81_FR_4649 81 FR 4632 - Public Notification of Emerging Postmarket Medical Device Signals ('Emerging Signals'); Draft Guidance for Industry and Food and Drug Administration Staff; Extension of Comment Period

81 FR 4632 - Public Notification of Emerging Postmarket Medical Device Signals ('Emerging Signals'); Draft Guidance for Industry and Food and Drug Administration Staff; Extension of Comment Period

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 17 (January 27, 2016)

Page Range4632-4633
FR Document2016-01610

The Food and Drug Administration (FDA or Agency) is extending the comment period for the draft guidance for Industry and Food and Drug Administration Staff entitled ``Public Notification of Emerging Postmarket Medical Device Signals ('Emerging Signals').'' A notice of the availability of the draft guidance and our request for comments appeared in the Federal Register of December 31, 2015. We initially established February 29, 2016, as the deadline for the submission of requested comments that can help improve the Agency's policy for notifying the public about medical device ``emerging signals.'' The Agency is taking this action due to the unanticipated high-level of interest from external stakeholders and the medical device community and will allow interested persons additional time to submit comments.

Federal Register, Volume 81 Issue 17 (Wednesday, January 27, 2016)
[Federal Register Volume 81, Number 17 (Wednesday, January 27, 2016)]
[Notices]
[Pages 4632-4633]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-01610]



[[Page 4632]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-D-4803]


Public Notification of Emerging Postmarket Medical Device Signals 
('Emerging Signals'); Draft Guidance for Industry and Food and Drug 
Administration Staff; Extension of Comment Period

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice; extension of comment period.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is extending 
the comment period for the draft guidance for Industry and Food and 
Drug Administration Staff entitled ``Public Notification of Emerging 
Postmarket Medical Device Signals ('Emerging Signals').'' A notice of 
the availability of the draft guidance and our request for comments 
appeared in the Federal Register of December 31, 2015. We initially 
established February 29, 2016, as the deadline for the submission of 
requested comments that can help improve the Agency's policy for 
notifying the public about medical device ``emerging signals.'' The 
Agency is taking this action due to the unanticipated high-level of 
interest from external stakeholders and the medical device community 
and will allow interested persons additional time to submit comments.

DATES:  FDA is extending the comment period on the ``Public 
Notification of Emerging Postmarket Medical Device Signals ('Emerging 
Signals')''; Draft Guidance for Industry and Food and Drug 
Administration Staff; Availability, which was announced in the Notice 
published December 31, 2015 (80 FR 81829). 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 of 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 March 29, 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-2015-D-4803 for ``Public Notification of Emerging Postmarket 
Medical Device Signals ('Emerging Signals').'' 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.
    An electronic copy of the draft guidance document is available for 
download from the Internet. See the SUPPLEMENTARY INFORMATION section 
for information on electronic access to the guidance. Submit written 
requests for a single hard copy of the draft guidance document entitled 
``Public Notification of Emerging Postmarket Medical Device Signals 
('Emerging Signals')'' to the Office of the Center Director, Guidance 
and Policy Development, Center for Devices and Radiological Health, 
Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 
5431, Silver Spring, MD 20993-0002. Send one self-addressed adhesive 
label to assist that office in processing your request.

FOR FURTHER INFORMATION CONTACT: Rebecca Nipper, Center for Devices and 
Radiological Health, Food and Drug Administration, 10903 New Hampshire 
Ave., Bldg. 66, Rm. 1540, Silver Spring, MD 20993-0002, 301-796-6527.

SUPPLEMENTARY INFORMATION: 

I. Background

    In the Federal Register of December 31, 2015, FDA published a 
notice announcing the availability of a draft guidance entitled 
``Public Notification of Emerging Postmarket Medical Device Signals 
('Emerging Signals'),'' with a 60-day comment period to request 
comments on the Agency's policy for

[[Page 4633]]

notifying the public about medical device ``emerging signals.''
    FDA is extending the comment period for the publication 
notification of ``emerging signals'' for 30 days, until March 29, 2016. 
The Agency believes that a 30-day extension allows adequate time for 
interested persons to submit comments.

