81_FR_53642 81 FR 53486 - Dietary Supplements: New Dietary Ingredient Notifications and Related Issues; Revised Draft Guidance for Industry; Availability

81 FR 53486 - Dietary Supplements: New Dietary Ingredient Notifications and Related Issues; Revised Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 156 (August 12, 2016)

Page Range53486-53489
FR Document2016-19306

The Food and Drug Administration (FDA or we) is announcing the issuance of a revised draft guidance for industry entitled ``Dietary Supplements: New Dietary Ingredient Notifications and Related Issues.'' The revised draft guidance supersedes FDA's July 2011 draft guidance on the same topic. The revised draft guidance, when finalized, will help industry in evaluating whether to submit a premarket safety notification for a new dietary ingredient (NDI), or for a dietary supplement containing an NDI, and in preparing such premarket safety notifications (also referred to as NDI notifications).

Federal Register, Volume 81 Issue 156 (Friday, August 12, 2016)
[Federal Register Volume 81, Number 156 (Friday, August 12, 2016)]
[Notices]
[Pages 53486-53489]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-19306]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2011-D-0376]


Dietary Supplements: New Dietary Ingredient Notifications and 
Related Issues; Revised Draft Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or we) is announcing the 
issuance of a revised draft guidance for industry entitled ``Dietary 
Supplements: New Dietary Ingredient Notifications and Related Issues.'' 
The revised draft guidance supersedes FDA's July 2011 draft guidance on 
the same topic. The revised draft guidance, when finalized, will help 
industry in evaluating whether to submit a premarket safety 
notification for a new dietary ingredient (NDI), or for a dietary 
supplement containing an NDI, and in preparing such premarket safety 
notifications (also referred to as NDI notifications).

DATES: Although you may comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that FDA considers your comment on the draft 
guidance before we begin work on the final version of the guidance, 
submit either electronic or written comments on the draft guidance by 
October 11, 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.

[[Page 53487]]

     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-2011-D-0376 for ``Dietary Supplements: New Dietary Ingredient 
Notifications and Related Issues; Revised Draft Guidance for 
Industry.'' Received comments will be placed in the docket and, except 
for those submitted as ``Confidential Submissions,'' publicly viewable 
at http://www.regulations.gov or at the Division of Dockets Management 
between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    Submit written requests for single copies of the draft guidance to 
the Division of Dietary Supplement Programs, Center for Food Safety and 
Applied Nutrition (HFS-810), Food and Drug Administration, 5001 Campus 
Drive, College Park, MD 20740. Send one self-addressed adhesive label 
to assist that office in processing your requests. See the 
SUPPLEMENTARY INFORMATION section for electronic access to the draft 
guidance.

FOR FURTHER INFORMATION CONTACT: Ali Abdel-Rahman, Center for Food 
Safety and Applied Nutrition (HFS-810), Food and Drug Administration, 
5001 Campus Dr., College Park, MD 20740, 240-402-1853.

SUPPLEMENTARY INFORMATION:

I. Background

    We are announcing the availability of a revised draft guidance for 
industry entitled ``Dietary Supplements: New Dietary Ingredient 
Notifications and Related Issues.'' This draft guidance supersedes the 
July 2011 draft guidance on this topic (76 FR 39111; July 5, 2011) and 
is being issued consistent with our good guidance practices regulation 
(21 CFR 10.115). The draft guidance, when finalized, will represent our 
current thinking on this topic. It will not create or confer any rights 
for or on any person and will not operate to bind FDA or the public. An 
alternative approach may be used if such approach satisfies the 
requirements of the applicable statutes and regulations.
    On October 25, 1994, the Dietary Supplement Health and Education 
Act of 1994 (DSHEA) (Pub. L. 103-417) was signed into law. DSHEA 
amended the Federal Food, Drug, and Cosmetic Act (the FD&C Act) by 
adding, among other provisions: (1) Section 201(ff) (21 U.S.C. 
321(ff)), which defines the term ``dietary supplement'' and (2) section 
413 (21 U.S.C. 350b), which describes requirements for NDIs. Among 
other things, section 413 of the FD&C Act requires the manufacturer or 
distributor of an NDI, or of a dietary supplement containing the NDI, 
to submit a premarket notification to FDA (as delegate for the 
Secretary of Health and Human Services) at least 75 days before 
introducing the NDI or dietary supplement into interstate commerce, 
unless the NDI and any other ingredients in the dietary supplement have 
been present in the food supply as an article used for food in a form 
in which the food has not been chemically altered (21 U.S.C. 
350b(a)(1)). The notification must contain the information, including 
any citation to published articles, which is the manufacturer or 
distributor's basis for concluding that a dietary supplement containing 
the NDI will reasonably be expected to be safe.
    This draft guidance has several purposes. First, it is intended to 
help dietary supplement manufacturers and distributors decide whether 
to submit an NDI notification. In addition, the draft guidance is 
intended to provide recommendations on how to conduct a safety 
assessment for an NDI notification and what to include in the 
notification. In question and answer form, the draft guidance presents 
FDA's views on what qualifies as an NDI; when an NDI notification is 
required; the procedures for submitting an NDI notification; the types 
of data and information that manufacturers and distributors should 
consider when evaluating the safety of a dietary supplement containing 
an NDI; and what should be included in an NDI notification. In 
addition, the draft guidance contains questions and answers about parts 
of the dietary supplement definition (section 201(ff) of the FD&C Act) 
that can affect whether a particular substance may be marketed as a 
dietary ingredient in a dietary supplement.
    We issued the original version of this draft guidance in the 
Federal Register of July 5, 2011 (the 2011 draft guidance). We gave 
interested parties an opportunity to submit comments by October 3, 
2011. In the Federal Register of September 9, 2011 (76 FR 55927), we 
extended the comment period to December 2, 2011. We received numerous 
comments on the 2011 draft guidance.
    Based on those comments and on meetings with industry and other 
stakeholders, we realized that the 2011 draft guidance contained gaps 
and unclear statements that were subject to confusion and 
misinterpretation. Therefore, we decided to clarify and better explain 
our thinking on some critical issues, in addition to explaining their 
public health significance, and to

