81_FR_47073 81 FR 46935 - Agency Information Collection Activities; Proposed Collection; Comment Request; Protection of Human Subjects: Informed Consent; Institutional Review Boards

81 FR 46935 - Agency Information Collection Activities; Proposed Collection; Comment Request; Protection of Human Subjects: Informed Consent; Institutional Review Boards

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 138 (July 19, 2016)

Page Range46935-46938
FR Document2016-17016

The Food and Drug Administration (FDA) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (the PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This notice solicits comments on the collection of information related to certain regulations that provide protection for human subjects of clinical investigations conducted in support of applications or submissions to FDA for FDA-regulated products. The regulations provide protection of the rights, safety, and welfare of human subjects involved in research activities within FDA's jurisdiction.

Federal Register, Volume 81 Issue 138 (Tuesday, July 19, 2016)
[Federal Register Volume 81, Number 138 (Tuesday, July 19, 2016)]
[Notices]
[Pages 46935-46938]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-17016]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2013-N-0403]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Protection of Human Subjects: Informed Consent; 
Institutional Review Boards

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing an 
opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(the PRA), Federal Agencies are required to publish notice in the 
Federal Register concerning each proposed collection of information, 
including each proposed extension of an existing collection of 
information, and to allow 60 days for public comment in response to the 
notice. This notice solicits comments on the collection of information 
related to certain regulations that provide protection for human 
subjects of clinical investigations conducted in support of 
applications or submissions to FDA for FDA-regulated products. The 
regulations provide protection of the rights, safety, and welfare of 
human subjects involved in research activities within FDA's 
jurisdiction.

DATES: Submit either electronic or written comments on the collection 
of information by September 19, 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-2013-N-0403 for ``Protection of Human Subjects; Informed Consent; 
Institutional Review Boards.'' 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

[[Page 46936]]

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.

FOR FURTHER INFORMATION CONTACT: FDA PRA Staff, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A63, 11601 
Landsdown St., North Bethesda, MD 20851, [email protected].

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), 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, including 
each proposed extension of an existing 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.

Protection of Human Subjects; Informed Consent; Institutional Review 
Boards--21 CFR Parts 50 and 56--OMB Control Number 0910-0755--Extension

    Part 50 (21 CFR part 50) applies to all clinical investigations 
regulated by FDA under sections 505(i) and 520(g) of the Federal Food, 
Drug, and Cosmetic Act (the FD&C Act) (21 U.S.C. 355(i) and 360j(g), 
respectively), as well as clinical investigations that support 
applications for research or marketing permits for products regulated 
by FDA, including foods and dietary supplements that bear a nutrient 
content claim or a health claim, infant formulas, food and color 
additives, drugs for human use, medical devices for human use, 
biological products for human use, and electronic products. Compliance 
with part 50 is intended to protect the rights and safety of subjects 
involved in investigations filed with FDA under sections 403, 406, 409, 
412, 413, 502, 503, 505, 510, 513-516, 518-520, 721, and 801 of the 
FD&C Act (21 U.S.C. 343, 346, 348, 350a, 350b, 352, 353, 355, 360, 
360c-360f, 360h-360j, 379e, and 381, respectively) and sections 351 and 
354-360F of the Public Health Service Act.
    With few exceptions, no investigator may involve a human being as a 
subject in FDA-regulated research unless the investigator has obtained 
the legally effective informed consent of the subject or the subject's 
legally authorized representative (see Sec.  50.20 (21 CFR 50.20)). In 
seeking informed consent, each subject must be provided with certain 
elements of informed consent. Those elements are listed in Sec.  50.25. 
Informed consent shall be documented in writing as described in Sec.  
50.27.
    An institutional review board (IRB) may approve emergency research 
without requiring the informed consent of all research subjects 
provided the IRB finds and documents that certain criteria are met as 
required in Sec.  50.24. We estimate that about eight times per year an 
IRB is requested to review emergency research under Sec.  50.24. We 
estimate, of the eight yearly requests for IRB review under Sec.  
50.24, a particular IRB will take about an hour during each of three 
separate fully convened IRB meetings to review the request under Sec.  
50.24 (one meeting occurring after community consultation). The total 
annual reporting burden for IRB review of emergency research under 
Sec.  50.24 is estimated at 24 hours (see table 1).
    The information requested in the regulations for exception from the 
general requirements for informed consent for medical devices (21 CFR 
812.47), and the information requested in the regulations for exception 
from the general requirements of informed consent in Sec.  50.23, 
paragraphs (a) through (c), and (e), is currently approved under OMB 
control number 0910-0586. The information requested in the 
investigational new drug (IND) regulations concerning exception from 
informed consent for emergency research under Sec.  50.24 is currently 
approved under OMB control number 0910-0014. In addition, the 
information requested in the regulations for IND safety reporting 
requirements for human drug and biological products and safety 
reporting requirements for bioavailability and bioequivalence studies 
in humans (21 CFR 320.31(d), and 21 CFR 312.32(c)(1)(ii) and (iv)) is 
currently approved under OMB control number 0910-0672.
    Some clinical investigations involving children, although otherwise 
not approvable, may present an opportunity to understand, prevent, or 
alleviate a serious problem affecting the health or welfare of children 
(see Sec.  50.54). Certain clinical investigations involving children 
may proceed if the IRB finds and documents that the clinical 
investigation presents a reasonable opportunity to further the 
understanding, prevention, or alleviation of a serious problem 
affecting the health or welfare of children and when the Commissioner 
of Food and Drugs, after consultation with a panel of experts in 
pertinent disciplines and following opportunity for public review and 
comment, makes a determination that certain conditions are met (see 
Sec.  50.54(b)).
    The information requested for clinical investigations in children 
of FDA-regulated products is covered by the collections of information 
in the IND regulations (part 312 (21 CFR part 312)), the 
investigational device exemption (IDE) regulations (part 812 (21 CFR 
part 812)), the IRB regulations (Sec.  56.115 (21 CFR 56.115)), the 
food additive petition and nutrient content claim petition regulations 
(21 CFR 101.69 and 101.70), and the infant formula regulations (parts 
106 and 107 (21 CFR parts 106 and 107)), all of which are approved by 
OMB. Specifically, the information

