatitis A, meningococcal, human papillomavirus 
(HPV), and seasonal influenza vaccines. Instructions for use of the 
vaccine information materials are found on the CDC Web site at: http://www.cdc.gov/vaccines/hcp/vis/index.html.

Revised Vaccine Information Materials

    The 9-valent HPV (Human Papillomavirus) Gardasil[supreg]-9 vaccine 
information materials referenced in this notice were developed in 
consultation with the Advisory Commission on Childhood Vaccines, the 
Food and Drug Administration, and parent and healthcare provider 
organizations. Following consultation and review of comments submitted, 
the vaccine information materials covering 9-valent

[[Page 23300]]

HPV Gardasil[supreg]-9 vaccine have been finalized and are available to 
download from http://www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov (see Docket Number CDC-2015-0089). The Vaccine 
Information Statement (VIS) is ``HPV (Human Papillomavirus) Vaccine: 
What You Need to Know [Gardasil[supreg]-9],'' publication date March 
31, 2016.
    With publication of this notice, as of July 1, 2016, all health 
care providers will be required to provide copies of these updated 9-
valent HPVGardasil[supreg]-9 vaccine information materials prior to 
immunization in conformance with CDC's March 31, 2016 Instructions for 
the Use of Vaccine Information Statements.

    Dated: April 15, 2016.
Veronica Kennedy,
Acting Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2016-09167 Filed 4-19-16; 8:45 am]
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                                                                                Federal Register / Vol. 81, No. 76 / Wednesday, April 20, 2016 / Notices                                                              23299

                                                                                                   ESTIMATED ANNUALIZED BURDEN HOURS—Continued
                                                                                                                                                                                                                    Average
                                                                                                                                                                                                    Number of
                                                                                                                                                                                   Number of                      burden per
                                                                    Form name                                                   Type of respondent                                                responses per
                                                                                                                                                                                  respondents                      response
                                                                                                                                                                                                    respondent     (in hours)

                                                                                                              Pathology Chairs ............................................                 33
                                                                                                              Laboratory Directors .......................................                  33
                                                                                                              Laboratory Managers .....................................                     34
                                                                                                              Laboratory Supervisors ..................................                     33
                                                                                                              Histotechnologists ..........................................                 33
                                             IHC focus group ..............................................   Pathologists ....................................................              4                1                 1
                                                                                                              Pathology Chairs ............................................                  4
                                                                                                              Laboratory Directors .......................................                   4
                                                                                                              Laboratory Managers .....................................                      4
                                                                                                              Laboratory Supervisors ..................................                      4
                                                                                                              Histotechnologists ..........................................                  4