[[Page 53488]]

request additional comments on these issues before publishing a final 
guidance. We have revised certain questions and answers and added a 
number of new questions and answers.
    The major topics on which we have revised or added questions and 
answers are as follows:
     Chemical alteration--Dietary supplements containing an NDI 
are exempt from the notification requirement when they contain only 
dietary ingredients that have been present in the food supply as an 
article used for food in a form in which the food has not been 
chemically altered. Section IV.B of the revised draft guidance explains 
FDA's interpretation of ``present in the food supply as an article used 
for food'' and the public health basis for that interpretation. In 
addition, section IV.B has been revised to address the question of what 
constitutes ``chemical alteration'' more fully and to explain FDA's 
reasoning on this issue, as well as discussing additional examples of 
when chemical alteration occurs and when it does not. Because no 
guidance document can cover every possible manufacturing scenario, the 
draft guidance encourages industry to consult with FDA in advance on 
such matters.
     Manufacturing changes that create an NDI--A related issue 
addressed in section IV.A of the draft guidance is when a manufacturing 
change alters the structure or properties of an ingredient and creates 
an NDI for which a notification must be submitted. The revised draft 
guidance provides examples of manufacturing changes that alter the 
identity of the ingredient, the key factor in determining whether they 
also change the regulatory status of the ingredient.
     Synthetic substances--Section IV.D of the revised draft 
guidance contains an expanded discussion clarifying FDA's views on when 
synthetic copies of botanical and other dietary ingredients qualify as 
dietary ingredients under the FD&C Act. FDA's thinking is based on the 
text of section 201(ff)(1) of the FD&C Act, which defines some types of 
dietary ingredients by identity and others by function.
     New dietary ingredient definition and list of 
``grandfathered'' dietary ingredients--In section IV.A of the draft 
guidance, we revised our response to the question about whether there 
is an authoritative list of dietary ingredients marketed before October 
15, 1994 (a so-called ``grandfathered list'' or ``old dietary 
ingredient list''). Dietary ingredients marketed before that date are 
not NDIs and therefore are not subject to the premarket notification 
requirement in section 413 of the FD&C Act. Although there is currently 
no authoritative list of ``grandfathered'' ingredients, the revised 
answer notes that FDA is prepared to compile such a list based on 
independent and verifiable data to be submitted by industry. The 
revised answer also discusses FDA's thinking on the regulatory status 
of dietary ingredients that would be on such a list, as well as the 
status of dietary ingredients not on such a list.
    We also revised several questions and answers in section IV.A to 
clarify various matters regarding FDA's interpretation of the terms 
``marketed'' and ``dietary ingredient'' in section 413(d) of the FD&C 
Act, which defines an NDI as a dietary ingredient that was not marketed 
in the United States before October 15, 1994, and we added more 
examples of documentation that can be used to show that a dietary 
ingredient was marketed prior to October 15, 1994.
     Structuring notifications efficiently and relying on data 
from prior notifications and master files--We added several questions 
and answers in section IV.C of this draft guidance to suggest ways 
manufacturers and distributors can reduce the number of NDI 
notifications they must file and to clarify when data and information 
from a previous notification or ``master file'' may be used in a 
notification. For example, the answer to a new question clarifies that 
firms may submit an NDI notification that covers the use of the NDI in 
multiple dietary supplements and includes safety data for a range of 
doses and/or differing conditions of use. This answer also explains 
that a firm may submit a confidential ``master file'' containing 
specifications, manufacturing procedures, and other identity 
information for an NDI, and may incorporate information from the master 
file into its own NDI notification or may authorize another firm to 
rely on information from the master file in a notification for a 
dietary supplement containing the NDI. We also added a question and 
answer to describe when a firm may rely on data in another 
notification. In addition, section IV.C now includes a question and 
answer with six examples distinguishing situations in which separate 
notifications are required for different dietary supplements containing 
the same NDI from situations in which a single NDI notification covers 
multiple dietary supplements containing the same NDI. Finally, section 
IV.C now clarifies that, although a combination of NDIs is itself an 
NDI, a combination of grandfathered dietary ingredients is not, even if 
that combination has not been used in a dietary supplement before.
     Identity information to include in an NDI notification--We 
revised several questions and answers in section VI.A in consideration 
of comments regarding chemical and botanical information necessary to 
determine the identity of an NDI. We also added a new question and 
answer with recommendations about what chemistry information should be 
included in a notification for an enzyme NDI. In addition, since some 
of the standard references on nomenclature of plants and microorganisms 
have been renamed or updated since the 2011 draft guidance, we updated 
the citations to refer to the most recent edition.
     Electronic submission--We updated the question and answer 
in section V.A about electronic submission of NDI notifications. The 
updated answer states that we are accepting NDI notifications 
electronically and provides the Internet address for the electronic 
submission gateway. As before, the answer notes that firms still have 
the option to submit paper notifications to FDA using the procedure 
described in 21 CFR 190.6.
     PDF form for NDI notifications submitted on paper--Because 
our electronic submission gateway for NDI notifications is now 
available, we have decided not to provide a competing form for paper 
notifications. Therefore, we have removed ``Appendix B: 75-Day Pre-
Market New Dietary Ingredient Notification Form'' from the draft 
guidance.
     Safety information to include in an NDI notification--We 
revised several questions and answers in sections VI.B and VI.C to 
clarify our thinking on compiling and evaluating scientific evidence 
about the safety of NDIs and dietary supplements that contain NDIs. In 
section VI.B, we clarified our thinking on the use of foreign history 
of use data. We also added a recommendation to consult ``Principles and 
Methods for the Risk Assessment of Chemicals in Food,'' a joint 
publication of the World Health Organization and the Food and 
Agriculture Organization of the United Nations, as a useful source of 
information on conducting human clinical studies for NDIs and dietary 
supplements. In response to comments, we removed all references to 
FDA's ``Redbook'' guidance, which contains recommendations on toxicity 
studies and other scientific evidence needed to determine the safety of 
food additives. We also revised section VI.B to explain that the NDI 
safety standard is different from the standards for other FDA-regulated 
products and clarify that evidence for an NDI safety evaluation should 
be compiled to meet that standard. Although the revised draft

