81_FR_62313 81 FR 62139 - Final Revised Vaccine Information Materials for Hepatitis A and Hepatitis B Vaccines

81 FR 62139 - Final Revised Vaccine Information Materials for Hepatitis A and Hepatitis B Vaccines

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

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

Page Range62139-62140
FR Document2016-21573

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 February 8, 2016, CDC published a notice in the Federal Register (81 FR 6520) seeking public comments on proposed updated vaccine information materials for hepatitis A and hepatitis B vaccines. Following review of comments submitted and consultation as required under the law, CDC has finalized the materials for hepatitis A and hepatitis B vaccines. Copies of the final vaccine information materials for hepatitis A and hepatitis B vaccines are available to download from http://www.cdc.gov/vaccines/ hcp/vis/index.html or http://www.regulations.gov (see Docket Number CDC-2016-0015).

Federal Register, Volume 81 Issue 174 (Thursday, September 8, 2016)
[Federal Register Volume 81, Number 174 (Thursday, September 8, 2016)]
[Notices]
[Pages 62139-62140]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-21573]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2016-0015]


Final Revised Vaccine Information Materials for Hepatitis A and 
Hepatitis B Vaccines

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 February 8, 2016, CDC 
published a notice in the Federal Register (81 FR 6520) seeking public 
comments on proposed updated vaccine information materials for 
hepatitis A and hepatitis B vaccines. Following review of comments 
submitted and consultation as required under the law, CDC has finalized 
the materials for hepatitis A and hepatitis B vaccines. Copies of the 
final vaccine information materials for hepatitis A and hepatitis B 
vaccines are available to download from http://www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov (see Docket Number 
CDC-2016-0015).

DATES: Beginning no later than November 1, 2016, each health care 
provider who administers hepatitis A or hepatitis B 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

[[Page 62140]]

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 hepatitis A and hepatitis B vaccine information materials 
referenced in this notice were developed in consultation with the 
Advisory Commission on Childhood Vaccines, the Food and Drug 
Administration, and parent and healthcare provider organizations. 
Following consultation and review of comments submitted, the vaccine 
information materials covering hepatitis A and hepatitis B vaccines 
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-2016-0015). The Vaccine Information Statements 
(VIS) are ``Hepatitis A Vaccine: What You Need to Know'' and 
``Hepatitis B 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 of each and 
provide copies of these updated hepatitis A and hepatitis B 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. 2016-21573 Filed 9-7-16; 8:45 am]
 BILLING CODE 4163-18-P



                                                                                      Federal Register / Vol. 81, No. 174 / Thursday, September 8, 2016 / Notices                                                                                      62139

                                                  reach a pediatric audiology facility. For                                     There will be no revision done to the                           answers. Both the American Speech-
                                                  example, parents who reside in western                                      survey because the data collected in the                          Language-Hearing Association and the
                                                  region of Nebraska and Iowa on average                                      past three years has proven to be                                 American Academy of Audiology are
                                                  have to drive over 100 miles and in                                         valuable and appropriate as evidenced                             members of the EHDI–PALS workgroup
                                                  Montana over 200 miles to reach a                                           by the high usage rate. Consumers have                            and will continue to disseminate a
                                                  pediatric audiology facility.                                               accessed the facility information over                            request through association e-
                                                                                                                              140,000 times as of April 2016. To                                newsletters and e-announcements to all
                                                     CDC is requesting an Office of
                                                                                                                              minimize burden and improve                                       audiologists who provide services to
                                                  Management and Budget (OMB)
                                                                                                                              convenience, the survey will continue                             children younger than five years of age
                                                  approval to continue collecting                                             to be available via a secure password
                                                  audiology facility information from                                                                                                           to complete the EHDI–PALS survey. It is
                                                                                                                              protected Web site. Placing the survey                            estimated that potentially an additional
                                                  audiologists or facility managers so both                                   on the internet ensures convenient, on-
                                                  parents, physicians and state EHDI                                                                                                            400 new audiologists will read through
                                                                                                                              demand access by the audiologists.                                the purpose statement located on page
                                                  programs will have a tool to find where                                     Financial cost is minimized because no
                                                  the pediatric audiology facilities are                                                                                                        one of the survey to decide whether or
                                                                                                                              mailing fee will be associated with                               not to complete the survey. This will
                                                  located. This survey will continue to                                       sending or responding to this survey.
                                                  allow the CDC–EHDI team and state                                                                                                             take one minute per person. It is
                                                                                                                                EHDI–PALS currently has 1,005
                                                  EHDI programs to compile a systematic,                                      facilities in the database since the                              estimated that 200 audiologists will
                                                  quantifiable distribution of audiology                                      beginning of the data collection. All                             complete the survey which will average
                                                  facilities and the capacity of each                                         1,005 facilities’ contact will receive a                          nine minutes per respondent. The nine
                                                  facility to provide services for children                                   brief email from the University of Maine                          minutes calculation is based on a
                                                  age five and younger. The data collected                                    to remind them to review their survey                             previous timed pre-test with six
                                                  will also allow the CDC–EHDI team to                                        answers. It is estimated that                                     volunteer audiologists. There are no
                                                  analyze facility distribution data to                                       approximately 800 audiologists will do                            costs to respondents other than their
                                                  improve technical assistance to state                                       so. It takes approximately two minutes                            time.
                                                  EHDI programs.                                                              per person to review the survey                                     The total burden hours are 64.

