81_FR_71936 81 FR 71735 - Proposed Revised Vaccine Information Materials for MMR (Measles, Mumps, and Rubella and MMRV (Measles, Mumps, Rubella, and Varicella) Vaccines

81 FR 71735 - Proposed Revised Vaccine Information Materials for MMR (Measles, Mumps, and Rubella and MMRV (Measles, Mumps, Rubella, and Varicella) Vaccines

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

Federal Register Volume 81, Issue 201 (October 18, 2016)

Page Range71735-71736
FR Document2016-25144

Under the National Childhood Vaccine Injury Act (NCVIA) (42 U.S.C. 300aa-26), the Centers for Disease Control and Prevention (CDC) within the Department of Health and Human Services (HHS) develops vaccine information materials that all health care providers are required to give to patients/parents prior to administration of specific vaccines. HHS/CDC seeks written comment on the proposed updated vaccine information statements for MMR (measles, mumps, and rubella) and MMRV (measles, mumps, rubella, and varicella) vaccines.

Federal Register, Volume 81 Issue 201 (Tuesday, October 18, 2016)
[Federal Register Volume 81, Number 201 (Tuesday, October 18, 2016)]
[Notices]
[Pages 71735-71736]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-25144]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2016-0094]


Proposed Revised Vaccine Information Materials for MMR (Measles, 
Mumps, and Rubella and MMRV (Measles, Mumps, Rubella, and Varicella) 
Vaccines

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

ACTION: Notice with comment period.

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

SUMMARY: Under the National Childhood Vaccine Injury Act (NCVIA) (42 
U.S.C. 300aa-26), the Centers for Disease Control and Prevention (CDC) 
within the Department of Health and Human Services (HHS) develops 
vaccine information materials that all health care providers are 
required to give to patients/parents prior to administration of 
specific vaccines. HHS/CDC seeks written comment on the proposed 
updated vaccine information statements for MMR (measles, mumps, and 
rubella) and MMRV (measles, mumps, rubella, and varicella) vaccines.

DATES: Written comments must be received on or before December 19, 
2016.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0094, by any of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Written comments should be addressed to 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.
    Instructions: All submissions received must include the agency name 
and docket number. All relevant comments received will be posted 
without change to http://regulations.gov, including any personal 
information provided. For access to the docket to read background 
documents or comments received, go to http://www.regulations.gov.

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

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

[[Page 71736]]

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.
    HHS/CDC is proposing updated versions of the MMR (measles, mumps, 
and rubella) and MMRV (measles, mumps, rubella, and varicella) vaccine 
information statements.
    The vaccine information materials referenced in this notice are 
being developed in consultation with the Advisory Commission on 
Childhood Vaccines, the Food and Drug Administration, and parent and 
health care provider groups.
    We invite written comment on the proposed revised vaccine 
information materials entitled ``MMR Vaccine (Measles, Mumps, and 
Rubella): What You Need to Know'' and ``MMRV Vaccine (Measles, Mumps, 
Rubella, and Varicella): What You Need to Know.'' Copies of the 
proposed vaccine information materials are available at http://www.regulations.gov (see Docket Number CDC-2016-0094). Comments 
submitted will be considered in finalizing these materials. When the 
final materials are published in the Federal Register, the notice will 
include an effective date for their mandatory use.

    Dated: October 13, 2016.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2016-25144 Filed 10-17-16; 8:45 am]
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                                                                          Federal Register / Vol. 81, No. 201 / Tuesday, October 18, 2016 / Notices                                          71735