[[Page 53489]]

guidance no longer cites the Redbook, we continue to recommend the use 
of the dietary exposure assessment methodology and some toxicology 
tests that are also used for the evaluation of food additives because 
these are standard scientific methods not specific to any particular 
safety assessment paradigm. Finally, we added a new question at the end 
of section VI.C to emphasize that this draft guidance contains 
recommendations about safety information to include in an NDI 
notification, but these recommendations are not requirements.
     Other changes--We made clarifying changes, explanatory 
changes, and editorial changes throughout the document. We also updated 
references and links and added new references where appropriate.

II. Paperwork Reduction Act of 1995

    Under the Paperwork Reduction Act of 1995 (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. This draft guidance contains proposed collections 
of information. ``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 publish a 
60-day notice in the Federal Register soliciting public comment on each 
proposed collection of information before submitting the collection to 
OMB for approval. To comply with this requirement, we intend to publish 
a 60-day notice on the proposed collections of information in this 
draft guidance in a future issue of the Federal Register.
    This draft guidance also refers to previously approved collections 
of information found in FDA regulations. These collections of 
information are subject to review by OMB under the PRA. The collections 
of information in 21 CFR part 111 have been approved under OMB control 
number 0901-0606, and the collections of information in Sec.  190.6 
have been approved under OMB control number 0910-0330.

III. Other Issues for Consideration

    Although FDA welcomes comments on any aspect of this draft 
guidance, we particularly invite comment on the following:
     What processes alter the identity of an ingredient 
marketed prior to October 15, 1994, and thus create an NDI? We are 
especially interested in recommendations for clearer examples or 
criteria to differentiate changes in manufacturing methods and starting 
materials that alter the identity of the ingredient from changes that 
do not.
     What processes ``chemically alter'' an ingredient within 
the meaning of section 413(a)(1) of the FD&C Act, and why? Conversely, 
what processes do not cause chemical alteration, and why? Are there 
certain processes, such as tinctures, that sometimes result in chemical 
alteration and sometimes do not? What criteria should be used to 
evaluate whether an ingredient has been chemically altered? We are 
especially interested in receiving scientific information that shows 
whether a particular process actually results in chemical alteration.
     What method of compiling independent and verifiable data 
on the marketing of dietary ingredients before October 15, 1994, would 
be most effective? How should an authoritative list of 
``grandfathered'' ingredients based on such data be developed and 
implemented?
    As FDA considers the development of final guidance, we will review 
comments received on this revised version, as well as comments on the 
2011 draft guidance that are still relevant.

IV. Electronic Access

    Persons with access to the Internet may obtain the guidance at 
either http://www.fda.gov/FoodGuidances or http://www.regulations.gov. 
Use the FDA Web site listed in the previous sentence to find the most 
current version of the draft guidance.

V. References

    The following references are on display in the Division of Dockets 
Management (see ADDRESSES) and are available for viewing by interested 
persons between 9 a.m. and 4 p.m., Monday through Friday; they are also 
available electronically at http://www.regulations.gov. FDA has 
verified the Web site addresses, as of the date this document publishes 
in the Federal Register, but Web sites are subject to change over time.

1. International Programme on Chemical Safety, ``Principles and 
Methods for the Risk Assessment of Chemicals in Food,'' 
Environmental Health Criteria 240 (2009), available at: http://www.who.int/foodsafety/publications/chemical-food/en/.
2. The official name of the Redbook is ``Guidance for Industry and 
Other Stakeholders: Toxicological Principles for the Safety 
Assessment of Food Ingredients,'' available at: http://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/IngredientsAdditivesGRASPackaging/ucm2006826.htm.

    Dated: August 9, 2016.
Jeremy Sharp,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2016-19306 Filed 8-11-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                  53486                         Federal Register / Vol. 81, No. 156 / Friday, August 12, 2016 / Notices