[[Page 46937]]

collected under the IND regulations is currently approved under OMB 
control number 0910-0014. The information collected under the IDE 
regulations is currently approved under OMB control number 0910-0078. 
The information collected under the IRB regulations is currently 
approved under OMB control number 0910-0130. The information collected 
in food additive and nutrient content claim petitions is currently 
approved under OMB control number 0910-0381 (general requirements) and 
0910-0016 (FDA Form 3503). The information collected under the infant 
formula regulations is currently approved under OMB control number 
0910-0256 (general requirements) and 0910-0188 (infant formula 
recalls).
    Part 56 (21 CFR part 56) contains the general standards for the 
composition, operation, and responsibility of an IRB that reviews 
clinical investigations regulated by FDA under sections 505(i) and 
520(g) of the FD&C Act, as well as clinical investigations that support 
applications for research or marketing permits for products regulated 
by FDA, including foods and dietary supplements that bear a nutrient 
content claim or a health claim, infant formulas, food and color 
additives, drugs for human use, medical devices for human use, 
biological products for human use, and electronic products. Compliance 
with part 56 is intended to protect the rights and welfare of human 
subjects involved in such investigations.
    The information collected under the IRB regulations ``Protection of 
Human Subjects--Recordkeeping and Reporting Requirements for 
Institutional Review Boards (part 56),'' including the information 
collection activities in the provisions in Sec.  56.108(a)(1) and (b), 
is currently approved under OMB control number 0910-0130. The 
information collected under the regulations for the registration of 
IRBs in Sec.  56.106 is currently approved under OMB control number 
0990-0279. The information collected for IRB review and approval for 
the IDE regulations (part 812) is currently approved under OMB control 
number 0910-0078. The information collected for premarket approval of 
medical devices (part 814 (21 CFR part 814)) is currently approved 
under OMB control number 0910-0231. The information collected under the 
regulations for IRB requirements for humanitarian use devices (part 
814, subpart H) is currently approved under OMB control number 0910-
0332. The information collected under the regulations for IRB review 
and approval of INDs (part 312) is currently approved under OMB control 
number 0910-0014.
    This collection of information is limited to certain provisions in 
part 50, subpart B (Informed Consent of Human Subjects), and part 56 
(Institutional Review Boards), currently approved under OMB control 
number 0910-0755.
    This proposed extension applies to the following collections of 
information in part 50: Sec. Sec.  50.24 (Exception from informed 
consent requirements for emergency research.), 50.25 (Elements of 
informed consent.), and 50.27 (Documentation of informed consent.).
    In part 56, this proposed extension applies to the following 
collections of information: Sec.  56.109(d) (written statement about 
research when documentation of informed consent is waived); Sec.  
56.109(e) (IRB written notification to approve or disapprove research); 
Sec.  56.109(f) (continuing review of research); Sec.  56.109(g) (IRB 
written statements to the sponsor about required public disclosures 
related to emergency research under Sec.  50.24); Sec.  56.113 
(Suspension or termination of IRB approval of research.); Sec.  
56.120(a) (IRB response to lesser administrative actions for 
noncompliance); and, Sec.  56.123 (Reinstatement of an IRB or an 
institution.).
    In Sec.  56.109(d), if an IRB has waived documentation of consent 
for research that (1) presents no more than minimal risk of harm to 
subjects and (2) involves no procedures for which consent is normally 
required outside of the research context, the IRB may nevertheless 
require the investigator to provide a written statement about the 
research to the subjects. We estimate that each IRB will review about 
two minimal risk FDA-regulated studies each year. Because the studies 
are minimal risk, the review can be fairly straightforward, and the 
written statement for the subjects would be brief. We estimate that IRB 
review of each written statement could be completed in less than 30 
minutes (0.5 hours).
    In Sec.  56.109(f), the amount of time an IRB spends on the 
continuing review of a particular study will vary depending on the 
nature and complexity of the research, the amount and type of new 
information presented to the IRB, and whether the investigator is 
seeking approval of substantive changes to the research protocol or 
informed consent document. For many studies, continuing review can be 
fairly straightforward, and the IRB should be able to complete its 
deliberations and approve the research within a brief period of time.
    In Sec.  56.109(g), an IRB is required to provide the sponsor of a 
study involving an exception from informed consent for emergency 
research under Sec.  50.24 with a written statement of information that 
has been publicly disclosed to the communities in which the 
investigation will be conducted and from which the subjects will be 
drawn. Public disclosure prior to initiation of the investigation would 
include the plans for the investigation and its risks and expected 
benefits. There must also be public disclosure of sufficient 
information following completion of the clinical investigation to 
apprise the community and researchers of the study, including the 
demographic characteristics of the research population, and its 
results. (See Sec.  50.24(a)(7)(ii) and (iii).) The purpose of the 
IRB's written statements is to make the sponsor aware that public 
disclosure has occurred, so that the sponsor can provide copies of the 
information that has been disclosed to FDA, as required by 21 CFR 
312.54(a) and 812.47(a).
    We estimate that about eight requests to review emergency research 
under Sec.  50.24 are submitted each year, and the IRBs that review 
those studies would prepare two public disclosure reports: One prior to 
initiation of the research and one following the study's completion. We 
estimate that it will take an IRB approximately 1 hour to prepare a 
written statement to the study sponsor describing each public 
disclosure, for a total of 2 hours per study. The total annual third 
party disclosure burden for IRBs to fulfill this requirement related to 
emergency research under Sec.  50.24 is estimated at 16 hours (see 
table 2).
    When an IRB or institution violates the regulations, FDA issues to 
the IRB or institution a noncompliance letter (see Sec.  56.120(a)). 
The IRB or institution must respond to the noncompliance letter 
describing the corrective actions that will be taken by the IRB or 
institution. FDA estimates about seven IRBs or institutions will be 
issued a noncompliance letter annually. We estimate that the IRB's or 
institution's response will take about 10 hours to prepare, with an 
estimated total annual burden of 70 hours.
    In 2016, FDA disqualified one IRB under Sec.  56.121. To date, no 
IRB or institution has been reinstated or applied for reinstatement 
under Sec.  56.123. For this reason, we estimate the annual reporting 
burden for one respondent only. We estimate a 5-hour burden per 
response, with an estimated total annual burden of 5 hours.
    The regulatory provisions in parts 50 and 56 currently approved 
under this collection of information, OMB control number 0910-0755, and 
for which this extension is requested, are shown in table 1.