                                             LeRoy A. Richardson,                                              administers 9-valent HPV (Human                                     presented in understandable terms, and
                                             Chief, Information Collection Review Office,                      Papillomavirus) Gardasil®-9 vaccine to                              include:
                                             Office of Scientific Integrity, Office of the                     any child or adult in the United States                                (1) A concise description of the
                                             Associate Director for Science, Office of the                     shall provide copies of the relevant                                benefits of the vaccine,
                                             Director, Centers for Disease Control and                         vaccine information materials                                          (2) A concise description of the risks
                                             Prevention.
                                                                                                               referenced in this notice, in                                       associated with the vaccine,
                                             [FR Doc. 2016–09190 Filed 4–19–16; 8:45 am]                       conformance with the March 31, 2016                                    (3) A statement of the availability of
                                             BILLING CODE 4163–18–P                                            CDC Instructions for the Use of Vaccine                             the National Vaccine Injury
                                                                                                               Information Statements prior to                                     Compensation Program, and
                                                                                                               providing such vaccinations.                                           (4) Such other relevant information as
                                             DEPARTMENT OF HEALTH AND                                                                                                              may be determined by the Secretary.
                                                                                                               FOR FURTHER INFORMATION CONTACT:
                                             HUMAN SERVICES                                                                                                                           The vaccines initially covered under
                                                                                                               Suzanne Johnson-DeLeon (msj1@
                                             Centers for Disease Control and                                   cdc.gov), National Center for                                       the National Vaccine Injury
                                             Prevention                                                        Immunization and Respiratory Diseases,                              Compensation Program were diphtheria,
                                                                                                               Centers for Disease Control and                                     tetanus, pertussis, measles, mumps,
                                             [Docket No. CDC–2015–0089]                                        Prevention, Mailstop A–19, 1600 Clifton                             rubella, and poliomyelitis vaccines.
                                                                                                               Road NE., Atlanta, Georgia 30329.                                   Since April 15, 1992, any health care
                                             Final Revised Vaccine Information                                                                                                     provider in the United States who
                                                                                                               SUPPLEMENTARY INFORMATION: The
                                             Materials for 9-valent HPV (Human                                                                                                     intends to administer one of these
                                             Papillomavirus) Vaccine                                           National Childhood Vaccine Injury Act
                                                                                                               of 1986 (Pub. L. 99–660), as amended by                             covered vaccines is required to provide
                                             AGENCY: Centers for Disease Control and                           section 708 of Public Law 103–183,                                  copies of the relevant vaccine
                                             Prevention (CDC), Department of Health                            added section 2126 to the Public Health                             information materials prior to
                                             and Human Services (HHS).                                         Service Act. Section 2126, codified at 42                           administration of any of these vaccines.
                                             ACTION: Notice.                                                   U.S.C. 300aa–26, requires the Secretary                             Since then, the following vaccines have
                                                                                                               of Health and Human Services to                                     been added to the National Vaccine
                                             SUMMARY:   Under the National                                     develop and disseminate vaccine                                     Injury Compensation Program, requiring
                                             Childhood Vaccine Injury Act                                      information materials for distribution by                           use of vaccine information materials for
                                             (NCVIA)(42 U.S.C. 300aa–26), CDC must                             all health care providers in the United                             them as well: Hepatitis B, Haemophilus
                                             develop vaccine information materials                             States to any patient (or to the parent or                          influenzae type b (Hib), varicella
                                             that all health care providers are                                legal representative in the case of a                               (chickenpox), pneumococcal conjugate,
                                             required to give to patients/parents prior                        child) receiving vaccines covered under                             rotavirus, hepatitis A, meningococcal,
                                             to administration of specific vaccines.                           the National Vaccine Injury                                         human papillomavirus (HPV), and
                                             On October 22, 2015, CDC published a                              Compensation Program (VICP).                                        seasonal influenza vaccines.
                                             notice in the Federal Register (80 FR                                Development and revision of the                                  Instructions for use of the vaccine
                                             64002) seeking public comments on                                 vaccine information materials, also                                 information materials are found on the
                                             proposed updated vaccine information                              known as Vaccine Information                                        CDC Web site at: http://www.cdc.gov/
                                             materials for 9-valent HPV (Human                                 Statements (VIS), have been delegated                               vaccines/hcp/vis/index.html.
                                             Papillomavirus) Gardasil®-9 vaccine.                              by the Secretary to the Centers for
                                             Following review of comments                                      Disease Control and Prevention (CDC).                               Revised Vaccine Information Materials
                                             submitted and consultation as required                            Section 2126 requires that the materials                              The 9-valent HPV (Human
                                             under the law, CDC has finalized the                              be developed, or revised, after notice to                           Papillomavirus) Gardasil®-9 vaccine
                                             materials. Copies of the final vaccine                            the public, with a 60-day comment                                   information materials referenced in this
                                             information materials for 9-valent HPV                            period, and in consultation with the                                notice were developed in consultation
Lhorne on DSK5TPTVN1PROD with NOTICES




                                             Gardasil®-9 vaccine are available to                              Advisory Commission on Childhood                                    with the Advisory Commission on
                                             download from http://www.cdc.gov/                                 Vaccines, appropriate health care                                   Childhood Vaccines, the Food and Drug
                                             vaccines/hcp/vis/index.html or http://                            provider and parent organizations, and                              Administration, and parent and
                                             www.regulations.gov (see Docket                                   the Food and Drug Administration. The                               healthcare provider organizations.
                                             Number CDC–2015–0089).                                            law also requires that the information                              Following consultation and review of
                                             DATES: Beginning no later than July 1,                            contained in the materials be based on                              comments submitted, the vaccine
                                             2016, each health care provider who                               available data and information, be                                  information materials covering 9-valent