                                             ‘‘Information Regarding Responsibility                    Total Annual Recordkeeping Hours:                   administration of specific vaccines.
                                             Matters’’ under 52.209–7 violates                       508,000.                                              HHS/CDC seeks written comment on the
                                             Executive Order 13610, Identifying and                                                                        proposed updated vaccine information
                                                                                                     Public Comments
                                             Reducing Regulatory Burdens, in that it                                                                       statements for MMR (measles, mumps,
                                             is a redundant collection of information                   Public comments are particularly                   and rubella) and MMRV (measles,
                                             and fails to maximize the re-use of data                invited on: Whether this collection of                mumps, rubella, and varicella) vaccines.
                                             that are already collected. The                         information is necessary; whether it will             DATES: Written comments must be
                                             commenter states that FAR clauses                       have practical utility; whether our                   received on or before December 19,
                                             52.209–5 and 52.209–7 request for                       estimate of the public burden of this                 2016.
                                             information overlaps and yet is different               collection of information is accurate,
                                                                                                                                                           ADDRESSES: You may submit comments,
                                             enough to create substantial additional                 and based on valid assumptions and
                                                                                                                                                           identified by Docket No. CDC–2016–
                                             burden and confusion for offerors                       methodology; ways to enhance the
                                                                                                                                                           0094, by any of the following methods:
                                             evaluating instance of litigation under                 quality, utility, and clarity of the                     • Federal eRulemaking Portal: http://
                                             both standards.                                         information to be collected; and ways in              www.regulations.gov. Follow the
                                                Response: FAR 52.209–7 is a statutory                which we can minimize the burden of                   instructions for submitting comments.
                                             clause that requires the Government to                  the collection of information on those                   • Mail: Written comments should be
                                             collect information that is loaded into                 who are to respond, through the use of                addressed to Suzanne Johnson-DeLeon
                                             FAPIIS. The clause must be                              appropriate technological collection                  (VIScomments@cdc.gov), National
                                             implemented as intended. Some of the                    techniques or other forms of information              Center for Immunization and
                                             information being collected may seem                    technology.                                           Respiratory Diseases, Centers for
                                             redundant but it has different criteria. It                Obtaining Copies of Proposals:                     Disease Control and Prevention,
                                             is not identical information and used                   Requesters may obtain a copy of the                   Mailstop A–19, 1600 Clifton Road NE.,
                                             differently. Furthermore, the thresholds                information collection documents from                 Atlanta, Georgia 30329.
                                             are different.                                          the General Services Administration,                     Instructions: All submissions received
                                                FAR 52.209–5 implements policy                       Regulatory Secretariat Division (MVCB),               must include the agency name and
                                             guidance on debarment, suspension and                   1800 F Street NW., Washington, DC                     docket number. All relevant comments
                                             ineligibility. FAR 52.209–5 is a                        20405, telephone 202–501–4755. Please                 received will be posted without change
                                             certification that is placed in all                     cite OMB Control No. 9000–0094,                       to http://regulations.gov, including any
                                             solicitations when the contract value is                Debarment and Suspension and Other                    personal information provided. For
                                             expected to exceed the simplified                       Responsibility Matters, in all                        access to the docket to read background
                                             acquisition threshold and covers 3                      correspondence.                                       documents or comments received, go to
                                             years. FAR 52.209–7 goes in                               Dated: October 13, 2016.                            http://www.regulations.gov.
                                             solicitations expected to exceed                        Lorin S. Curit,                                       FOR FURTHER INFORMATION CONTACT: Skip
                                             $550,000 and covers 5 years and                         Director, Federal Acquisition Policy Division,        Wolfe, National Center for
                                             requires that the information be placed                 Office of Governmentwide Acquisition Policy,          Immunization and Respiratory Diseases,