II. Electronic Access

    Persons interested in obtaining a copy of the draft guidance may do 
so by downloading an electronic copy from the Internet. A search 
capability for all Center for Devices and Radiological Health guidance 
documents is available at http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/default.htm. Guidance 
documents are also available at http://www.regulations.gov. Persons 
unable to download an electronic copy of ``Public Notification of 
Emerging Postmarket Medical Device Signals ('Emerging Signals')'' may 
send an email request to [email protected] to receive an 
electronic copy of the document. Please use the document number 1500027 
to identify the guidance you are requesting.

    Dated: January 21, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-01610 Filed 1-26-16; 8:45 am]
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                                                    4632                        Federal Register / Vol. 81, No. 17 / Wednesday, January 27, 2016 / Notices

                                                    DEPARTMENT OF HEALTH AND                                 including attachments, to http://                      redacted/blacked out, will be available
                                                    HUMAN SERVICES                                           www.regulations.gov will be posted to                  for public viewing and posted on http://
                                                                                                             the docket unchanged. Because your                     www.regulations.gov. Submit both
                                                    Food and Drug Administration                             comment will be made public, you are                   copies to the Division of Dockets
                                                    [Docket No. FDA–2015–D–4803]
                                                                                                             solely responsible for ensuring that your              Management. If you do not wish your
                                                                                                             comment does not include any                           name and contact information to be
                                                    Public Notification of Emerging                          confidential information that you or a                 made publicly available, you can
                                                    Postmarket Medical Device Signals                        third party may not wish to be posted,                 provide this information on the cover
                                                    (’Emerging Signals’); Draft Guidance                     such as medical information, your or                   sheet and not in the body of your
                                                    for Industry and Food and Drug                           anyone else’s Social Security number, or               comments and you must identify this
                                                    Administration Staff; Extension of                       confidential business information, such                information as ‘‘confidential.’’ Any
                                                    Comment Period                                           as a manufacturing process. Please note                information marked as ‘‘confidential’’
                                                                                                             that if you include your name, contact                 will not be disclosed except in
                                                    AGENCY:    Food and Drug Administration,                 information, or other information that                 accordance with 21 CFR 10.20 and other
                                                    HHS.                                                     identifies you in the body of your                     applicable disclosure law. For more
                                                    ACTION:   Notice; extension of comment                   comments, that information will be                     information about FDA’s posting of
                                                    period.                                                  posted on http://www.regulations.gov.                  comments to public dockets, see 80 FR
                                                                                                               • If you want to submit a comment                    56469, September 18, 2015, or access
                                                    SUMMARY:   The Food and Drug                             with confidential information that you                 the information at: http://www.fda.gov/
                                                    Administration (FDA or Agency) is                        do not wish to be made available to the                regulatoryinformation/dockets/
                                                    extending the comment period for the                     public, submit the comment as a                        default.htm.
                                                    draft guidance for Industry and Food                     written/paper submission and in the                       Docket: For access to the docket to
                                                    and Drug Administration Staff entitled                   manner detailed (see ‘‘Written/Paper                   read background documents or the
                                                    ‘‘Public Notification of Emerging                        Submissions’’ and ‘‘Instructions’’).                   electronic and written/paper comments
                                                    Postmarket Medical Device Signals                                                                               received, go to http://
                                                                                                             Written/Paper Submissions
                                                    (’Emerging Signals’).’’ A notice of the                                                                         www.regulations.gov and insert the
                                                    availability of the draft guidance and                      Submit written/paper submissions as                 docket number, found in brackets in the
                                                    our request for comments appeared in                     follows:                                               heading of this document, into the
                                                    the Federal Register of December 31,                        • Mail/Hand delivery/Courier (for
                                                                                                                                                                    ‘‘Search’’ box and follow the prompts
                                                    2015. We initially established February                  written/paper submissions): Division of
                                                                                                                                                                    and/or go to the Division of Dockets
                                                    29, 2016, as the deadline for the                        Dockets Management (HFA–305), Food
                                                                                                                                                                    Management, 5630 Fishers Lane, Rm.
                                                    submission of requested comments that                    and Drug Administration, 5630 Fishers
                                                                                                                                                                    1061, Rockville, MD 20852.
                                                    can help improve the Agency’s policy                     Lane, Rm. 1061, Rockville, MD 20852.                      An electronic copy of the draft
                                                    for notifying the public about medical                      • For written/paper comments
                                                                                                                                                                    guidance document is available for
                                                    device ‘‘emerging signals.’’ The Agency                  submitted to the Division of Dockets
                                                                                                                                                                    download from the Internet. See the
                                                    is taking this action due to the                         Management, FDA will post your
                                                                                                                                                                    SUPPLEMENTARY INFORMATION section for
                                                    unanticipated high-level of interest from                comment, as well as any attachments,
                                                                                                                                                                    information on electronic access to the
                                                    external stakeholders and the medical                    except for information submitted,
                                                                                                                                                                    guidance. Submit written requests for a
                                                    device community and will allow                          marked and identified, as confidential,
                                                                                                                                                                    single hard copy of the draft guidance
                                                    interested persons additional time to                    if submitted as detailed in
                                                                                                                                                                    document entitled ‘‘Public Notification
                                                    submit comments.                                         ‘‘Instructions.’’
                                                                                                                Instructions: All submissions received              of Emerging Postmarket Medical Device
                                                    DATES: FDA is extending the comment
                                                                                                             must include the Docket No. FDA–                       Signals (’Emerging Signals’)’’ to the
                                                    period on the ‘‘Public Notification of                   2015–D–4803 for ‘‘Public Notification of               Office of the Center Director, Guidance
                                                    Emerging Postmarket Medical Device                       Emerging Postmarket Medical Device                     and Policy Development, Center for
                                                    Signals (’Emerging Signals’)’’; Draft                    Signals (’Emerging Signals’).’’ Received               Devices and Radiological Health, Food
                                                    Guidance for Industry and Food and                       comments will be placed in the docket                  and Drug Administration, 10903 New
                                                    Drug Administration Staff; Availability,                 and, except for those submitted as                     Hampshire Ave., Bldg. 66, Rm. 5431,
                                                    which was announced in the Notice                        ‘‘Confidential Submissions,’’ publicly                 Silver Spring, MD 20993–0002. Send
                                                    published December 31, 2015 (80 FR                       viewable at http://www.regulations.gov                 one self-addressed adhesive label to
                                                    81829). Although you can comment on                      or at the Division of Dockets                          assist that office in processing your
                                                    any guidance at any time (see 21 CFR                     Management between 9 a.m. and 4 p.m.,                  request.
                                                    10.115(g)(5)), to ensure that the Agency                 Monday through Friday.                                 FOR FURTHER INFORMATION CONTACT:
                                                    considers your comment of this draft                        • Confidential Submissions—To                       Rebecca Nipper, Center for Devices and
                                                    guidance before it begins work on the                    submit a comment with confidential                     Radiological Health, Food and Drug
                                                    final version of the guidance, submit                    information that you do not wish to be                 Administration, 10903 New Hampshire
                                                    either electronic or written comments                    made publicly available, submit your                   Ave., Bldg. 66, Rm. 1540, Silver Spring,
                                                    on the draft guidance by March 29,                       comments only as a written/paper                       MD 20993–0002, 301–796–6527.
                                                    2016.                                                    submission. You should submit two                      SUPPLEMENTARY INFORMATION:
                                                    ADDRESSES:       You may submit comments                 copies total. One copy will include the
                                                                                                             information you claim to be confidential               I. Background
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                                                    as follows:
                                                                                                             with a heading or cover note that states                  In the Federal Register of December
                                                    Electronic Submissions                                   ‘‘THIS DOCUMENT CONTAINS                               31, 2015, FDA published a notice
                                                      Submit electronic comments in the                      CONFIDENTIAL INFORMATION.’’ The                        announcing the availability of a draft
                                                    following way:                                           Agency will review this copy, including                guidance entitled ‘‘Public Notification
                                                      • Federal eRulemaking Portal: http://                  the claimed confidential information, in               of Emerging Postmarket Medical Device
                                                    www.regulations.gov. Follow the                          its consideration of comments. The                     Signals (’Emerging Signals’),’’ with a 60-
                                                    instructions for submitting comments.                    second copy, which will have the                       day comment period to request
                                                    Comments submitted electronically,                       claimed confidential information                       comments on the Agency’s policy for


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                                                                               Federal Register / Vol. 81, No. 17 / Wednesday, January 27, 2016 / Notices                                              4633