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                                             23300                        Federal Register / Vol. 81, No. 76 / Wednesday, April 20, 2016 / Notices

                                             HPV Gardasil®-9 vaccine have been                       provide information about evidence-                      Purpose: The purpose of the meeting
                                             finalized and are available to download                 based options that decision makers and                is for the Task Force to consider the
                                             from http://www.cdc.gov/vaccines/hcp/                   stakeholders can consider when                        findings of systematic reviews and issue
                                             vis/index.html or http://                               determining what best meets the                       findings and recommendations. Task
                                             www.regulations.gov (see Docket                         specific needs, preferences, available                Force recommendations provide
                                             Number CDC–2015–0089). The Vaccine                      resources, and constraints of their                   information about evidence-based
                                             Information Statement (VIS) is ‘‘HPV                    jurisdictions and constituents. The Task              options that decision makers and
                                             (Human Papillomavirus) Vaccine: What                    Force’s recommendations, along with                   stakeholders can consider when
                                             You Need to Know [Gardasil®-9],’’                       the systematic reviews of the scientific              determining what best meets the
                                             publication date March 31, 2016.                        evidence on which they are based, are                 specific needs, preferences, available
                                                With publication of this notice, as of               compiled in the Guide to Community                    resources, and constraints of their
                                             July 1, 2016, all health care providers                 Preventive Services (Community Guide).                jurisdictions and constituents.
                                             will be required to provide copies of                   DATES: The meeting will be held on
                                             these updated 9-valent HPVGardasil®-9                                                                            Matters to be discussed: Cancer
                                                                                                     Wednesday, June 22, 2016 from 8:30
                                             vaccine information materials prior to                                                                        prevention and control, cardiovascular
                                                                                                     a.m. to 6:00 p.m. EDT and Thursday,
                                             immunization in conformance with                        June 23, 2016 from 8:30 a.m. to 1:00                  disease prevention and control, diabetes
                                             CDC’s March 31, 2016 Instructions for                   p.m. EDT.                                             prevention and control, and increasing
                                             the Use of Vaccine Information                                                                                physical activity.
                                             Statements.                                             ADDRESSES: The Task Force Meeting
                                                                                                     will be held at CDC Edward R. Roybal                     Roybal Campus Security Guidelines:
                                               Dated: April 15, 2016.                                Campus, Tom Harkin Global                             The Edward R. Roybal Campus is the
                                             Veronica Kennedy,                                       Communications Center (Building 19),                  headquarters of the U.S. Centers for
                                             Acting Executive Secretary, Centers for                 and 1600 Clifton Road NE., Atlanta, GA                Disease Control and Prevention and is
                                             Disease Control and Prevention.                         30329. You should be aware that the                   located at 1600 Clifton Road NE.,
                                             [FR Doc. 2016–09167 Filed 4–19–16; 8:45 am]             meeting location is in a Federal                      Atlanta, Georgia. The meeting is being
                                             BILLING CODE 4163–18–P                                  government building; therefore, Federal               held in a Federal government building;
                                                                                                     security measures are applicable. For                 therefore, Federal security measures are
                                                                                                     additional information, please see                    applicable.
                                             DEPARTMENT OF HEALTH AND                                Roybal Campus Security Guidelines
                                             HUMAN SERVICES                                                                                                   All meeting attendees must RSVP by
                                                                                                     under SUPPLEMENTARY INFORMATION.                      the dates outlined under Meeting
                                                                                                     Information regarding meeting logistics               Accessability. In planning your arrival
                                             Centers for Disease Control and                         will be available on the Community
                                             Prevention                                                                                                    time, please take into account the need
                                                                                                     Guide Web site
                                                                                                                                                           to park and clear security. All visitors
                                             Meeting of the Community Preventive                     (www.thecommunityguide.org).
                                                                                                                                                           must enter the Edward R. Roybal
                                             Services Task Force                                        Meeting Accessability: This meeting is
                                                                                                                                                           Campus through the front entrance on
                                                                                                     open to the public, limited only by
                                             AGENCY: Centers for Disease Control and                                                                       Clifton Road. Your car may be searched,
                                                                                                     space availability. All meeting attendees
                                             Prevention (CDC), Department of Health                  must RSVP to ensure the required                      and the guard force will then direct
                                             and Human Services (HHS).                               security procedures are completed to                  visitors to the designated parking area.
                                             ACTION: Notice of meeting.                              gain access to the CDC’s Global                       Upon arrival at the facility, visitors must
                                                                                                     Communications Center.                                present government issued photo
                                             SUMMARY:   The Centers for Disease                                                                            identification (e.g., a valid federal
                                                                                                        U.S. citizens must RSVP by June 20,
                                             Control and Prevention (CDC)                                                                                  identification badge, state driver’s
                                                                                                     2016.
                                             announces the next meeting of the                                                                             license, state non-driver’s identification
                                             Community Preventive Services Task                         Non U.S. citizens must RSVP by May
                                                                                                     23, 2016 due to additional security steps             card, or passport). Non-United States
                                             Force (Task Force). The Task Force is an                                                                      citizens must complete the required
                                             independent, nonpartisan, nonfederal,                   that must be completed. Failure to RSVP
                                                                                                     by the dates identified could result in               security paperwork prior to the meeting
                                             and unpaid panel. Its members                                                                                 date and must present a valid passport,
                                             represent a broad range of research,                    the inability to attend the Task Force
                                                                                                     meeting due to the strict security                    visa, Permanent Resident Card, or other
                                             practice, and policy expertise in
                                                                                                     regulations on federal facilities.                    type of work authorization document
                                             prevention, wellness, health promotion,
                                                                                                        Meeting Accessibility: This meeting is             upon arrival at the facility. All persons
                                             and public health, and are appointed by
                                             the CDC Director. The Task Force was                    available to the public via Webcast. The              entering the building must pass through
                                             convened in 1996 by the Department of                   Webcast URL will be sent to you upon                  a metal detector. Visitors will be issued
                                             Health and Human Services (HHS) to                      receipt of your RSVP. All meeting                     a visitor’s ID badge at the entrance to
                                             identify community preventive                           attendees must RSVP to receive the                    Building 19 and may be escorted to the
                                             programs, services, and policies that                   webcast information which will be                     meeting room. All items brought to
                                             increase healthy longevity, save lives                  emailed to you upon receipt of                        HHS/CDC are subject to inspection.
                                             and dollars and improve Americans’                      registration to the CPSTF@cdc.gov
                                                                                                                                                             Dated: April 16, 2016.
                                             quality of life. CDC is mandated to                     mailbox.
                                                                                                                                                           Veronica Kennedy,
                                             provide ongoing administrative,                            For Further Information and to RSVP
                                                                                                     Contact: Onslow Smith, Center for                     Acting Executive Secretary, Centers for
                                             research, and technical support for the                                                                       Disease Control and Prevention.
Lhorne on DSK5TPTVN1PROD with NOTICES