                                             into FAPIIS (as required by statute).                   Office of Acquisition Policy, Office of               Centers for Disease Control and
                                                Comment: The existence of FAR                        Governmentwide Policy.                                Prevention, Mailstop A–19, 1600 Clifton
                                             52.209–5 and 52.209–11 obviate the                      [FR Doc. 2016–25123 Filed 10–17–16; 8:45 am]          Road NE., Atlanta, Georgia 30329,
                                             need for FAR 52.209–7 because all three                 BILLING CODE 6820–EP–P                                email: VIScomments@cdc.gov.
                                             clauses use offeror’s litigation history as                                                                   SUPPLEMENTARY INFORMATION: The
                                             an indicator of it present responsibility.                                                                    National Childhood Vaccine Injury Act
                                                Response: These data requirements                                                                          of 1986 (Pub. L. 99–660), as amended by
                                             are different. One major difference                     DEPARTMENT OF HEALTH AND
                                                                                                     HUMAN SERVICES                                        section 708 of Public Law 103–183,
                                             between these clauses is that FAR                                                                             added section 2126 to the Public Health
                                             52.209–7 collects data to be added into                 Centers for Disease Control and                       Service Act. Section 2126, codified at 42
                                             FAPIIS. The others do not. Therefore,                   Prevention                                            U.S.C. 300aa–26, requires the Secretary
                                             FAR 52.209–7 has a different                                                                                  of Health and Human Services to
                                             requirement intent and needed.                          [Docket No. CDC–2016–0094]
                                                                                                                                                           develop and disseminate vaccine
                                                Comment: FAR 52.209–7 requires                                                                             information materials for distribution by
                                             offerors to report information on matters               Proposed Revised Vaccine Information
                                                                                                     Materials for MMR (Measles, Mumps,                    all health care providers in the United
                                             so old they are no longer relevant to                                                                         States to any patient (or to the parent or
                                             present responsibility.                                 and Rubella and MMRV (Measles,
                                                                                                     Mumps, Rubella, and Varicella)                        legal representative in the case of a
                                                Response: The statute that this clause                                                                     child) receiving vaccines covered under
                                             is based requires that it collects 5 years              Vaccines
                                                                                                                                                           the National Vaccine Injury
                                             of data.                                                AGENCY: Centers for Disease Control and               Compensation Program (VICP).
                                             C. Annual Reporting and                                 Prevention (CDC), Department of Health                   Development and revision of the
                                             Recordkeeping Burden                                    and Human Services (HHS).                             vaccine information materials, also
                                                                                                     ACTION: Notice with comment period.                   known as Vaccine Information
                                             Annual Reporting Burden                                                                                       Statements (VIS), have been delegated
                                                Respondents: 486,000.                                SUMMARY:   Under the National                         by the Secretary to the Centers for
                                                Responses per Respondent: 2.55.                      Childhood Vaccine Injury Act (NCVIA)                  Disease Control and Prevention (CDC).
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                                                Total Annual Responses: 1,239,602.                   (42 U.S.C. 300aa–26), the Centers for                 Section 2126 requires that the materials
                                                Hours per Response: 0.34.                            Disease Control and Prevention (CDC)                  be developed, or revised, after notice to
                                                Total Burden Hours: 415,687.                         within the Department of Health and                   the public, with a 60-day comment
                                                                                                     Human Services (HHS) develops                         period, and in consultation with the
                                             Annual Recordkeeping Burden                             vaccine information materials that all                Advisory Commission on Childhood
                                                Recordkeepers: 5,080.                                health care providers are required to                 Vaccines, appropriate health care
                                                Hours per Recordkeeper: 100.                         give to patients/parents prior to                     provider and parent organizations, and


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                                             71736                          Federal Register / Vol. 81, No. 201 / Tuesday, October 18, 2016 / Notices

                                             the Food and Drug Administration. The                       Administration, and parent and health                   Reauthorization Act) of October 27,
                                             law also requires that the information                      care provider groups.                                   1998, Public Law 105–285, section
                                             contained in the materials be based on                         We invite written comment on the                     680(b) as amended. The reporting
                                             available data and information, be                          proposed revised vaccine information                    format, Performance Progress Report
                                             presented in understandable terms, and                      materials entitled ‘‘MMR Vaccine                        (PPR), collects information concerning
                                             include:                                                    (Measles, Mumps, and Rubella): What                     the outcomes and management of CED
                                                (1) A concise description of the                         You Need to Know’’ and ‘‘MMRV                           projects. OCS will use the data to
                                             benefits of the vaccine,                                    Vaccine (Measles, Mumps, Rubella, and                   critically review the overall design and
                                                (2) A concise description of the risks                   Varicella): What You Need to Know.’’                    effectiveness of the program.
                                             associated with the vaccine,                                Copies of the proposed vaccine                             The PPR will continue to be
                                                (3) A statement of the availability of                   information materials are available at                  administered to all active grantees of the
                                             the National Vaccine Injury                                 http://www.regulations.gov (see Docket                  CED program. Grantees will be required
                                             Compensation Program, and                                   Number CDC–2016–0094). Comments                         to use this reporting tool for their semi-
                                                (4) Such other relevant information as                   submitted will be considered in                         annual reports to be submitted twice a
                                             may be determined by the Secretary.                         finalizing these materials. When the                    year. The current PPR replaced both the
                                                The vaccines initially covered under                     final materials are published in the                    annual questionnaire and other semi-
                                             the National Vaccine Injury                                 Federal Register, the notice will include               annual reporting formats, which
                                             Compensation Program were diphtheria,                       an effective date for their mandatory                   resulted in an overall reduction in
                                             tetanus, pertussis, measles, mumps,                         use.                                                    burden for the grantees while
                                             rubella and poliomyelitis vaccines.                           Dated: October 13, 2016.                              significantly improving the quality of
                                             Since April 15, 1992, any health care                       Sandra Cashman,                                         the data collected by OCS. OCS seeks to
                                             provider in the United States who                           Executive Secretary, Centers for Disease
                                                                                                                                                                 renew this PPR to continue to collect
                                             intends to administer one of these                          Control and Prevention.                                 quality data from grantees. To ensure
                                             covered vaccines is required to provide                     [FR Doc. 2016–25144 Filed 10–17–16; 8:45 am]
                                                                                                                                                                 the burden on grantees is not increased,
                                             copies of the relevant vaccine                                                                                      but that the information collected
                                                                                                         BILLING CODE 4163–18–P
                                             information materials prior to                                                                                      demonstrates the full impact of the
                                             administration of any of these vaccines.                                                                            program, OCS has conducted an in-
                                             Since then, the following vaccines have                     DEPARTMENT OF HEALTH AND                                depth review to remove indicators that
                                             been added to the National Vaccine                          HUMAN SERVICES                                          are not being used; add indicators that
                                             Injury Compensation Program, requiring                                                                              will allow OCS to better demonstrate
                                             use of vaccine information materials for                    Administration for Children and                         the impact of the program; and clarify
                                             them as well: Hepatitis B, Haemophilus                      Families                                                language of some indicators to reduce
                                             influenzae type b (Hib), varicella                                                                                  grantee confusion. Based on this review,
                                             (chickenpox), pneumococcal conjugate,                       Proposed Information Collection                         proposed changes to the CED PPR are
                                             rotavirus, hepatitis A, meningococcal,                      Activity; Comment Request                               minimal and focused on clarifying
                                             human papillomavirus (HPV), and                                                                                     language, removing outdated indicators,
                                                                                                            Proposed Projects:
                                             seasonal influenza vaccines.                                   Title: Renewal of Office of                          and gathering minimal additional data
                                             Instructions for use of the vaccine                         Community Services (OCS) Community                      that will not increase the burden on
                                             information materials are found on the                      Economic Development (CED) Standard                     grantees. These measures will result in
                                             CDC Web site at: http://www.cdc.gov/                        Reporting Format.                                       a stronger and streamlined CED PPR
                                             vaccines/hcp/vis/index.html.                                   OMB No.: 0970–0386.                                  that will allow for the following:
                                                HHS/CDC is proposing updated                                Description: The Office of Community                 —More clarity for grantees and ability to
                                             versions of the MMR (measles, mumps,                        Services (OCS) will continue collecting                    avoid confusion around what data
                                             and rubella) and MMRV (measles,                             key information about projects funded                      should be provided.
                                             mumps, rubella, and varicella) vaccine                      through the Community Economic                          —Increased consistency across data.
                                             information statements.                                     Development (CED) program. The                          —Ability for OCS and grantees to better
                                                The vaccine information materials                        legislative requirement for this program                   demonstrate the impact of these
                                             referenced in this notice are being                         is in Title IV of the Community                            projects.
                                             developed in consultation with the                          Opportunities, Accountability and                          A summary of all proposed changes
                                             Advisory Commission on Childhood                            Training and Educational Services Act                   can be provided upon request.
                                             Vaccines, the Food and Drug                                 (COATS Human Services                                      Respondents: Active CED Grantees

                                                                                                                 ANNUAL BURDEN ESTIMATES
                                                                                                                                                                 Number of           Average
                                                                                                                                               Number of                                          Total burden
                                                                                     Instrument                                                                responses per       burden hours
                                                                                                                                              respondents                                            hours
                                                                                                                                                                 respondent        per response

                                             PPR for Current OCS–CED Grantees .............................................................         170              2                 1.5            510



                                               Estimated Total Annual Burden                             on the specific aspects of the                          and Evaluation, 330 C Street SW.,
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                                             Hours:                                                      information collection described above.                 Washington DC 20201. Attn: ACF
                                               In compliance with the requirements                       Copies of the proposed collection of                    Reports Clearance Officer. Email
                                             of the Paperwork Reduction Act of 1995                      information can be obtained and                         address: infocollection@acf.hhs.gov. All
                                             (Pub. L. 104–13, 44 U.S.C. Chap 35), the                    comments may be forwarded by writing                    requests should be identified by the title
                                             Administration for Children and                             to the Administration for Children and                  of the information collection.
                                             Families is soliciting public comment                       Families, Office of Planning, Research



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Document Created: 2016-10-17 23:52:48
Document Modified: 2016-10-17 23:52:48
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 with comment period.
DatesWritten comments must be received on or before December 19, 2016.
ContactSkip Wolfe, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Mailstop A-19, 1600 Clifton Road NE., Atlanta, Georgia 30329, email: [email protected]
FR Citation81 FR 71735 

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