81_FR_62311 81 FR 62137 - Final Revised Vaccine Information Materials for Polio Vaccine

81 FR 62137 - Final Revised Vaccine Information Materials for Polio Vaccine

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

Federal Register Volume 81, Issue 174 (September 8, 2016)

Page Range62137-62138
FR Document2016-21575

Under the National Childhood Vaccine Injury Act (NCVIA) (42 U.S.C. 300aa-26), CDC must develop vaccine information materials that all health care providers are required to give to patients/parents prior to administration of specific vaccines. On March 15, 2016, CDC published a notice in the Federal Register (81 FR 13794) seeking public comments on proposed updated vaccine information materials for polio vaccine and varicella vaccine. Following review of comments submitted and consultation as required under the law, CDC has finalized the materials for polio vaccine. Copies of the final vaccine information materials for polio vaccine are available to download from http:// www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov (see Docket Number CDC-2015-0029). CDC will publish the final vaccine information materials for varicella vaccine when they are completed.

Federal Register, Volume 81 Issue 174 (Thursday, September 8, 2016)
[Federal Register Volume 81, Number 174 (Thursday, September 8, 2016)]
[Notices]
[Pages 62137-62138]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-21575]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2015-0029]


Final Revised Vaccine Information Materials for Polio Vaccine

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

ACTION: Notice.

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

SUMMARY: Under the National Childhood Vaccine Injury Act (NCVIA) (42 
U.S.C. 300aa-26), CDC must develop vaccine information materials that 
all health care providers are required to give to patients/parents 
prior to administration of specific vaccines. On March 15, 2016, CDC 
published a notice in the Federal Register (81 FR 13794) seeking public 
comments on proposed updated vaccine information materials for polio 
vaccine and varicella vaccine. Following review of comments submitted 
and consultation as required under the law, CDC has finalized the 
materials for polio vaccine. Copies of the final vaccine information 
materials for polio vaccine are available to download from http://www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov 
(see Docket Number CDC-2015-0029). CDC will publish the final vaccine 
information materials for varicella vaccine when they are completed.

DATES: Beginning no later than November 1, 2016, each health care 
provider who administers polio vaccine to any child or adult in the 
United States shall provide copies of the relevant vaccine information 
materials referenced in this notice, in conformance with the August 9, 
2016 CDC Instructions for the Use of Vaccine Information Statements 
prior to providing such vaccinations.

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

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

Revised Vaccine Information Materials

    The polio vaccine information materials referenced in this notice 
were developed in consultation with the Advisory Commission on 
Childhood Vaccines, the Food and Drug Administration, and parent and 
healthcare provider organizations.

[[Page 62138]]

Following consultation and review of comments submitted, the vaccine 
information materials covering polio vaccine have been finalized and 
are available to download from http://www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov (see Docket Number CDC-2015-
0029). The Vaccine Information Statement (VIS) is ``Polio Vaccine: What 
You Need to Know,'' publication date July 20, 2016.
    With publication of this notice, by November 1, 2016, all health 
care providers must discontinue use of the previous edition and provide 
copies of these updated polio vaccine information materials prior to 
immunization in conformance with CDC's August 9, 2016 Instructions for 
the Use of Vaccine Information Statements.

    Dated: September 1, 2016.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2016-21575 Filed 9-7-16; 8:45 am]
 BILLING CODE 4163-18-P



                                                                            Federal Register / Vol. 81, No. 174 / Thursday, September 8, 2016 / Notices                                           62137

                                                  provider in the United States who                       DEPARTMENT OF HEALTH AND                              all health care providers in the United
                                                  intends to administer one of these                      HUMAN SERVICES                                        States to any patient (or to the parent or
                                                  covered vaccines is required to provide                                                                       legal representative in the case of a
                                                  copies of the relevant vaccine                          Centers for Disease Control and                       child) receiving vaccines covered under
                                                  information materials prior to                          Prevention                                            the National Vaccine Injury
                                                  administration of any of these vaccines.                [Docket No. CDC–2015–0029]                            Compensation Program (VICP).
                                                  Since then, the following vaccines have                                                                          Development and revision of the
                                                  been added to the National Vaccine                      Final Revised Vaccine Information                     vaccine information materials, also
                                                                                                          Materials for Polio Vaccine                           known as Vaccine Information
                                                  Injury Compensation Program, requiring
                                                                                                                                                                Statements (VIS), have been delegated
                                                  use of vaccine information materials for                AGENCY: Centers for Disease Control and               by the Secretary to the Centers for
                                                  them as well: Hepatitis B, Haemophilus                  Prevention (CDC), Department of Health                Disease Control and Prevention (CDC).
                                                  influenzae type b (Hib), varicella                      and Human Services (HHS).                             Section 2126 requires that the materials
                                                  (chickenpox), pneumococcal conjugate,                   ACTION: Notice.                                       be developed, or revised, after notice to
                                                  rotavirus, hepatitis A, meningococcal,                                                                        the public, with a 60-day comment
                                                  human papillomavirus (HPV), and                         SUMMARY:   Under the National                         period, and in consultation with the
                                                  seasonal influenza vaccines.                            Childhood Vaccine Injury Act (NCVIA)                  Advisory Commission on Childhood
                                                  Instructions for use of the vaccine                     (42 U.S.C. 300aa–26), CDC must develop                Vaccines, appropriate health care
                                                  information materials are found on the                  vaccine information materials that all                provider and parent organizations, and
                                                  CDC Web site at: http://www.cdc.gov/                    health care providers are required to                 the Food and Drug Administration. The
                                                  vaccines/hcp/vis/index.html.                            give to patients/parents prior to                     law also requires that the information
                                                                                                          administration of specific vaccines. On               contained in the materials be based on
                                                  Revised Vaccine Information Materials                   March 15, 2016, CDC published a notice                available data and information, be
                                                     The serogroup B meningococcal                        in the Federal Register (81 FR 13794)                 presented in understandable terms, and
                                                                                                          seeking public comments on proposed                   include:
                                                  vaccine information materials
                                                                                                          updated vaccine information materials                    (1) A concise description of the
                                                  referenced in this notice were
                                                                                                          for polio vaccine and varicella vaccine.              benefits of the vaccine,
                                                  developed in consultation with the                      Following review of comments                             (2) A concise description of the risks
                                                  Advisory Commission on Childhood                        submitted and consultation as required                associated with the vaccine,
                                                  Vaccines, the Food and Drug                             under the law, CDC has finalized the                     (3) A statement of the availability of
                                                  Administration, and parent and                          materials for polio vaccine. Copies of                the National Vaccine Injury
                                                  healthcare provider organizations.                      the final vaccine information materials               Compensation Program, and
                                                  Following consultation and review of                    for polio vaccine are available to                       (4) Such other relevant information as
                                                  comments submitted, the vaccine                         download from http://www.cdc.gov/                     may be determined by the Secretary.
                                                  information materials covering                          vaccines/hcp/vis/index.html or http://                   The vaccines initially covered under
                                                  serogroup B meningococcal vaccine                       www.regulations.gov (see Docket                       the National Vaccine Injury
                                                  have been finalized and are available to                Number CDC–2015–0029). CDC will                       Compensation Program were diphtheria,
                                                  download from http://www.cdc.gov/                       publish the final vaccine information                 tetanus, pertussis, measles, mumps,
                                                  vaccines/hcp/vis/index.html or http://                  materials for varicella vaccine when                  rubella, and poliomyelitis vaccines.
                                                  www.regulations.gov (see Docket                         they are completed.                                   Since April 15, 1992, any health care
                                                  Number CDC–2015–0059). The Vaccine                      DATES: Beginning no later than
                                                                                                                                                                provider in the United States who
                                                  Information Statement (VIS) is                          November 1, 2016, each health care                    intends to administer one of these
                                                  ‘‘Serogroup B Meningococcal (MenB)                      provider who administers polio vaccine                covered vaccines is required to provide
                                                  Vaccine: What You Need to Know,’’                       to any child or adult in the United                   copies of the relevant vaccine
                                                                                                          States shall provide copies of the                    information materials prior to
                                                  publication date August 9, 2016.
                                                                                                          relevant vaccine information materials                administration of any of these vaccines.
                                                     With publication of this notice, as of                                                                     Since then, the following vaccines have
                                                  December 1, 2016, all health care                       referenced in this notice, in
                                                                                                          conformance with the August 9, 2016                   been added to the National Vaccine
                                                  providers will be required to provide                                                                         Injury Compensation Program, requiring
                                                                                                          CDC Instructions for the Use of Vaccine
                                                  copies of these updated serogroup B                                                                           use of vaccine information materials for
                                                                                                          Information Statements prior to
                                                  meningococcal vaccine information                                                                             them as well: Hepatitis B, Haemophilus
                                                                                                          providing such vaccinations.
                                                  materials prior to immunization in                                                                            influenzae type b (Hib), varicella
                                                                                                          FOR FURTHER INFORMATION CONTACT:
                                                  conformance with CDC’s August 9, 2016                                                                         (chickenpox), pneumococcal conjugate,
                                                                                                          Suzanne Johnson-DeLeon (msj1@                         rotavirus, hepatitis A, meningococcal,
                                                  Instructions for the Use of Vaccine
                                                                                                          cdc.gov), National Center for                         human papillomavirus (HPV), and
                                                  Information Statements.
                                                                                                          Immunization and Respiratory Diseases,                seasonal influenza vaccines.
                                                    Dated: September 1, 2016.                             Centers for Disease Control and                       Instructions for use of the vaccine
                                                  Sandra Cashman,                                         Prevention, Mailstop A–19, 1600 Clifton               information materials are found on the
                                                  Executive Secretary, Centers for Disease                Road NE., Atlanta, Georgia 30329.                     CDC Web site at: http://www.cdc.gov/
                                                  Control and Prevention.                                 SUPPLEMENTARY INFORMATION: The                        vaccines/hcp/vis/index.html.
                                                  [FR Doc. 2016–21574 Filed 9–7–16; 8:45 am]              National Childhood Vaccine Injury Act
                                                                                                          of 1986 (Pub. L. 99–660), as amended by               Revised Vaccine Information Materials
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                                                  BILLING CODE 4163–18–P
                                                                                                          section 708 of Public Law 103–183,                      The polio vaccine information
                                                                                                          added section 2126 to the Public Health               materials referenced in this notice were
                                                                                                          Service Act. Section 2126, codified at 42             developed in consultation with the
                                                                                                          U.S.C. 300aa–26, requires the Secretary               Advisory Commission on Childhood
                                                                                                          of Health and Human Services to                       Vaccines, the Food and Drug
                                                                                                          develop and disseminate vaccine                       Administration, and parent and
                                                                                                          information materials for distribution by             healthcare provider organizations.


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                                                  62138                     Federal Register / Vol. 81, No. 174 / Thursday, September 8, 2016 / Notices

                                                  Following consultation and review of                       • Mail: Leroy A. Richardson,                       personnel and to be able to respond to
                                                  comments submitted, the vaccine                         Information Collection Review Office,                 a collection of information, to search
                                                  information materials covering polio                    Centers for Disease Control and                       data sources, to complete and review
                                                  vaccine have been finalized and are                     Prevention, 1600 Clifton Road NE., MS–                the collection of information; and to
                                                  available to download from http://                      D74, Atlanta, Georgia 30329.                          transmit or otherwise disclose the
                                                  www.cdc.gov/vaccines/hcp/vis/                              Instructions: All submissions received             information.
                                                  index.html or http://                                   must include the agency name and
                                                                                                                                                                Proposed Project
                                                  www.regulations.gov (see Docket                         Docket Number. All relevant comments
                                                  Number CDC–2015–0029). The Vaccine                      received will be posted without change                  Early Hearing Detection and
                                                  Information Statement (VIS) is ‘‘Polio                  to Regulation.gov, including any                      Intervention—Pediatric Audiology
                                                  Vaccine: What You Need to Know,’’                       personal information provided. For                    Links to Service (EHDI–PALS) Survey
                                                  publication date July 20, 2016.                         access to the docket to read the                      (OMB No. 0920–0955, Expiration 03/31/
                                                    With publication of this notice, by                   background documents or comments                      2017)—Extension—National Center on
                                                  November 1, 2016, all health care                       received, go to Regulations.gov.                      Birth Defects and Developmental
                                                  providers must discontinue use of the                   FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                Disabilities (NCBDDD), Centers for
                                                  previous edition and provide copies of                  Leroy A. Richardson, Information                      Disease Control and Prevention (CDC).
                                                  these updated polio vaccine information                 Collection Review Office, Centers for                 Background and Brief Description
                                                  materials prior to immunization in                      Disease Control and Prevention, 1600                     The Division of Human Development
                                                  conformance with CDC’s August 9, 2016                   Clifton Road NE., MS–D74, Atlanta,                    and Disability, located within NCBDDD,
                                                  Instructions for the Use of Vaccine                     Georgia 30329.                                        promotes the health of babies, children,
                                                  Information Statements.                                 SUPPLEMENTARY INFORMATION: Under the                  and adults, with a focus on preventing
                                                    Dated: September 1, 2016.                             Paperwork Reduction Act of 1995 (PRA)                 birth defects and developmental
                                                  Sandra Cashman,                                         (44 U.S.C. 3501–3520), Federal agencies               disabilities and optimizing the health
                                                  Executive Secretary, Centers for Disease                must obtain approval from the Office of               outcomes of those with disabilities.
                                                  Control and Prevention.                                 Management and Budget (OMB) for each                  Since the passage of the Early Hearing
                                                  [FR Doc. 2016–21575 Filed 9–7–16; 8:45 am]              collection of information they conduct                Detection and Intervention (EHDI) Act,
                                                  BILLING CODE 4163–18–P
                                                                                                          or sponsor. In addition, the PRA also                 98% of newborn infants are now
                                                                                                          requires Federal agencies to provide a                screened for hearing loss prior to
                                                                                                          60-day notice in the Federal Register                 hospital discharge. However, many of
                                                  DEPARTMENT OF HEALTH AND                                concerning each proposed collection of                these infants have not received needed
                                                  HUMAN SERVICES                                          information, and each reinstatement of                hearing tests and follow up services
                                                                                                          previously approved information                       after their hospital discharges. The 2013
                                                  Centers for Disease Control and                         collection before submitting the collect              national average loss to follow-up/loss
                                                  Prevention                                              to OMB for approval. To comply with                   to documentation rate is at 32%. This
                                                  [60Day–16–0955; Docket No. CDC–2016–
                                                                                                          this requirement, we are publishing this              rate remains an area of critical concern
                                                  0089]                                                   notice of a proposed data collection as               for state EHDI programs and CDC–EHDI
                                                                                                          described below.                                      team’s goal of timely diagnosis by 3
                                                  Proposed Data Collections Submitted                        Comments are invited on: (a) Whether               months of age and intervention by 6
                                                  for Public Comment and                                  the proposed collection of information                months of age. Many states cite the lack
                                                  Recommendations                                         is necessary for the proper performance               of audiology resources as the main
                                                                                                          of the functions of the agency, including             factor behind the high loss to follow-up.
                                                  AGENCY: Centers for Disease Control and                 whether the information shall have                    To compound the problem, many
                                                  Prevention (CDC), Department of Health                  practical utility; (b) the accuracy of the            pediatric audiologists may be proficient
                                                  and Human Services (HHS).                               agency’s estimate of the burden of the                evaluating children age 5 and older but
                                                  ACTION: Notice with comment period.                     proposed collection of information; (c)               are not proficient with diagnosing
                                                                                                          ways to enhance the quality, utility, and             infants or younger children because
                                                  SUMMARY:   The Centers for Disease                      clarity of the information to be                      children age 5 and younger require a
                                                  Control and Prevention (CDC), as part of                collected; and (d) ways to minimize the               different skill set. There is still no
                                                  its continuing efforts to reduce public                 burden of the collection of information               existing literature or database available
                                                  burden and maximize the utility of                      on respondents, including through the                 to help states verify and quantify their
                                                  government information, invites the                     use of automated collection techniques                states’ true follow up capacity until this
                                                  general public and other Federal                        or other forms of information                         project went live in 2013.
                                                  agencies to take this opportunity to                    technology; and (e) estimates of capital                 Meeting since April 2010, the EHDI–
                                                  comment on proposed and/or                              or start-up costs and costs of operation,             PALS workgroup has sought consensus
                                                  continuing information collections, as                  maintenance, and purchase of services                 on the loss to follow-up/loss to
                                                  requires by the Paperwork Reduction                     to provide information. Burden means                  documentation issue facing the EHDI
                                                  Act of 1995. This notice invites                        the total time, effort, or financial                  programs. A survey based on standard
                                                  comments on Early Hearing Detection                     resources expended by persons to                      of care practice was developed for state
                                                  and Intervention Pediatric Audiology                    generate, maintain, retain, disclose or               EHDI programs to quantify the pediatric
                                                  Links to Services (EDHI–PALS)                           provide information to or for a Federal               audiology resource distribution within
                                                  DATES: Written comments must be                         agency. This includes the time needed                 their state, particularly audiology
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                                                  received on or before November 7, 2016.                 to review instructions; to develop,                   facilities that are equipped to provide
                                                  ADDRESSES: You may submit comments,                     acquire, install and utilize technology               follow up services for children age five
                                                  identified by Docket No. CDC–2016–                      and systems for the purpose of                        and younger. After three years of data
                                                  0089 by any of the following methods:                   collecting, validating and verifying                  collection, data suggested that children
                                                     • Federal eRulemaking Portal:                        information, processing and                           residing in certain regions of the US
                                                  Regulations.gov. Follow the instruction                 maintaining information, and disclosing               who were loss to follow up were due to
                                                  for submitting comments.                                and providing information; to train                   the distance parents had to travel to


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Document Created: 2018-02-09 13:12:40
Document Modified: 2018-02-09 13:12:40
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesBeginning no later than November 1, 2016, each health care provider who administers polio vaccine to any child or adult in the United States shall provide copies of the relevant vaccine information materials referenced in this notice, in conformance with the August 9, 2016 CDC Instructions for the Use of Vaccine Information Statements prior to providing such vaccinations.
ContactSuzanne Johnson-DeLeon ([email protected]), National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Mailstop A-19, 1600 Clifton Road NE., Atlanta, Georgia 30329.
FR Citation81 FR 62137 

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