                                             operations of the Task Force. During its                Surveillance, Epidemiology and
                                                                                                     Laboratory Services, Centers for Disease              [FR Doc. 2016–09164 Filed 4–19–16; 8:45 am]
                                             meetings, the Task Force considers the
                                             findings of systematic reviews on                       Control and Prevention, 1600 Clifton                  BILLING CODE 4163–18–P

                                             existing research and issues                            Road NE., MS–E–69, Atlanta, GA 30329,
                                             recommendations. Task Force                             phone: (404) 498–6778, email: CPSTF@
                                             recommendations are not mandates for                    cdc.gov.
                                             compliance or spending. Instead, they                   SUPPLEMENTARY INFORMATION:



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Document Created: 2016-04-20 01:51:57
Document Modified: 2016-04-20 01:51:57
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.
DatesBeginning no later than July 1, 2016, each health care provider who administers 9-valent HPV (Human Papillomavirus) Gardasil[supreg]-9 vaccine to any child or adult in the United States shall provide copies of the relevant vaccine information materials referenced in this notice, in conformance with the March 31, 2016 CDC Instructions for the Use of Vaccine Information Statements prior to providing such vaccinations.
ContactSuzanne Johnson-DeLeon ([email protected]), National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Mailstop A-19, 1600 Clifton Road NE., Atlanta, Georgia 30329.
FR Citation81 FR 23299 

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