                                                    notifying the public about medical                         The current rate of 93⁄4%, as fixed by              Security Boulevard, Baltimore, MD
                                                    device ‘‘emerging signals.’’                            the Secretary of the Treasury, is certified            21244.
                                                       FDA is extending the comment period                  for the quarter ended December 31,                        Registration: Registration will be on a
                                                    for the publication notification of                     2015. This rate is based on the Interest               first-come, first-serve basis, limited to
                                                    ‘‘emerging signals’’ for 30 days, until                 Rates for Specific Legislation, ‘‘National             two (2) participants per organization for
                                                    March 29, 2016. The Agency believes                     Health Services Corps Scholarship                      the onsite location participation, and
                                                    that a 30-day extension allows adequate                 Program (42 U.S.C. 254o(b)(1)(A))’’ and                three (3) participants per organization
                                                    time for interested persons to submit                   ‘‘National Research Service Award                      for the webinar participation. Each
                                                    comments.                                               Program (42 U.S.C. 288(c)(4)(B)).’’ This               individual can only register for either
                                                    II. Electronic Access                                   interest rate will be applied to overdue               the onsite location participation or
                                                                                                            debt until the Department of Health and                webinar participation. To change a
                                                       Persons interested in obtaining a copy               Human Services publishes a revision.                   registration option from onsite to
                                                    of the draft guidance may do so by                                                                             webinar participation, the registrant
                                                    downloading an electronic copy from                       Dated: January 13, 2016.
                                                                                                                                                                   must cancel the existing registration
                                                    the Internet. A search capability for all               David C. Horn.
                                                                                                                                                                   (onsite or webinar) before attempting to
                                                    Center for Devices and Radiological                     Director, Office of Financial Policy and
                                                                                                                                                                   register for the other option.
                                                    Health guidance documents is available                  Reporting.
                                                                                                                                                                      Registration Instructions: To register
                                                    at http://www.fda.gov/MedicalDevices/                   [FR Doc. 2016–01649 Filed 1–26–16; 8:45 am]
                                                                                                                                                                   to attend the meeting either onsite or
                                                    DeviceRegulationandGuidance/                            BILLING CODE 4150–04–P                                 through webinar participation, visit the
                                                    GuidanceDocuments/default.htm.                                                                                 Registration for Technical Assistance
                                                    Guidance documents are also available                                                                          Portal (REGTAP) at www.REGTAP.info.
                                                    at http://www.regulations.gov. Persons                  DEPARTMENT OF HEALTH AND
                                                                                                                                                                   If not already a REGTAP user, register
                                                    unable to download an electronic copy                   HUMAN SERVICES
                                                                                                                                                                   as a new user, log in and go to ‘‘My
                                                    of ‘‘Public Notification of Emerging                                                                           Dashboard’’ and select ‘‘Training
                                                    Postmarket Medical Device Signals                       [CMS–9935–N2]
                                                                                                                                                                   Events’’ to register for the onsite or
                                                    (’Emerging Signals’)’’ may send an email                                                                       webinar event for the HHS-operated
                                                    request to CDRH-Guidance@fda.hhs.gov                    HHS-Operated Risk Adjustment
                                                                                                            Methodology Meeting; March 31, 2016                    Risk Adjustment Methodology Meeting.
                                                    to receive an electronic copy of the                                                                           Registrants can only register to attend
                                                    document. Please use the document                       AGENCY: Centers for Medicare &                         the meeting onsite at CMS or remotely
                                                    number 1500027 to identify the                          Medicaid Services (CMS), HHS.                          by webinar.
                                                    guidance you are requesting.                            ACTION: Notice of meeting.                             FOR FURTHER INFORMATION CONTACT: For
                                                      Dated: January 21, 2016.                                                                                     further information, please send
                                                    Leslie Kux,                                             SUMMARY:    This notice announces the                  inquiries about the logistics of the
                                                    Associate Commissioner for Policy.                      rescheduling of the March 25, 2016                     meeting to registrar@REGTAP.info.
                                                    [FR Doc. 2016–01610 Filed 1–26–16; 8:45 am]
                                                                                                            meeting on the HHS-operated risk                       Users should submit inquiries and
                                                                                                            adjustment program, which is open to                   comments pertaining to content covered
                                                    BILLING CODE 4164–01–P
                                                                                                            the public. The purpose of this                        during the meeting to
                                                                                                            stakeholder meeting is to solicit                      www.REGTAP.info. To submit an
                                                    DEPARTMENT OF HEALTH AND                                feedback on the HHS-operated risk                      inquiry in REGTAP, select ‘‘Submit an
                                                    HUMAN SERVICES                                          adjustment methodology and to discuss                  Inquiry’’ from ‘‘My Dashboard’’ then
                                                                                                            potential improvements to the HHS risk                 select ‘‘HHS-operated Risk Adjustment
                                                    Office of the Secretary                                 adjustment methodology for the 2018                    Methodology Meeting’’ from the Event
                                                                                                            benefit year and beyond. This meeting,                 Title dropdown menu and enter the
                                                    Notice of Interest Rate on Overdue                      the ‘‘HHS-operated Risk Adjustment                     question or comment. Users can submit
                                                    Debts                                                   Methodology Conference,’’ will allow                   their comments and upload attachments
                                                      Section 30.18 of the Department of                    issuers, States, and other interested                  as needed. REGTAP will send the user
                                                    Health and Human Services’ claims                       parties to discuss the contents of a                   an acknowledgement upon receipt of
                                                    collection regulations (45 CFR part 30)                 White Paper to be published in advance                 the comment.
                                                    provides that the Secretary shall charge                of this meeting. This meeting will also                   The CCIIO’s Press Office at (202) 690–
                                                    an annual rate of interest, which is                    provide an opportunity for participants                6145 will handle all press inquiries.
                                                    determined and fixed by the Secretary                   to ask clarifying questions. The
                                                                                                                                                                   SUPPLEMENTARY INFORMATION:
                                                    of the Treasury after considering private               comments and information HHS obtains
                                                    consumer rates of interest on the date                  through this meeting may be used in                    I. Background
                                                    that the Department of Health and                       future policy making for the HHS risk                    This notice announces a meeting on
                                                    Human Services becomes entitled to                      adjustment program.                                    the HHS-operated risk adjustment
                                                    recovery. The rate cannot be lower than                 DATES: Date of Meeting: March 31, 2016                 program to discuss potential
                                                    the Department of Treasury’s current                    from 9:00 a.m. to 4:30 p.m., Eastern                   improvements to the HHS risk
                                                    value of funds rate or the applicable rate              daylight time (e.d.t.).                                adjustment methodology for the 2018
                                                    determined from the ‘‘Schedule of                          Deadline for Onsite Participation:                  benefit year and beyond. This meeting
                                                    Certified Interest Rates with Range of                  March 23, 2016, 5:00 p.m., e.d.t.                      will focus on the permanent risk
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    Maturities’’ unless the Secretary waives                   Deadline for Webinar Meeting                        adjustment program under section 1343
                                                    interest in whole or part, or a different               Participation: March 28, 2016, 5:00 p.m.               of the Affordable Care Act when HHS is
                                                    rate is prescribed by statute, contract, or             e.d.t.                                                 operating a risk adjustment program on
                                                    repayment agreement. The Secretary of                      Deadline for Requesting Special                     behalf of a State (referred to as the HHS-
                                                    the Treasury may revise this rate                       Accommodations: March 23, 2016, 5:00                   operated risk adjustment program).
                                                    quarterly. The Department of Health and                 p.m. e.d.t.                                              We are committed to stakeholder
                                                    Human Services publishes this rate in                   ADDRESSES: The meeting will be held at                 engagement in developing the detailed
                                                    the Federal Register.                                   the CMS Single Site campus, 7500                       processes of the HHS-operated risk


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Document Created: 2018-02-02 12:40:13
Document Modified: 2018-02-02 12:40:13
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; extension of comment period.
DatesFDA is extending the comment period on the ``Public Notification of Emerging Postmarket Medical Device Signals ('Emerging Signals')''; Draft Guidance for Industry and Food and Drug Administration Staff; Availability, which was announced in the Notice published December 31, 2015 (80 FR 81829). 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 of 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 March 29, 2016.
ContactRebecca Nipper, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 1540, Silver Spring, MD 20993-0002, 301-796-6527.
FR Citation81 FR 4632 

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