                                                  business purposes. Staff believes that                  manufacturing processes, or customer                       DEPARTMENT OF HEALTH AND
                                                  the above requirements necessitate                      names.                                                     HUMAN SERVICES
                                                  ongoing, regular training so that covered                  If you want the Commission to give
                                                  entities stay current and have a clear                  your comment confidential treatment,                       Food and Drug Administration
                                                  understanding of federal mandates, but                  you must file it in paper form, with a                     [Docket No. FDA–2011–D–0376]
                                                  that this would be a small portion of                   request for confidential treatment, and
                                                  and subsumed within the ordinary                        you have to follow the procedure                           Dietary Supplements: New Dietary
                                                  training that employees receive apart                   explained in FTC Rule 4.9(c).3 Your                        Ingredient Notifications and Related
                                                  from that associated with the                           comment will be kept confidential only                     Issues; Revised Draft Guidance for
                                                  information collected under the HSR                     if the FTC General Counsel grants your                     Industry; Availability
                                                  Rules and the corresponding                             request in accordance with the law and
                                                  Notification and Report Form.                                                                                      AGENCY:    Food and Drug Administration,
                                                                                                          the public interest.                                       HHS.
                                                     Request for Comment: Pursuant to
                                                  Section 3506(c)(2)(A), the FTC invites                     Postal mail addressed to the                            ACTION:   Notice of availability.
                                                  comments on: (1) Whether the                            Commission is subject to delay due to
                                                                                                          heightened security screening. As a                        SUMMARY:   The Food and Drug
                                                  disclosure requirements are necessary,
                                                                                                          result, we encourage you to submit your                    Administration (FDA or we) is
                                                  including whether the information will
                                                                                                          comments online. To make sure that the                     announcing the issuance of a revised
                                                  be practically useful; (2) the accuracy of
                                                                                                          Commission considers your online                           draft guidance for industry entitled
                                                  our burden estimates, including
                                                                                                          comment, you must file it at your                          ‘‘Dietary Supplements: New Dietary
                                                  whether the methodology and
                                                                                                          comment and file your comment online                       Ingredient Notifications and Related
                                                  assumptions used are valid; (3) how to
                                                                                                          at https://ftcpublic.commentworks.com/                     Issues.’’ The revised draft guidance
                                                  improve the quality, utility, and clarity
                                                                                                          ftc/hsrrulespra by following the                           supersedes FDA’s July 2011 draft
                                                  of the disclosure requirements; and (4)
                                                                                                          instructions on the web-based form.                        guidance on the same topic. The revised
                                                  how to minimize the burden of
                                                                                                          When this Notice appears at http://                        draft guidance, when finalized, will
                                                  providing the required information to
                                                                                                          www.regulations.gov/#!home, you also                       help industry in evaluating whether to
                                                  consumers.
                                                                                                          may file a comment through that Web                        submit a premarket safety notification
                                                     You can file a comment online or on                                                                             for a new dietary ingredient (NDI), or for
                                                                                                          site.
                                                  paper. For the Commission to consider                                                                              a dietary supplement containing an NDI,
                                                  your comment, we must receive it on or                     If you file your comment on paper,
                                                                                                          write ‘‘HSR PRA Clearance Extension,                       and in preparing such premarket safety
                                                  before October 11, 2016. Write ‘‘HSR                                                                               notifications (also referred to as NDI
                                                  PRA Clearance Extension, P169300’’ on                   P169300’’ on your comment and on the
                                                                                                          envelope, mail your comment to the                         notifications).
                                                  your comment. Your comment—
                                                  including your name and your state—                     following address: Federal Trade                           DATES:  Although you may comment on
                                                  will be placed on the public record of                  Commission, Office of the Secretary,                       any guidance at any time (see 21 CFR
                                                  this proceeding, including to the extent                600 Pennsylvania Avenue NW., Suite                         10.115(g)(5)), to ensure that FDA
                                                  practicable, on the public Commission                   CC–5610 (Annex J), Washington, DC                          considers your comment on the draft
                                                  Web site, at http://www.ftc.gov/os/                     20580, or deliver your comment to the                      guidance before we begin work on the
                                                  publiccomments.shtm. As a matter of                     following address: Federal Trade                           final version of the guidance, submit
                                                  discretion, the Commission tries to                     Commission, Office of the Secretary,                       either electronic or written comments
                                                  remove individuals’ home contact                        Constitution Center, 400 7th Street SW.,                   on the draft guidance by October 11,
                                                  information from comments before                        5th Floor, Suite 5610 (Annex J),                           2016.
                                                  placing them on the Commission Web                      Washington, DC 20024. If possible,                         ADDRESSES:    You may submit comments
                                                  site.                                                   submit your paper comment to the                           as follows:
                                                     Because your comment will be made                    Commission by courier or overnight
                                                  public, you are solely responsible for                  service.                                                   Electronic Submissions
                                                  making sure that your comment does                         The FTC Act and other laws that the                       Submit electronic comments in the
                                                  not include any sensitive personal                      Commission administers permit the                          following way:
                                                  information, like anyone’s Social                       collection of public comments to                             • Federal eRulemaking Portal: http://
                                                  Security number, date of birth, driver’s                consider and use in this proceeding as                     www.regulations.gov. Follow the
                                                  license number or other state                           appropriate. The Commission will                           instructions for submitting comments.
                                                  identification number or foreign country                consider all timely and responsive                         Comments submitted electronically,
                                                  equivalent, passport number, financial                  public comments that it receives on or                     including attachments, to http://
                                                  account number, or credit or debit card                 before October 11, 2016. For                               www.regulations.gov will be posted to
                                                  number. You are also solely responsible                 information on the Commission’s                            the docket unchanged. Because your
                                                  for making sure that your comment does                  privacy policy, including routine uses                     comment will be made public, you are
                                                  not include any sensitive health                        permitted by the Privacy Act, see http://                  solely responsible for ensuring that your
                                                  information, like medical records or                    www.ftc.gov/ftc/privacy.htm.                               comment does not include any
                                                  other individually identifiable health                                                                             confidential information that you or a
                                                                                                          David C. Shonka,
                                                  information. In addition, do not include                                                                           third party may not wish to be posted,
                                                  any ‘‘[t]rade secret or any commercial or               Acting General Counsel.                                    such as medical information, your or
                                                  financial information which is . . .                    [FR Doc. 2016–19230 Filed 8–11–16; 8:45 am]                anyone else’s Social Security number, or
mstockstill on DSK3G9T082PROD with NOTICES




                                                  privileged or confidential’’ as provided                BILLING CODE 6750–01–P                                     confidential business information, such
                                                  in Section 6(f) of the FTC Act 15 U.S.C.                                                                           as a manufacturing process. Please note
                                                  46(f), and FTC Rule 4.10(a)(2), 16 CFR                     3 In particular, the written request for confidential   that if you include your name, contact
                                                  4.10(a)(2). In particular, do not include               treatment that accompanies the comment must                information, or other information that
                                                                                                          include the factual and legal basis for the request,
                                                  competitively sensitive information                     and must identify the specific portions of the
                                                                                                                                                                     identifies you in the body of your
                                                  such as costs, sales statistics,                        comment to be withheld from the public record. See         comments, that information will be
                                                  inventories, formulas, patterns devices,                FTC Rule 4.9(c), 16 CFR 4.9(c).                            posted on http://www.regulations.gov.