[[Page 46938]]

    FDA estimates the burden of this collection of information as 
follows:

                                 Table 1--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of                        Average
         21 CFR Section              Number of     responses per   Total annual     burden per      Total hours
                                    respondents     respondent       responses       response
----------------------------------------------------------------------------------------------------------------
56.109(d) Written statement                2,520               2           5,040             0.5           2,520
 about minimal risk research                                                        (30 minutes)
 when documentation of informed
 consent is waived..............
56.109(e) IRB written                      2,520              40         100,800               1         100,800
 notification to approve or
 disapprove research; 56.109(f)
 Continuing review; 50.25
 Elements of informed consent;
 and 50.27 Documentation of
 informed consent...............
50.24 Exception from informed                  8               3              24               1              24
 consent requirements for
 emergency research.............
56.113 Suspension or termination           2,520               1           2,520             0.5           1,260
 of IRB approval of research....                                                    (30 minutes)
56.120(a) IRB response to lesser               7               1               7              10              70
 administrative actions for
 noncompliance..................
56.123 Reinstatement of an IRB                 1               1               1               5               5
 or an institution..............
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    1Total......................  ..............  ..............  ..............  ..............         104,679
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


                                               Table 2--Estimated Annual Third-Party Disclosure Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                         Number of
                           21 CFR Section                               Number of     disclosures per    Total annual   Average  burden    Total hours
                                                                       respondents       respondent      disclosures    per  disclosure
--------------------------------------------------------------------------------------------------------------------------------------------------------
56.109(g) IRB written statement about public disclosures to sponsor               8                2               16                1               16
 of emergency research under 50.24.................................
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.


    Dated: July 13, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-17016 Filed 7-18-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                  Federal Register / Vol. 81, No. 138 / Tuesday, July 19, 2016 / Notices                                          46935