                                                                                                                                                                                                                            Average
                                                                                                                                                                                              Number of
                                                                                                                                                                            Number of                                     burden per              Total burden
                                                                                                   Form name                                                                                responses per
                                                                                                                                                                           respondents                                     response                (in hours)
                                                                                                                                                                                              respondent                   (in hours)

                                                  Annual Survey Review ....................................................................................                           800                        1                     2/60                 27
                                                  Survey Introduction ..........................................................................................                      400                        1                     1/60                  7
                                                  Survey ..............................................................................................................               200                        1                     9/60                 30

                                                        Total ..........................................................................................................            1,400   ........................   ........................             64



                                                  Leroy A. Richardson,                                                        give to patients/parents prior to                                 FOR FURTHER INFORMATION CONTACT:
                                                  Chief, Information Collection Review Office,                                administration of specific vaccines. On                           Suzanne Johnson-DeLeon (msj1@
                                                  Office of Scientific Integrity, Office of the                               February 8, 2016, CDC published a                                 cdc.gov), National Center for
                                                  Associate Director for Science, Office of the                               notice in the Federal Register (81 FR                             Immunization and Respiratory Diseases,
                                                  Director, Centers for Disease Control and                                   6520) seeking public comments on                                  Centers for Disease Control and
                                                  Prevention.                                                                                                                                   Prevention, Mailstop A–19, 1600 Clifton
                                                                                                                              proposed updated vaccine information
                                                  [FR Doc. 2016–21609 Filed 9–7–16; 8:45 am]                                                                                                    Road NE., Atlanta, Georgia 30329.
                                                                                                                              materials for hepatitis A and hepatitis B
                                                  BILLING CODE 4163–18–P                                                      vaccines. Following review of                                     SUPPLEMENTARY INFORMATION:      The
                                                                                                                              comments submitted and consultation                               National Childhood Vaccine Injury Act
                                                                                                                              as required under the law, CDC has                                of 1986 (Pub. L. 99–660), as amended by
                                                  DEPARTMENT OF HEALTH AND                                                    finalized the materials for hepatitis A
                                                  HUMAN SERVICES                                                                                                                                section 708 of Public Law 103–183,
                                                                                                                              and hepatitis B vaccines. Copies of the                           added section 2126 to the Public Health
                                                  Centers for Disease Control and                                             final vaccine information materials for                           Service Act. Section 2126, codified at 42
                                                  Prevention                                                                  hepatitis A and hepatitis B vaccines are                          U.S.C. 300aa–26, requires the Secretary
                                                                                                                              available to download from http://                                of Health and Human Services to
                                                  [Docket No. CDC–2016–0015]                                                  www.cdc.gov/vaccines/hcp/vis/                                     develop and disseminate vaccine
                                                                                                                              index.html or http://                                             information materials for distribution by
                                                  Final Revised Vaccine Information                                           www.regulations.gov (see Docket                                   all health care providers in the United
                                                  Materials for Hepatitis A and Hepatitis                                     Number CDC–2016–0015).                                            States to any patient (or to the parent or
                                                  B Vaccines                                                                                                                                    legal representative in the case of a
                                                                                                                              DATES:  Beginning no later than
                                                  AGENCY: Centers for Disease Control and                                     November 1, 2016, each health care                                child) receiving vaccines covered under
                                                  Prevention (CDC), Department of Health                                      provider who administers hepatitis A or                           the National Vaccine Injury
                                                  and Human Services (HHS).                                                   hepatitis B vaccine to any child or adult                         Compensation Program (VICP).
mstockstill on DSK3G9T082PROD with NOTICES