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                                                                                Federal Register / Vol. 81, No. 156 / Friday, August 12, 2016 / Notices                                           53487

                                                    • If you want to submit a comment                     comments to public dockets, see 80 FR                 of an NDI, or of a dietary supplement
                                                  with confidential information that you                  56469, September 18, 2015, or access                  containing the NDI, to submit a
                                                  do not wish to be made available to the                 the information at: http://www.fda.gov/               premarket notification to FDA (as
                                                  public, submit the comment as a                         regulatoryinformation/dockets/                        delegate for the Secretary of Health and
                                                  written/paper submission and in the                     default.htm.                                          Human Services) at least 75 days before
                                                  manner detailed (see ‘‘Written/Paper                       Docket: For access to the docket to                introducing the NDI or dietary
                                                  Submissions’’ and ‘‘Instructions’’).                    read background documents or the                      supplement into interstate commerce,
                                                                                                          electronic and written/paper comments                 unless the NDI and any other
                                                  Written/Paper Submissions
                                                                                                          received, go to http://                               ingredients in the dietary supplement
                                                     Submit written/paper submissions as                  www.regulations.gov and insert the                    have been present in the food supply as
                                                  follows:                                                docket number, found in brackets in the               an article used for food in a form in
                                                     • Mail/Hand delivery/Courier (for                    heading of this document, into the                    which the food has not been chemically
                                                  written/paper submissions): Division of                 ‘‘Search’’ box and follow the prompts                 altered (21 U.S.C. 350b(a)(1)). The
                                                  Dockets Management (HFA–305), Food                      and/or go to the Division of Dockets                  notification must contain the
                                                  and Drug Administration, 5630 Fishers                   Management, 5630 Fishers Lane, Rm.                    information, including any citation to
                                                  Lane, Rm. 1061, Rockville, MD 20852.                    1061, Rockville, MD 20852.                            published articles, which is the
                                                     • For written/paper comments                            Submit written requests for single                 manufacturer or distributor’s basis for
                                                  submitted to the Division of Dockets                    copies of the draft guidance to the                   concluding that a dietary supplement
                                                  Management, FDA will post your                          Division of Dietary Supplement                        containing the NDI will reasonably be
                                                  comment, as well as any attachments,                                                                          expected to be safe.
                                                                                                          Programs, Center for Food Safety and
                                                  except for information submitted,                                                                                This draft guidance has several
                                                                                                          Applied Nutrition (HFS–810), Food and
                                                  marked and identified, as confidential,                                                                       purposes. First, it is intended to help
                                                                                                          Drug Administration, 5001 Campus
                                                  if submitted as detailed in                                                                                   dietary supplement manufacturers and
                                                                                                          Drive, College Park, MD 20740. Send
                                                  ‘‘Instructions.’’                                                                                             distributors decide whether to submit
                                                     Instructions: All submissions received               one self-addressed adhesive label to
                                                                                                          assist that office in processing your                 an NDI notification. In addition, the
                                                  must include the Docket No. FDA–                                                                              draft guidance is intended to provide
                                                  2011–D–0376 for ‘‘Dietary Supplements:                  requests. See the SUPPLEMENTARY
                                                                                                          INFORMATION section for electronic                    recommendations on how to conduct a
                                                  New Dietary Ingredient Notifications                                                                          safety assessment for an NDI
                                                  and Related Issues; Revised Draft                       access to the draft guidance.
                                                                                                                                                                notification and what to include in the
                                                  Guidance for Industry.’’ Received                       FOR FURTHER INFORMATION CONTACT: Ali
                                                                                                                                                                notification. In question and answer
                                                  comments will be placed in the docket                   Abdel-Rahman, Center for Food Safety
                                                                                                                                                                form, the draft guidance presents FDA’s
                                                  and, except for those submitted as                      and Applied Nutrition (HFS–810), Food