                                                  adjustment provisions with an annual                     meeting and workshop on a first-come,                 www.regulations.gov will be posted to
                                                  operating reserve adjustment to provide                  first-served basis.                                   the docket unchanged. Because your
                                                  for adequate carryover resources.                           Transcripts: As soon as a transcript is            comment will be made public, you are
                                                                                                           available, FDA will post it at http://                solely responsible for ensuring that your
                                                  J. Impact of PDUFA VI Enhancements
                                                                                                           www.fda.gov/ForIndustry/UserFees/                     comment does not include any
                                                  on User Fee Revenue                                                                                            confidential information that you or a
                                                                                                           PrescriptionDrugUserFee/
                                                     To implement the proposed                             ucm446608.htm.                                        third party may not wish to be posted,
                                                  enhancements for PDUFA VI, funding                         Dated: July 13, 2016.                               such as medical information, your or
                                                  for a cumulative total of 230 FTE staff                  Leslie Kux,
                                                                                                                                                                 anyone else’s Social Security number, or
                                                  is proposed to be phased in over the                                                                           confidential business information, such
                                                                                                           Associate Commissioner for Policy.
                                                  course of PDUFA VI. The new funding                                                                            as a manufacturing process. Please note
                                                  will be phased in as follows:                            [FR Doc. 2016–16916 Filed 7–15–16; 4:15 pm]           that if you include your name, contact
                                                  • $20,077,793 for FY 2018
                                                                                                           BILLING CODE 4164–01–P                                information, or other information that
                                                  • $21,317,472 for FY 2019                                                                                      identifies you in the body of your
                                                  • $16,953,329 for FY 2020                                                                                      comments, that information will be
                                                                                                           DEPARTMENT OF HEALTH AND                              posted on http://www.regulations.gov.
                                                  • $5,426,896 for FY 2021                                 HUMAN SERVICES
                                                  • $2,769,609 for FY 2022                                                                                         • If you want to submit a comment
                                                                                                                                                                 with confidential information that you
                                                     In addition, $8.73 million will be                    Food and Drug Administration                          do not wish to be made available to the
                                                  added in FY 2018 to provide for other
                                                                                                           [Docket No. FDA–2013–N–0403]                          public, submit the comment as a
                                                  additional direct costs associated with
                                                                                                                                                                 written/paper submission and in the
                                                  the PDUFA VI enhancements. This                          Agency Information Collection                         manner detailed (see ‘‘Written/Paper
                                                  amount will be included for FYs 2019                     Activities; Proposed Collection;                      Submissions’’ and ‘‘Instructions’’).
                                                  through 2022 after being adjusted for                    Comment Request; Protection of
                                                  inflation.                                               Human Subjects: Informed Consent;                     Written/Paper Submissions
                                                  IV. Purpose and Scope of the Meeting                     Institutional Review Boards                              Submit written/paper submissions as
                                                                                                                                                                 follows:
                                                     If you wish to attend this meeting,                   AGENCY:    Food and Drug Administration,                 • Mail/Hand delivery/Courier (for
                                                  visit http://                                            HHS.                                                  written/paper submissions): Division of
                                                  pdufareauthorization.eventbrite.com.                     ACTION:   Notice.                                     Dockets Management (HFA–305), Food
                                                  Please register by August 8, 2016. If you                                                                      and Drug Administration, 5630 Fishers
                                                  are unable to attend the meeting in                      SUMMARY:    The Food and Drug
                                                                                                                                                                 Lane, Rm. 1061, Rockville, MD 20852.
                                                  person, you can register to view a live                  Administration (FDA) is announcing an                    • For written/paper comments
                                                  Webcast of the meeting. You will be                      opportunity for public comment on the                 submitted to the Division of Dockets
                                                  asked to indicate in your registration if                proposed collection of certain                        Management, FDA will post your
                                                  you plan to attend in person or via the                  information by the Agency. Under the                  comment, as well as any attachments,
                                                  Webcast. Seating will be limited, so                     Paperwork Reduction Act of 1995 (the                  except for information submitted,
                                                  early registration is recommended.                       PRA), Federal Agencies are required to                marked and identified, as confidential,
                                                  Registration is free and will be on a first-             publish notice in the Federal Register                if submitted as detailed in
                                                  come, first-served basis. However, FDA                   concerning each proposed collection of                ‘‘Instructions.’’
                                                  may limit the number of participants                     information, including each proposed                     Instructions: All submissions received
                                                  from each organization based on space                    extension of an existing collection of                must include the Docket No. FDA–
                                                  limitations. Registrants will receive                    information, and to allow 60 days for                 2013–N–0403 for ‘‘Protection of Human
                                                  confirmation once they have been                         public comment in response to the                     Subjects; Informed Consent;
                                                  accepted. Onsite registration on the day                 notice. This notice solicits comments on              Institutional Review Boards.’’ Received
                                                  of the meeting will be based on space                    the collection of information related to              comments will be placed in the docket
                                                  availability. If you need special                        certain regulations that provide                      and, except for those submitted as
                                                  accommodations because of a disability,                  protection for human subjects of clinical             ‘‘Confidential Submissions,’’ publicly
                                                  please contact Graham Thompson (see                      investigations conducted in support of                viewable at http://www.regulations.gov
                                                  FOR FURTHER INFORMATION CONTACT) at                      applications or submissions to FDA for                or at the Division of Dockets
                                                  least 7 days before the meeting.                         FDA-regulated products. The                           Management between 9 a.m. and 4 p.m.,
                                                     The meeting will include a                            regulations provide protection of the                 Monday through Friday.
                                                  presentation by FDA and a series of                      rights, safety, and welfare of human                     • Confidential Submissions—To
                                                  invited panels representing different                    subjects involved in research activities              submit a comment with confidential
                                                  stakeholder groups identified in the                     within FDA’s jurisdiction.                            information that you do not wish to be
                                                  statute (such as patient advocacy                        DATES: Submit either electronic or                    made publicly available, submit your
                                                  groups, consumer advocacy groups,                        written comments on the collection of                 comments only as a written/paper
                                                  health professionals, and regulated                      information by September 19, 2016.                    submission. You should submit two
                                                  industry). We will also provide an                       ADDRESSES: You may submit comments                    copies total. One copy will include the
                                                  opportunity for other organizations and                  as follows:                                           information you claim to be confidential
                                                  individuals to make presentations at the                                                                       with a heading or cover note that states
                                                  meeting or to submit written comments                    Electronic Submissions                                ‘‘THIS DOCUMENT CONTAINS
mstockstill on DSK3G9T082PROD with NOTICES




                                                  to the docket before the meeting.                          Submit electronic comments in the                   CONFIDENTIAL INFORMATION.’’ The
                                                     FDA will also hold an open public                     following way:                                        Agency will review this copy, including
                                                  comment period at the meeting to give                      • Federal eRulemaking Portal: http://               the claimed confidential information, in
                                                  the public an opportunity to present                     www.regulations.gov. Follow the                       its consideration of comments. The
                                                  their comments. Registration for open                    instructions for submitting comments.                 second copy, which will have the
                                                  public comment will occur at the                         Comments submitted electronically,                    claimed confidential information
                                                  registration desk on the day of the                      including attachments, to http://                     redacted/blacked out, will be available