                                                  ACTION: Notice.                                                             in the United States shall provide copies                            Development and revision of the
                                                                                                                              of the relevant vaccine information                               vaccine information materials, also
                                                  SUMMARY:  Under the National                                                materials referenced in this notice, in                           known as Vaccine Information
                                                  Childhood Vaccine Injury Act (NCVIA)                                        conformance with the August 9, 2016                               Statements (VIS), have been delegated
                                                  (42 U.S.C. 300aa–26), CDC must develop                                      CDC Instructions for the Use of Vaccine                           by the Secretary to the Centers for
                                                  vaccine information materials that all                                      Information Statements prior to                                   Disease Control and Prevention (CDC).
                                                  health care providers are required to                                       providing such vaccinations.                                      Section 2126 requires that the materials


                                             VerDate Sep<11>2014         19:34 Sep 07, 2016         Jkt 238001       PO 00000        Frm 00068        Fmt 4703       Sfmt 4703   E:\FR\FM\08SEN1.SGM        08SEN1


                                                  62140                     Federal Register / Vol. 81, No. 174 / Thursday, September 8, 2016 / Notices

                                                  be developed, or revised, after notice to               What You Need to Know,’’ publication                  consideration, comments and
                                                  the public, with a 60-day comment                       date July 20, 2016.                                   recommendations must be submitted in
                                                  period, and in consultation with the                      With publication of this notice, by                 any one of the following ways:
                                                  Advisory Commission on Childhood                        November 1, 2016, all health care                       1. Electronically. You may send your
                                                  Vaccines, appropriate health care                       providers must discontinue use of the                 comments electronically to http://
                                                  provider and parent organizations, and                  previous edition of each and provide                  www.regulations.gov. Follow the
                                                  the Food and Drug Administration. The                   copies of these updated hepatitis A and               instructions for ‘‘Comment or
                                                  law also requires that the information                  hepatitis B vaccine information                       Submission’’ or ‘‘More Search Options’’
                                                  contained in the materials be based on                  materials prior to immunization in                    to find the information collection
                                                  available data and information, be                      conformance with CDC’s August 9, 2016                 document(s) that are accepting
                                                  presented in understandable terms, and                  Instructions for the Use of Vaccine                   comments.
                                                  include:                                                Information Statements.                                 2. By regular mail. You may mail
                                                     (1) A concise description of the                                                                           written comments to the following
                                                                                                            Dated: September 1, 2016.
                                                  benefits of the vaccine,                                                                                      address: CMS, Office of Strategic
                                                     (2) A concise description of the risks               Sandra Cashman,
                                                                                                                                                                Operations and Regulatory Affairs,
                                                  associated with the vaccine,                            Executive Secretary, Centers for Disease
                                                                                                          Control and Prevention.
                                                                                                                                                                Division of Regulations Development,
                                                     (3) A statement of the availability of                                                                     Attention: Document Identifier/OMB
                                                  the National Vaccine Injury                             [FR Doc. 2016–21573 Filed 9–7–16; 8:45 am]
                                                                                                                                                                Control Number _________, Room C4–
                                                  Compensation Program, and                               BILLING CODE 4163–18–P
                                                                                                                                                                26–05, 7500 Security Boulevard,
                                                     (4) Such other relevant information as                                                                     Baltimore, Maryland 21244–1850.
                                                  may be determined by the Secretary.                                                                             To obtain copies of a supporting
                                                     The vaccines initially covered under                 DEPARTMENT OF HEALTH AND
                                                                                                                                                                statement and any related forms for the
                                                  the National Vaccine Injury                             HUMAN SERVICES
                                                                                                                                                                proposed collection(s) summarized in
                                                  Compensation Program were diphtheria,
                                                                                                          Centers for Medicare & Medicaid                       this notice, you may make your request
                                                  tetanus, pertussis, measles, mumps,
                                                                                                          Services                                              using one of following:
                                                  rubella, and poliomyelitis vaccines.
                                                                                                                                                                  1. Access CMS’ Web site address at
                                                  Since April 15, 1992, any health care                   [Document Identifier: CMS–10287]                      http://www.cms.hhs.gov/
                                                  provider in the United States who
                                                                                                                                                                PaperworkReductionActof1995.
                                                  intends to administer one of these                      Agency Information Collection
                                                                                                                                                                  2. Email your request, including your
                                                  covered vaccines is required to provide                 Activities: Proposed Collection;
                                                                                                                                                                address, phone number, OMB number,
                                                  copies of the relevant vaccine                          Comment Request