                                                                                                                                                                views on what qualifies as an NDI;
                                                  ‘‘Confidential Submissions,’’ publicly                  and Drug Administration, 5001 Campus
                                                                                                                                                                when an NDI notification is required;
                                                  viewable at http://www.regulations.gov                  Dr., College Park, MD 20740, 240–402–
                                                                                                                                                                the procedures for submitting an NDI
                                                  or at the Division of Dockets                           1853.                                                 notification; the types of data and
                                                  Management between 9 a.m. and 4 p.m.,                   SUPPLEMENTARY INFORMATION:                            information that manufacturers and
                                                  Monday through Friday.                                                                                        distributors should consider when
                                                     • Confidential Submissions—To                        I. Background
                                                                                                                                                                evaluating the safety of a dietary
                                                  submit a comment with confidential                         We are announcing the availability of              supplement containing an NDI; and
                                                  information that you do not wish to be                  a revised draft guidance for industry                 what should be included in an NDI
                                                  made publicly available, submit your                    entitled ‘‘Dietary Supplements: New                   notification. In addition, the draft
                                                  comments only as a written/paper                        Dietary Ingredient Notifications and                  guidance contains questions and
                                                  submission. You should submit two                       Related Issues.’’ This draft guidance                 answers about parts of the dietary
                                                  copies total. One copy will include the                 supersedes the July 2011 draft guidance               supplement definition (section 201(ff) of
                                                  information you claim to be confidential                on this topic (76 FR 39111; July 5, 2011)             the FD&C Act) that can affect whether
                                                  with a heading or cover note that states                and is being issued consistent with our               a particular substance may be marketed
                                                  ‘‘THIS DOCUMENT CONTAINS                                good guidance practices regulation (21                as a dietary ingredient in a dietary
                                                  CONFIDENTIAL INFORMATION.’’ The                         CFR 10.115). The draft guidance, when                 supplement.
                                                  Agency will review this copy, including                 finalized, will represent our current                    We issued the original version of this
                                                  the claimed confidential information, in                thinking on this topic. It will not create            draft guidance in the Federal Register of
                                                  its consideration of comments. The                      or confer any rights for or on any person             July 5, 2011 (the 2011 draft guidance).
                                                  second copy, which will have the                        and will not operate to bind FDA or the               We gave interested parties an
                                                  claimed confidential information                        public. An alternative approach may be                opportunity to submit comments by
                                                  redacted/blacked out, will be available                 used if such approach satisfies the                   October 3, 2011. In the Federal Register
                                                  for public viewing and posted on http://                requirements of the applicable statutes               of September 9, 2011 (76 FR 55927), we
                                                  www.regulations.gov. Submit both                        and regulations.                                      extended the comment period to
                                                  copies to the Division of Dockets                          On October 25, 1994, the Dietary                   December 2, 2011. We received
                                                  Management. If you do not wish your                     Supplement Health and Education Act                   numerous comments on the 2011 draft
                                                  name and contact information to be                      of 1994 (DSHEA) (Pub. L. 103–417) was                 guidance.
                                                  made publicly available, you can                        signed into law. DSHEA amended the                       Based on those comments and on
                                                  provide this information on the cover                   Federal Food, Drug, and Cosmetic Act                  meetings with industry and other
                                                  sheet and not in the body of your                       (the FD&C Act) by adding, among other                 stakeholders, we realized that the 2011
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                                                  comments and you must identify this                     provisions: (1) Section 201(ff) (21 U.S.C.            draft guidance contained gaps and
                                                  information as ‘‘confidential.’’ Any                    321(ff)), which defines the term ‘‘dietary            unclear statements that were subject to
                                                  information marked as ‘‘confidential’’                  supplement’’ and (2) section 413 (21                  confusion and misinterpretation.
                                                  will not be disclosed except in                         U.S.C. 350b), which describes                         Therefore, we decided to clarify and
                                                  accordance with 21 CFR 10.20 and other                  requirements for NDIs. Among other                    better explain our thinking on some
                                                  applicable disclosure law. For more                     things, section 413 of the FD&C Act                   critical issues, in addition to explaining
                                                  information about FDA’s posting of                      requires the manufacturer or distributor              their public health significance, and to


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                                                  53488                         Federal Register / Vol. 81, No. 156 / Friday, August 12, 2016 / Notices

                                                  request additional comments on these                    requirement in section 413 of the FD&C                   • Identity information to include in
                                                  issues before publishing a final                        Act. Although there is currently no                   an NDI notification—We revised several
                                                  guidance. We have revised certain                       authoritative list of ‘‘grandfathered’’               questions and answers in section VI.A
                                                  questions and answers and added a                       ingredients, the revised answer notes                 in consideration of comments regarding
                                                  number of new questions and answers.                    that FDA is prepared to compile such a                chemical and botanical information
                                                     The major topics on which we have                    list based on independent and verifiable              necessary to determine the identity of
                                                  revised or added questions and answers                  data to be submitted by industry. The                 an NDI. We also added a new question
                                                  are as follows:                                         revised answer also discusses FDA’s                   and answer with recommendations
                                                     • Chemical alteration—Dietary                        thinking on the regulatory status of                  about what chemistry information
                                                  supplements containing an NDI are                       dietary ingredients that would be on                  should be included in a notification for
                                                  exempt from the notification                            such a list, as well as the status of                 an enzyme NDI. In addition, since some
                                                  requirement when they contain only                      dietary ingredients not on such a list.               of the standard references on
                                                  dietary ingredients that have been                         We also revised several questions and              nomenclature of plants and
                                                  present in the food supply as an article                answers in section IV.A to clarify                    microorganisms have been renamed or
                                                  used for food in a form in which the                    various matters regarding FDA’s                       updated since the 2011 draft guidance,
                                                  food has not been chemically altered.                   interpretation of the terms ‘‘marketed’’              we updated the citations to refer to the
                                                  Section IV.B of the revised draft                       and ‘‘dietary ingredient’’ in section                 most recent edition.
                                                  guidance explains FDA’s interpretation                  413(d) of the FD&C Act, which defines                    • Electronic submission—We updated
                                                  of ‘‘present in the food supply as an                   an NDI as a dietary ingredient that was               the question and answer in section V.A
                                                  article used for food’’ and the public                  not marketed in the United States before              about electronic submission of NDI
                                                  health basis for that interpretation. In                October 15, 1994, and we added more                   notifications. The updated answer states
                                                  addition, section IV.B has been revised                 examples of documentation that can be                 that we are accepting NDI notifications
                                                  to address the question of what                         used to show that a dietary ingredient                electronically and provides the Internet
                                                  constitutes ‘‘chemical alteration’’ more                was marketed prior to October 15, 1994.               address for the electronic submission
                                                  fully and to explain FDA’s reasoning on                    • Structuring notifications efficiently            gateway. As before, the answer notes
                                                  this issue, as well as discussing                       and relying on data from prior                        that firms still have the option to submit
                                                  additional examples of when chemical                    notifications and master files—We                     paper notifications to FDA using the
                                                  alteration occurs and when it does not.                 added several questions and answers in                procedure described in 21 CFR 190.6.
                                                  Because no guidance document can                        section IV.C of this draft guidance to                   • PDF form for NDI notifications
                                                  cover every possible manufacturing                      suggest ways manufacturers and                        submitted on paper—Because our
                                                  scenario, the draft guidance encourages                 distributors can reduce the number of                 electronic submission gateway for NDI
                                                  industry to consult with FDA in                         NDI notifications they must file and to               notifications is now available, we have
                                                  advance on such matters.                                clarify when data and information from                decided not to provide a competing
                                                     • Manufacturing changes that create                  a previous notification or ‘‘master file’’            form for paper notifications. Therefore,
                                                  an NDI—A related issue addressed in                     may be used in a notification. For                    we have removed ‘‘Appendix B: 75-Day
                                                  section IV.A of the draft guidance is                   example, the answer to a new question                 Pre-Market New Dietary Ingredient
                                                  when a manufacturing change alters the                  clarifies that firms may submit an NDI                Notification Form’’ from the draft
                                                  structure or properties of an ingredient                notification that covers the use of the               guidance.
                                                  and creates an NDI for which a                          NDI in multiple dietary supplements                      • Safety information to include in an
                                                  notification must be submitted. The                     and includes safety data for a range of               NDI notification—We revised several
                                                  revised draft guidance provides                         doses and/or differing conditions of use.             questions and answers in sections VI.B
                                                  examples of manufacturing changes that                  This answer also explains that a firm                 and VI.C to clarify our thinking on
                                                  alter the identity of the ingredient, the               may submit a confidential ‘‘master file’’             compiling and evaluating scientific
                                                  key factor in determining whether they                  containing specifications,                            evidence about the safety of NDIs and
                                                  also change the regulatory status of the                manufacturing procedures, and other                   dietary supplements that contain NDIs.
                                                  ingredient.                                             identity information for an NDI, and                  In section VI.B, we clarified our
                                                     • Synthetic substances—Section IV.D                  may incorporate information from the                  thinking on the use of foreign history of
                                                  of the revised draft guidance contains an               master file into its own NDI notification             use data. We also added a
                                                  expanded discussion clarifying FDA’s                    or may authorize another firm to rely on              recommendation to consult ‘‘Principles
                                                  views on when synthetic copies of                       information from the master file in a                 and Methods for the Risk Assessment of
                                                  botanical and other dietary ingredients                 notification for a dietary supplement                 Chemicals in Food,’’ a joint publication
                                                  qualify as dietary ingredients under the                containing the NDI. We also added a                   of the World Health Organization and
                                                  FD&C Act. FDA’s thinking is based on                    question and answer to describe when                  the Food and Agriculture Organization
                                                  the text of section 201(ff)(1) of the FD&C              a firm may rely on data in another                    of the United Nations, as a useful source
                                                  Act, which defines some types of                        notification. In addition, section IV.C               of information on conducting human
                                                  dietary ingredients by identity and                     now includes a question and answer                    clinical studies for NDIs and dietary
                                                  others by function.                                     with six examples distinguishing                      supplements. In response to comments,
                                                     • New dietary ingredient definition                  situations in which separate                          we removed all references to FDA’s
                                                  and list of ‘‘grandfathered’’ dietary                   notifications are required for different              ‘‘Redbook’’ guidance, which contains
                                                  ingredients—In section IV.A of the draft                dietary supplements containing the                    recommendations on toxicity studies
                                                  guidance, we revised our response to                    same NDI from situations in which a                   and other scientific evidence needed to
                                                  the question about whether there is an                  single NDI notification covers multiple               determine the safety of food additives.
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                                                  authoritative list of dietary ingredients               dietary supplements containing the                    We also revised section VI.B to explain
                                                  marketed before October 15, 1994 (a so-                 same NDI. Finally, section IV.C now                   that the NDI safety standard is different
                                                  called ‘‘grandfathered list’’ or ‘‘old                  clarifies that, although a combination of             from the standards for other FDA-
                                                  dietary ingredient list’’). Dietary                     NDIs is itself an NDI, a combination of               regulated products and clarify that
                                                  ingredients marketed before that date                   grandfathered dietary ingredients is not,             evidence for an NDI safety evaluation
                                                  are not NDIs and therefore are not                      even if that combination has not been                 should be compiled to meet that
                                                  subject to the premarket notification                   used in a dietary supplement before.                  standard. Although the revised draft


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                                                                                Federal Register / Vol. 81, No. 156 / Friday, August 12, 2016 / Notices                                                 53489

                                                  guidance no longer cites the Redbook,                   are especially interested in                              fda.gov/Food/GuidanceRegulation/
                                                  we continue to recommend the use of                     recommendations for clearer examples                      GuidanceDocumentsRegulatory
                                                  the dietary exposure assessment                         or criteria to differentiate changes in                   Information/IngredientsAdditivesGRAS
                                                                                                                                                                    Packaging/ucm2006826.htm.
                                                  methodology and some toxicology tests                   manufacturing methods and starting
                                                  that are also used for the evaluation of                materials that alter the identity of the                Dated: August 9, 2016.
                                                  food additives because these are                        ingredient from changes that do not.                  Jeremy Sharp,
                                                  standard scientific methods not specific                   • What processes ‘‘chemically alter’’              Deputy Commissioner for Policy, Planning,
                                                  to any particular safety assessment                     an ingredient within the meaning of                   Legislation, and Analysis.
                                                  paradigm. Finally, we added a new                       section 413(a)(1) of the FD&C Act, and                [FR Doc. 2016–19306 Filed 8–11–16; 8:45 am]
                                                  question at the end of section VI.C to                  why? Conversely, what processes do not                BILLING CODE 4164–01–P
                                                  emphasize that this draft guidance                      cause chemical alteration, and why? Are
                                                  contains recommendations about safety                   there certain processes, such as
                                                  information to include in an NDI                        tinctures, that sometimes result in                   DEPARTMENT OF HEALTH AND
                                                  notification, but these recommendations                 chemical alteration and sometimes do                  HUMAN SERVICES
                                                  are not requirements.                                   not? What criteria should be used to
                                                    • Other changes—We made clarifying                    evaluate whether an ingredient has been               Health Resources and Services
                                                  changes, explanatory changes, and                       chemically altered? We are especially                 Administration
                                                  editorial changes throughout the                        interested in receiving scientific
                                                  document. We also updated references                    information that shows whether a                      Agency Information Collection
                                                  and links and added new references                      particular process actually results in                Activities: Submission to OMB for
                                                  where appropriate.                                      chemical alteration.                                  Review and Approval; Public Comment
                                                                                                             • What method of compiling                         Request; Health Center Program
                                                  II. Paperwork Reduction Act of 1995                                                                           Application Forms
                                                                                                          independent and verifiable data on the
                                                     Under the Paperwork Reduction Act                    marketing of dietary ingredients before               AGENCY: Health Resources and Services
                                                  of 1995 (the PRA) (44 U.S.C. 3501–                      October 15, 1994, would be most                       Administration, HHS.
                                                  3520), Federal agencies must obtain                     effective? How should an authoritative                ACTION: Notice.
                                                  approval from the Office of Management                  list of ‘‘grandfathered’’ ingredients
                                                  and Budget (OMB) for each collection of                 based on such data be developed and                   SUMMARY:    In compliance with Section
                                                  information they conduct or sponsor.                    implemented?                                          3507(a)(1)(D) of the Paperwork
                                                  This draft guidance contains proposed                      As FDA considers the development of                Reduction Act of 1995, the Health
                                                  collections of information. ‘‘Collection                final guidance, we will review                        Resources and Services Administration
                                                  of information’’ is defined in 44 U.S.C.                comments received on this revised                     (HRSA) has submitted an Information
                                                  3502(3) and 5 CFR 1320.3(c) and                         version, as well as comments on the                   Collection Request (ICR) to the Office of
                                                  includes Agency requests or                             2011 draft guidance that are still                    Management and Budget (OMB) for
                                                  requirements that members of the public                 relevant.                                             review and approval. Comments
                                                  submit reports, keep records, or provide                                                                      submitted during the first public review
                                                  information to a third party. Section                   IV. Electronic Access
                                                                                                                                                                of this ICR will be provided to OMB.
                                                  3506(c)(2)(A) of the PRA (44 U.S.C.                        Persons with access to the Internet                OMB will accept further comments from
                                                  3506(c)(2)(A)) requires Federal Agencies                may obtain the guidance at either http://             the public during the review and
                                                  to publish a 60-day notice in the                       www.fda.gov/FoodGuidances or http://                  approval period.
                                                  Federal Register soliciting public                      www.regulations.gov. Use the FDA Web                  DATES: Comments on this ICR should be
                                                  comment on each proposed collection of                  site listed in the previous sentence to               received no later than September 12,
                                                  information before submitting the                       find the most current version of the                  2016.
                                                  collection to OMB for approval. To                      draft guidance.
                                                                                                                                                                ADDRESSES: Submit your comments,
                                                  comply with this requirement, we                        V. References
                                                  intend to publish a 60-day notice on the                                                                      including the ICR Title, to the desk
                                                  proposed collections of information in                    The following references are on                     officer for HRSA, either by email to
                                                  this draft guidance in a future issue of                display in the Division of Dockets                    OIRA_submission@omb.eop.gov or by
                                                  the Federal Register.                                   Management (see ADDRESSES) and are                    fax to 202–395–5806.
                                                     This draft guidance also refers to                   available for viewing by interested                   FOR FURTHER INFORMATION CONTACT: To
                                                  previously approved collections of                      persons between 9 a.m. and 4 p.m.,                    request a copy of the clearance requests
                                                  information found in FDA regulations.                   Monday through Friday; they are also                  submitted to OMB for review, email the
                                                  These collections of information are                    available electronically at http://                   HRSA Information Collection Clearance
                                                  subject to review by OMB under the                      www.regulations.gov. FDA has verified                 Officer at paperwork@hrsa.gov or call
                                                  PRA. The collections of information in                  the Web site addresses, as of the date                (301) 443–1984.
                                                  21 CFR part 111 have been approved                      this document publishes in the Federal                SUPPLEMENTARY INFORMATION:
                                                  under OMB control number 0901–0606,                     Register, but Web sites are subject to                   Information Collection Request Title:
                                                  and the collections of information in                   change over time.                                     Health Center Program Application
                                                  § 190.6 have been approved under OMB                    1. International Programme on Chemical                Forms OMB No. 0915–0285—Revision.
                                                  control number 0910–0330.                                    Safety, ‘‘Principles and Methods for the            Abstract: Health centers (those
                                                                                                               Risk Assessment of Chemicals in Food,’’          entities funded under Public Health
                                                  III. Other Issues for Consideration                          Environmental Health Criteria 240                Service Act section 330 and Health
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                                                     Although FDA welcomes comments                            (2009), available at: http://www.who.int/        Center Program look-alikes) deliver
                                                  on any aspect of this draft guidance, we                     foodsafety/publications/chemical-food/           comprehensive, high quality, cost-
                                                                                                               en/.                                             effective primary health care to patients
                                                  particularly invite comment on the                      2. The official name of the Redbook is
                                                  following:                                                   ‘‘Guidance for Industry and Other                regardless of their ability to pay. Health
                                                     • What processes alter the identity of                    Stakeholders: Toxicological Principles           centers are an essential primary care
                                                  an ingredient marketed prior to October                      for the Safety Assessment of Food                provider for America’s most vulnerable
                                                  15, 1994, and thus create an NDI? We                         Ingredients,’’ available at: http://www.         populations. Health centers provide


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Document Created: 2018-02-09 11:33:16
Document Modified: 2018-02-09 11:33:16
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of availability.
DatesAlthough you may comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that FDA considers your comment on the draft guidance before we begin work on the final version of the guidance, submit either electronic or written comments on the draft guidance by October 11, 2016.
ContactAli Abdel-Rahman, Center for Food Safety and Applied Nutrition (HFS-810), Food and Drug Administration, 5001 Campus Dr., College Park, MD 20740, 240-402-1853.
FR Citation81 FR 53486 

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