                                             VerDate Sep<11>2014   19:39 Jul 18, 2016   Jkt 238001   PO 00000   Frm 00050   Fmt 4703   Sfmt 4703   E:\FR\FM\19JYN1.SGM   19JYN1


                                                  46936                           Federal Register / Vol. 81, No. 138 / Tuesday, July 19, 2016 / Notices

                                                  for public viewing and posted on http://                 utility; (2) the accuracy of FDA’s                    of three separate fully convened IRB
                                                  www.regulations.gov. Submit both                         estimate of the burden of the proposed                meetings to review the request under
                                                  copies to the Division of Dockets                        collection of information, including the              § 50.24 (one meeting occurring after
                                                  Management. If you do not wish your                      validity of the methodology and                       community consultation). The total
                                                  name and contact information to be                       assumptions used; (3) ways to enhance                 annual reporting burden for IRB review
                                                  made publicly available, you can                         the quality, utility, and clarity of the              of emergency research under § 50.24 is
                                                  provide this information on the cover                    information to be collected; and (4)                  estimated at 24 hours (see table 1).
                                                  sheet and not in the body of your                        ways to minimize the burden of the                       The information requested in the
                                                  comments and you must identify this                      collection of information on                          regulations for exception from the
                                                  information as ‘‘confidential.’’ Any                     respondents, including through the use                general requirements for informed
                                                  information marked as ‘‘confidential’’                   of automated collection techniques,                   consent for medical devices (21 CFR
                                                  will not be disclosed except in                          when appropriate, and other forms of                  812.47), and the information requested
                                                  accordance with 21 CFR 10.20 and other                   information technology.                               in the regulations for exception from the
                                                  applicable disclosure law. For more                                                                            general requirements of informed
                                                                                                           Protection of Human Subjects; Informed                consent in § 50.23, paragraphs (a)
                                                  information about FDA’s posting of                       Consent; Institutional Review Boards—
                                                  comments to public dockets, see 80 FR                                                                          through (c), and (e), is currently
                                                                                                           21 CFR Parts 50 and 56—OMB Control                    approved under OMB control number
                                                  56469, September 18, 2015, or access                     Number 0910–0755—Extension
                                                  the information at: http://www.fda.gov/                                                                        0910–0586. The information requested
                                                  regulatoryinformation/dockets/                              Part 50 (21 CFR part 50) applies to all            in the investigational new drug (IND)
                                                  default.htm.                                             clinical investigations regulated by FDA              regulations concerning exception from
                                                     Docket: For access to the docket to                   under sections 505(i) and 520(g) of the               informed consent for emergency
                                                  read background documents or the                         Federal Food, Drug, and Cosmetic Act                  research under § 50.24 is currently
                                                  electronic and written/paper comments                    (the FD&C Act) (21 U.S.C. 355(i) and                  approved under OMB control number
                                                  received, go to http://                                  360j(g), respectively), as well as clinical           0910–0014. In addition, the information
                                                  www.regulations.gov and insert the                       investigations that support applications              requested in the regulations for IND
                                                  docket number, found in brackets in the                  for research or marketing permits for                 safety reporting requirements for human
                                                  heading of this document, into the                       products regulated by FDA, including                  drug and biological products and safety
                                                  ‘‘Search’’ box and follow the prompts                    foods and dietary supplements that bear               reporting requirements for
                                                  and/or go to the Division of Dockets                     a nutrient content claim or a health                  bioavailability and bioequivalence
                                                  Management, 5630 Fishers Lane, Rm.                       claim, infant formulas, food and color                studies in humans (21 CFR 320.31(d),
                                                  1061, Rockville, MD 20852.                               additives, drugs for human use, medical               and 21 CFR 312.32(c)(1)(ii) and (iv)) is
                                                                                                           devices for human use, biological                     currently approved under OMB control
                                                  FOR FURTHER INFORMATION CONTACT: FDA
                                                                                                           products for human use, and electronic                number 0910–0672.
                                                  PRA Staff, Office of Operations, Food                    products. Compliance with part 50 is                     Some clinical investigations involving
                                                  and Drug Administration, Three White                     intended to protect the rights and safety             children, although otherwise not
                                                  Flint North, 10A63, 11601 Landsdown                      of subjects involved in investigations                approvable, may present an opportunity
                                                  St., North Bethesda, MD 20851,                           filed with FDA under sections 403, 406,               to understand, prevent, or alleviate a
                                                  PRAStaff@fda.hhs.gov.                                    409, 412, 413, 502, 503, 505, 510, 513–               serious problem affecting the health or
                                                  SUPPLEMENTARY INFORMATION: Under the                     516, 518–520, 721, and 801 of the FD&C                welfare of children (see § 50.54). Certain
                                                  PRA (44 U.S.C. 3501–3520), Federal                       Act (21 U.S.C. 343, 346, 348, 350a, 350b,             clinical investigations involving
                                                  Agencies must obtain approval from the                   352, 353, 355, 360, 360c–360f, 360h–                  children may proceed if the IRB finds
                                                  Office of Management and Budget                          360j, 379e, and 381, respectively) and                and documents that the clinical
                                                  (OMB) for each collection of                             sections 351 and 354–360F of the Public               investigation presents a reasonable
                                                  information they conduct or sponsor.                     Health Service Act.                                   opportunity to further the
                                                  ‘‘Collection of information’’ is defined                    With few exceptions, no investigator               understanding, prevention, or
                                                  in 44 U.S.C. 3502(3) and 5 CFR                           may involve a human being as a subject                alleviation of a serious problem
                                                  1320.3(c) and includes Agency requests                   in FDA-regulated research unless the                  affecting the health or welfare of
                                                  or requirements that members of the                      investigator has obtained the legally                 children and when the Commissioner of
                                                  public submit reports, keep records, or                  effective informed consent of the subject             Food and Drugs, after consultation with
                                                  provide information to a third party.                    or the subject’s legally authorized                   a panel of experts in pertinent
                                                  Section 3506(c)(2)(A) of the PRA (44                     representative (see § 50.20 (21 CFR                   disciplines and following opportunity
                                                  U.S.C. 3506(c)(2)(A)) requires Federal                   50.20)). In seeking informed consent,                 for public review and comment, makes
                                                  Agencies to provide a 60-day notice in                   each subject must be provided with                    a determination that certain conditions
                                                  the Federal Register concerning each                     certain elements of informed consent.                 are met (see § 50.54(b)).
                                                  proposed collection of information,                      Those elements are listed in § 50.25.                    The information requested for clinical
                                                  including each proposed extension of an                  Informed consent shall be documented                  investigations in children of FDA-
                                                  existing collection of information,                      in writing as described in § 50.27.                   regulated products is covered by the
                                                  before submitting the collection to OMB                     An institutional review board (IRB)                collections of information in the IND
                                                  for approval. To comply with this                        may approve emergency research                        regulations (part 312 (21 CFR part 312)),
                                                  requirement, FDA is publishing notice                    without requiring the informed consent                the investigational device exemption
                                                  of the proposed collection of                            of all research subjects provided the IRB             (IDE) regulations (part 812 (21 CFR part
                                                  information set forth in this document.                  finds and documents that certain                      812)), the IRB regulations (§ 56.115 (21
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                                                     With respect to the following                         criteria are met as required in § 50.24.              CFR 56.115)), the food additive petition
                                                  collection of information, FDA invites                   We estimate that about eight times per                and nutrient content claim petition
                                                  comments on these topics: (1) Whether                    year an IRB is requested to review                    regulations (21 CFR 101.69 and 101.70),
                                                  the proposed collection of information                   emergency research under § 50.24. We                  and the infant formula regulations (parts
                                                  is necessary for the proper performance                  estimate, of the eight yearly requests for            106 and 107 (21 CFR parts 106 and
                                                  of FDA’s functions, including whether                    IRB review under § 50.24, a particular                107)), all of which are approved by
                                                  the information will have practical                      IRB will take about an hour during each               OMB. Specifically, the information


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                                                                                  Federal Register / Vol. 81, No. 138 / Tuesday, July 19, 2016 / Notices                                            46937

                                                  collected under the IND regulations is                      This collection of information is                  a written statement of information that
                                                  currently approved under OMB control                     limited to certain provisions in part 50,             has been publicly disclosed to the
                                                  number 0910–0014. The information                        subpart B (Informed Consent of Human                  communities in which the investigation
                                                  collected under the IDE regulations is                   Subjects), and part 56 (Institutional                 will be conducted and from which the
                                                  currently approved under OMB control                     Review Boards), currently approved                    subjects will be drawn. Public
                                                  number 0910–0078. The information                        under OMB control number 0910–0755.                   disclosure prior to initiation of the
                                                  collected under the IRB regulations is                      This proposed extension applies to                 investigation would include the plans
                                                  currently approved under OMB control                     the following collections of information              for the investigation and its risks and
                                                  number 0910–0130. The information                        in part 50: §§ 50.24 (Exception from                  expected benefits. There must also be
                                                  collected in food additive and nutrient                  informed consent requirements for                     public disclosure of sufficient
                                                  content claim petitions is currently                     emergency research.), 50.25 (Elements                 information following completion of the
                                                  approved under OMB control number                        of informed consent.), and 50.27                      clinical investigation to apprise the
                                                  0910–0381 (general requirements) and                     (Documentation of informed consent.).                 community and researchers of the
                                                  0910–0016 (FDA Form 3503). The                              In part 56, this proposed extension                study, including the demographic
                                                  information collected under the infant                   applies to the following collections of               characteristics of the research
                                                  formula regulations is currently                         information: § 56.109(d) (written                     population, and its results. (See
                                                  approved under OMB control number                        statement about research when                         § 50.24(a)(7)(ii) and (iii).) The purpose
                                                  0910–0256 (general requirements) and                     documentation of informed consent is                  of the IRB’s written statements is to
                                                  0910–0188 (infant formula recalls).                      waived); § 56.109(e) (IRB written                     make the sponsor aware that public
                                                     Part 56 (21 CFR part 56) contains the                 notification to approve or disapprove                 disclosure has occurred, so that the
                                                  general standards for the composition,                   research); § 56.109(f) (continuing review             sponsor can provide copies of the
                                                                                                           of research); § 56.109(g) (IRB written                information that has been disclosed to
                                                  operation, and responsibility of an IRB
                                                                                                           statements to the sponsor about required              FDA, as required by 21 CFR 312.54(a)
                                                  that reviews clinical investigations
                                                                                                           public disclosures related to emergency               and 812.47(a).
                                                  regulated by FDA under sections 505(i)
                                                                                                           research under § 50.24); § 56.113                        We estimate that about eight requests
                                                  and 520(g) of the FD&C Act, as well as
                                                                                                           (Suspension or termination of IRB                     to review emergency research under
                                                  clinical investigations that support
                                                                                                           approval of research.); § 56.120(a) (IRB              § 50.24 are submitted each year, and the
                                                  applications for research or marketing
                                                                                                           response to lesser administrative actions             IRBs that review those studies would
                                                  permits for products regulated by FDA,
                                                                                                           for noncompliance); and, § 56.123                     prepare two public disclosure reports:
                                                  including foods and dietary
                                                                                                           (Reinstatement of an IRB or an                        One prior to initiation of the research
                                                  supplements that bear a nutrient content
                                                                                                           institution.).                                        and one following the study’s
                                                  claim or a health claim, infant formulas,                   In § 56.109(d), if an IRB has waived               completion. We estimate that it will take
                                                  food and color additives, drugs for                      documentation of consent for research                 an IRB approximately 1 hour to prepare
                                                  human use, medical devices for human                     that (1) presents no more than minimal                a written statement to the study sponsor
                                                  use, biological products for human use,                  risk of harm to subjects and (2) involves             describing each public disclosure, for a
                                                  and electronic products. Compliance                      no procedures for which consent is                    total of 2 hours per study. The total
                                                  with part 56 is intended to protect the                  normally required outside of the                      annual third party disclosure burden for
                                                  rights and welfare of human subjects                     research context, the IRB may                         IRBs to fulfill this requirement related to
                                                  involved in such investigations.                         nevertheless require the investigator to              emergency research under § 50.24 is
                                                     The information collected under the                   provide a written statement about the                 estimated at 16 hours (see table 2).
                                                  IRB regulations ‘‘Protection of Human                    research to the subjects. We estimate                    When an IRB or institution violates
                                                  Subjects—Recordkeeping and Reporting                     that each IRB will review about two                   the regulations, FDA issues to the IRB
                                                  Requirements for Institutional Review                    minimal risk FDA-regulated studies                    or institution a noncompliance letter
                                                  Boards (part 56),’’ including the                        each year. Because the studies are                    (see § 56.120(a)). The IRB or institution
                                                  information collection activities in the                 minimal risk, the review can be fairly                must respond to the noncompliance
                                                  provisions in § 56.108(a)(1) and (b), is                 straightforward, and the written                      letter describing the corrective actions
                                                  currently approved under OMB control                     statement for the subjects would be                   that will be taken by the IRB or
                                                  number 0910–0130. The information                        brief. We estimate that IRB review of                 institution. FDA estimates about seven
                                                  collected under the regulations for the                  each written statement could be                       IRBs or institutions will be issued a
                                                  registration of IRBs in § 56.106 is                      completed in less than 30 minutes (0.5                noncompliance letter annually. We
                                                  currently approved under OMB control                     hours).                                               estimate that the IRB’s or institution’s
                                                  number 0990–0279. The information                           In § 56.109(f), the amount of time an              response will take about 10 hours to
                                                  collected for IRB review and approval                    IRB spends on the continuing review of                prepare, with an estimated total annual
                                                  for the IDE regulations (part 812) is                    a particular study will vary depending                burden of 70 hours.
                                                  currently approved under OMB control                     on the nature and complexity of the                      In 2016, FDA disqualified one IRB
                                                  number 0910–0078. The information                        research, the amount and type of new                  under § 56.121. To date, no IRB or
                                                  collected for premarket approval of                      information presented to the IRB, and                 institution has been reinstated or
                                                  medical devices (part 814 (21 CFR part                   whether the investigator is seeking                   applied for reinstatement under
                                                  814)) is currently approved under OMB                    approval of substantive changes to the                § 56.123. For this reason, we estimate
                                                  control number 0910–0231. The                            research protocol or informed consent                 the annual reporting burden for one
                                                  information collected under the                          document. For many studies, continuing                respondent only. We estimate a 5-hour
                                                  regulations for IRB requirements for                     review can be fairly straightforward, and             burden per response, with an estimated
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                                                  humanitarian use devices (part 814,                      the IRB should be able to complete its                total annual burden of 5 hours.
                                                  subpart H) is currently approved under                   deliberations and approve the research                   The regulatory provisions in parts 50
                                                  OMB control number 0910–0332. The                        within a brief period of time.                        and 56 currently approved under this
                                                  information collected under the                             In § 56.109(g), an IRB is required to              collection of information, OMB control
                                                  regulations for IRB review and approval                  provide the sponsor of a study involving              number 0910–0755, and for which this
                                                  of INDs (part 312) is currently approved                 an exception from informed consent for                extension is requested, are shown in
                                                  under OMB control number 0910–0014.                      emergency research under § 50.24 with                 table 1.


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                                                  46938                                      Federal Register / Vol. 81, No. 138 / Tuesday, July 19, 2016 / Notices

                                                    FDA estimates the burden of this
                                                  collection of information as follows:

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

                                                  56.109(d) Written statement about minimal risk research
                                                    when documentation of informed consent is waived .......                                                   2,520                             2                   5,040                   0.5                     2,520
                                                                                                                                                                                                                                    (30 minutes)
                                                  56.109(e) IRB written notification to approve or disapprove
                                                    research; 56.109(f) Continuing review; 50.25 Elements
                                                    of informed consent; and 50.27 Documentation of in-
                                                    formed consent .................................................................                           2,520                          40                100,800                                1        100,800
                                                  50.24 Exception from informed consent requirements for
                                                    emergency research .........................................................                                     8                           3                        24                           1               24
                                                  56.113 Suspension or termination of IRB approval of re-
                                                    search ...............................................................................                     2,520                             1                   2,520                   0.5                     1,260
                                                                                                                                                                                                                                    (30 minutes)
                                                  56.120(a) IRB response to lesser administrative actions
                                                    for noncompliance ............................................................                                   7                           1                         7                         10                70
                                                  56.123 Reinstatement of an IRB or an institution ...............                                                   1                           1                         1                          5                 5

                                                         Total ..............................................................................   ........................   ........................   ........................   ........................       104,679
                                                     1   There are no capital costs or operating and maintenance costs associated with this collection of information.

                                                                                                   TABLE 2—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
                                                                                                                                                                             Number of                                               Average
                                                                                                                                                  Number of                  disclosures               Total annual
                                                                                   21 CFR Section                                                                                                                                   burden per              Total hours
                                                                                                                                                 respondents                     per                   disclosures                  disclosure
                                                                                                                                                                             respondent

                                                  56.109(g) IRB written statement about public disclosures
                                                    to sponsor of emergency research under 50.24 ..............                                           8                          2                         16                          1                    16
                                                     1   There are no capital costs or operating and maintenance costs associated with this collection of information.


                                                    Dated: July 13, 2016.                                                     Questions and Answers’’ (E2C(R2) Q&A                                        Electronic Submissions
                                                  Leslie Kux,                                                                 guidance). These guidances were                                               Submit electronic comments in the
                                                  Associate Commissioner for Policy.                                          prepared under the auspices of the                                          following way:
                                                  [FR Doc. 2016–17016 Filed 7–18–16; 8:45 am]                                 International Council for Harmonisation                                       • Federal eRulemaking Portal: http://
                                                  BILLING CODE 4164–01–P                                                      (ICH), formerly the International                                           www.regulations.gov. Follow the
                                                                                                                              Conference on Harmonisation. The                                            instructions for submitting comments.
                                                                                                                              E2C(R2) draft guidance, issued April 11,                                    Comments submitted electronically,
                                                  DEPARTMENT OF HEALTH AND                                                    2012, updated and combined two ICH                                          including attachments, to http://
                                                  HUMAN SERVICES                                                              guidances, ‘‘E2C Clinical Safety Data                                       www.regulations.gov will be posted to
                                                                                                                              Management: Periodic Safety Update                                          the docket unchanged. Because your
                                                  Food and Drug Administration                                                Reports for Marketed Drugs’’ (E2C                                           comment will be made public, you are
                                                  [Docket No. FDA–2012–D–0315]                                                guidance) and ‘‘Addendum to E2C                                             solely responsible for ensuring that your
                                                                                                                              Clinical Safety Data Management:                                            comment does not include any
                                                  E2C(R2) Periodic Benefit-Risk                                               Periodic Safety Update Reports for                                          confidential information that you or a
                                                  Evaluation Report and E2C(R2)                                               Marketed Drugs’’ (addendum to the E2C                                       third party may not wish to be posted,
                                                  Periodic Benefit-Risk Evaluation                                            guidance). The E2C(R2) guidance is                                          such as medical information, your or
                                                  Report—Questions and Answers;                                               intended to describe the format, content,                                   anyone else’s Social Security number, or
                                                  International Council for                                                   and timing of a Periodic Benefit-Risk                                       confidential business information, such
                                                  Harmonisation; Guidances for                                                Evaluation Report (PBRER) for an                                            as a manufacturing process. Please note
                                                  Industry; Availability                                                      approved drug or biologic, and it                                           that if you include your name, contact
                                                  AGENCY:        Food and Drug Administration,                                finalizes the draft guidance. The                                           information, or other information that
                                                  HHS.                                                                        E2C(R2) Q&A guidance is a                                                   identifies you in the body of your
                                                                                                                              supplementary guidance that is                                              comments, that information will be
                                                  ACTION:       Notice.
                                                                                                                              intended to clarify key issues in the                                       posted on http://www.regulations.gov.
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                                                  SUMMARY:   The Food and Drug                                                E2C(R2) guidance.                                                             • If you want to submit a comment
                                                  Administration (FDA or Agency) is                                                                                                                       with confidential information that you
                                                                                                                              DATES:  Submit either electronic or
                                                  announcing the availability of guidances                                                                                                                do not wish to be made available to the
                                                                                                                              written comments on Agency guidances
                                                  for industry entitled ‘‘E2C(R2) Periodic                                                                                                                public, submit the comment as a
                                                                                                                              at any time.
                                                  Benefit-Risk Evaluation’’ (E2C(R2)                                                                                                                      written/paper submission and in the
                                                  guidance) and ‘‘E2C(R2) Periodic                                            ADDRESSES:           You may submit comments                                manner detailed (see ‘‘Written/Paper
                                                  Benefit-Risk Evaluation Report—                                             as follows:                                                                 Submissions’’ and ‘‘Instructions’’).


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Document Created: 2016-07-19 01:11:07
Document Modified: 2016-07-19 01:11:07
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.
DatesSubmit either electronic or written comments on the collection of information by September 19, 2016.
ContactFDA PRA Staff, Office of Operations, Food and Drug Administration, Three White Flint North, 10A63, 11601 Landsdown St., North Bethesda, MD 20851, [email protected]
FR Citation81 FR 46935 

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