                                                                                                                                                                and CMS document identifier, to
                                                  information materials prior to
                                                                                                          AGENCY: Centers for Medicare &                        Paperwork@cms.hhs.gov.
                                                  administration of any of these vaccines.
                                                                                                          Medicaid Services, HHS.                                 3. Call the Reports Clearance Office at
                                                  Since then, the following vaccines have
                                                                                                          ACTION: Notice.                                       (410) 786–1326.
                                                  been added to the National Vaccine
                                                  Injury Compensation Program, requiring                                                                        FOR FURTHER INFORMATION CONTACT:
                                                                                                          SUMMARY:    The Centers for Medicare &                Reports Clearance Office at (410) 786–
                                                  use of vaccine information materials for
                                                                                                          Medicaid Services (CMS) is announcing                 1326.
                                                  them as well: Hepatitis B, Haemophilus
                                                                                                          an opportunity for the public to
                                                  influenzae type b (Hib), varicella                                                                            SUPPLEMENTARY INFORMATION:
                                                                                                          comment on CMS’ intention to collect
                                                  (chickenpox), pneumococcal conjugate,
                                                                                                          information from the public. Under the                Contents
                                                  rotavirus, hepatitis A, meningococcal,
                                                                                                          Paperwork Reduction Act of 1995 (the
                                                  human papillomavirus (HPV), and                                                                                 This notice sets out a summary of the
                                                                                                          PRA), federal agencies are required to
                                                  seasonal influenza vaccines.                                                                                  use and burden associated with the
                                                                                                          publish notice in the Federal Register
                                                  Instructions for use of the vaccine                                                                           following information collections. More
                                                                                                          concerning each proposed collection of
                                                  information materials are found on the                                                                        detailed information can be found in
                                                                                                          information (including each proposed
                                                  CDC Web site at: http://www.cdc.gov/                                                                          each collection’s supporting statement
                                                                                                          extension or reinstatement of an existing
                                                  vaccines/hcp/vis/index.html.                                                                                  and associated materials (see
                                                                                                          collection of information) and to allow
                                                                                                                                                                ADDRESSES).
                                                  Revised Vaccine Information Materials                   60 days for public comment on the
                                                     The hepatitis A and hepatitis B                      proposed action. Interested persons are               CMS–10287 Medicare Quality of Care
                                                  vaccine information materials                           invited to send comments regarding our                Complaint Form
                                                  referenced in this notice were                          burden estimates or any other aspect of                 Under the PRA (44 U.S.C. 3501–
                                                  developed in consultation with the                      this collection of information, including             3520), federal agencies must obtain
                                                  Advisory Commission on Childhood                        any of the following subjects: The                    approval from the Office of Management
                                                  Vaccines, the Food and Drug                             necessity and utility of the proposed                 and Budget (OMB) for each collection of
                                                  Administration, and parent and                          information collection for the proper                 information they conduct or sponsor.
                                                  healthcare provider organizations.                      performance of the agency’s functions;                The term ‘‘collection of information’’ is
                                                  Following consultation and review of                    the accuracy of the estimated burden;                 defined in 44 U.S.C. 3502(3) and 5 CFR
                                                  comments submitted, the vaccine                         ways to enhance the quality, utility, and             1320.3(c) and includes agency requests
                                                  information materials covering hepatitis                clarity of the information to be                      or requirements that members of the
                                                  A and hepatitis B vaccines have been                    collected; and the use of automated                   public submit reports, keep records, or
                                                  finalized and are available to download                 collection techniques or other forms of               provide information to a third party.
mstockstill on DSK3G9T082PROD with NOTICES




                                                  from http://www.cdc.gov/vaccines/hcp/                   information technology to minimize the                Section 3506(c)(2)(A) of the PRA
                                                  vis/index.html or http://                               information collection burden.                        requires federal agencies to publish a
                                                  www.regulations.gov (see Docket                         DATES: Comments must be received by                   60-day notice in the Federal Register
                                                  Number CDC–2016–0015). The Vaccine                      November 7, 2016.                                     concerning each proposed collection of
                                                  Information Statements (VIS) are                        ADDRESSES: When commenting, please                    information, including each proposed
                                                  ‘‘Hepatitis A Vaccine: What You Need                    reference the document identifier or                  extension or reinstatement of an existing
                                                  to Know’’ and ‘‘Hepatitis B Vaccine:                    OMB control number. To be assured                     collection of information, before


                                             VerDate Sep<11>2014   19:34 Sep 07, 2016   Jkt 238001   PO 00000   Frm 00069   Fmt 4703   Sfmt 4703   E:\FR\FM\08SEN1.SGM   08SEN1



Document Created: 2018-02-09 13:12:38
Document Modified: 2018-02-09 13:12:38
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 hepatitis A or hepatitis B 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 62139 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR