81_FR_73012 81 FR 72808 - Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Guidance for Industry and Food and Drug Administration Staff on Dear Health Care Provider Letters: Improving Communication of Important Safety Information

81 FR 72808 - Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Guidance for Industry and Food and Drug Administration Staff on Dear Health Care Provider Letters: Improving Communication of Important Safety Information

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 204 (October 21, 2016)

Page Range72808-72809
FR Document2016-25481

The Food and Drug Administration (FDA or we) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995 (the PRA).

Federal Register, Volume 81 Issue 204 (Friday, October 21, 2016)
[Federal Register Volume 81, Number 204 (Friday, October 21, 2016)]
[Notices]
[Pages 72808-72809]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-25481]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2010-D-0319]


Agency Information Collection Activities; Submission for Office 
of Management and Budget Review; Comment Request; Guidance for Industry 
and Food and Drug Administration Staff on Dear Health Care Provider 
Letters: Improving Communication of Important Safety Information

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or we) is announcing 
that a proposed collection of information has been submitted to the 
Office of Management and Budget (OMB) for review and clearance under 
the Paperwork Reduction Act of 1995 (the PRA).

DATES: Fax written comments on the collection of information by 
November 21, 2016.

ADDRESSES: To ensure that comments on the information collection are 
received, OMB recommends that written comments be faxed to the Office 
of Information and Regulatory Affairs, OMB, Attn: FDA Desk Officer, 
FAX: 202-395-7285, or emailed to [email protected]. All 
comments should be identified with the OMB control number 0910-0754. 
Also include the FDA docket number found in brackets in the heading of 
this document.

FOR FURTHER INFORMATION CONTACT: FDA PRA Staff, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A63, 11601 
Landsdown St., North Bethesda, MD 20852, [email protected].

SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA has 
submitted the following proposed collection of information to OMB for 
review and clearance.

Guidance for Industry and Food and Drug Administration Staff on Dear 
Health Care Provider Letters: Improving Communication of Important 
Safety Information--OMB Control Number 0910-0754--Extension

    This final Guidance for Industry and FDA staff entitled ``Dear 
Health Care Provider Letters: Improving Communication of Important 
Safety Information'' offers specific guidance to industry and FDA staff 
on the content and format of Dear Health Care Provider (DHCP) letters. 
These letters are sent by manufacturers or distributors to health care 
providers to communicate an important drug warning, a change in 
prescribing information, or a correction of misinformation in 
prescription drug promotional labeling or advertising.
    This guidance gives specific instruction on what should and should 
not be included in DHCP letters. To date, some DHCP letters have been 
too long, have contained promotional material, or otherwise have not 
met the goals set forth in the applicable regulation (21 CFR 200.5). In 
some cases, health care providers have not been aware of important new 
information and have been unable to communicate it to patients because 
the letters' content and length have made it difficult to find the 
relevant information. In addition, letters have

[[Page 72809]]

sometimes been sent for the wrong reasons.
    In addition to content and format recommendations for each type of 
DHCP letter, the guidance also includes advice on consulting with FDA 
to develop a DHCP letter, when to send a letter, what type of letter to 
send, and conducting an assessment of the letter's impact.
    Based on a review of FDA's Document Archiving, Reporting and 
Regulatory Tracking System for 2012 to 2015, we identified DHCP letters 
that were sent and the identity of each sponsor sending out a DHCP 
letter for each year. We estimate that we will receive approximately 25 
DHCP Letters annually from approximately 18 application holders. FDA 
professionals familiar with DHCP letters and with the recommendations 
in the guidance estimate that it should take an application holder 
approximately 100 hours to prepare and send DHCP letters in accordance 
with the guidance.
    In the Federal Register of March 10, 2016 (81 FR 12734), we 
published a 60-day notice requesting public comment on the proposed 
extension of this collection of information. No comments were received.
    FDA estimates the annual reporting burden of this collection of 
information as follows:

                                                     Table 1--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                         Number of                       Average burden
                              Activity                                  Number of      responses per     Total annual     per response     Total hours
                                                                       respondents       respondent       responses         (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Annual average.....................................................              18              1.4               25              100            2,500
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.


    Dated: October 17, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-25481 Filed 10-20-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                    72808                                   Federal Register / Vol. 81, No. 204 / Friday, October 21, 2016 / Notices

                                                                               State                                                                                              Grantee                                                                       Amount

                                                    New Hampshire ........................................            NH. Dept. of Health & Human Services ......................................................................                                  25,736
                                                    New Jersey ...............................................        New Jersey Department of Human Services ..............................................................                                       25,736
                                                    New Mexico ..............................................         New Mexico Human Services Department ..................................................................                                      25,736
                                                    New York ..................................................       NY Office of Temporary and Disability Assistance ......................................................                                     171,426
                                                    North Carolina ...........................................        North Caroline Dept. of Health & Human Services .....................................................                                        84,000
                                                    North Dakota .............................................        North Dakota Department of Public Instruction ...........................................................                                    25,736
                                                    Ohio ..........................................................   Ohio Department of Job and Family Services .............................................................                                     73,746
                                                    Oregon ......................................................     Lutheran Community Services Northwest ...................................................................                                    39,822
                                                    Pennsylvania .............................................        Commonwealth of Pennsylvania ..................................................................................                             100,488
                                                    Rhode Island .............................................        Rhode Island Department of Human Services ............................................................                                       25,736
                                                    South Dakota ............................................         Lutheran Social Services of South Dakota ..................................................................                                  25,736
                                                    Tennessee ................................................        Catholic Charities of Tennessee, Inc. ..........................................................................                             56,671
                                                    Texas ........................................................    Texas Health and Human Services Commission ........................................................                                         171,426
                                                    Utah ..........................................................   Utah Department of Workforce Services .....................................................................                                  43,797
                                                    Vermont ....................................................      Vermont Agency of Human Services ...........................................................................                                 25,736
                                                    Virginia ......................................................   Virginia Department of Social Services .......................................................................                               66,428
                                                    Washington ...............................................        WA State Department of Social & Health Services .....................................................                                       107,083
                                                    Wisconsin ..................................................      Wisconsin Department of Public Instruction ................................................................                                  31,240

                                                          Total ...................................................   .......................................................................................................................................    2,500,000



                                                      ORR provides 28 States and ten                                         DEPARTMENT OF HEALTH AND                                                        and Drug Administration, Three White
                                                    Wilson-Fish agencies with Refugee                                        HUMAN SERVICES                                                                  Flint North, 10A63, 11601 Landsdown
                                                    School Impact funding to undertake a                                                                                                                     St., North Bethesda, MD 20852,
                                                    comprehensive statewide approach                                         Food and Drug Administration                                                    PRAStaff@fda.hhs.gov.
                                                    supporting local school systems that are                                 [Docket No. FDA–2010–D–0319]                                                    SUPPLEMENTARY INFORMATION:    In
                                                    impacted by significant numbers of
                                                                                                                                                                                                             compliance with 44 U.S.C. 3507, FDA
                                                    newly arrived refugee children. As                                       Agency Information Collection                                                   has submitted the following proposed
                                                    currently awarded, the FY14–16                                           Activities; Submission for Office of                                            collection of information to OMB for
                                                    Refugee School Impact funding period                                     Management and Budget Review;                                                   review and clearance.
                                                    concludes on August 14, 2016.                                            Comment Request; Guidance for
                                                    Beginning in FFY17, ORR will award                                       Industry and Food and Drug                                                      Guidance for Industry and Food and
                                                    Refugee School Impact funding as a                                       Administration Staff on Dear Health                                             Drug Administration Staff on Dear
                                                    formula set-aside within the Refugee                                     Care Provider Letters: Improving                                                Health Care Provider Letters:
                                                    Social Services funding awarded to all                                   Communication of Important Safety                                               Improving Communication of
                                                    States and Wilson-Fish programs                                          Information                                                                     Important Safety Information—OMB
                                                    coordinating refugee resettlement. This                                                                                                                  Control Number 0910–0754—Extension
                                                    change in timing for Refugee School                                      AGENCY:          Food and Drug Administration,
                                                    Impact funding will create a gap in                                      HHS.                                                                               This final Guidance for Industry and
                                                    Refugee School Impact program services                                   ACTION:        Notice.                                                          FDA staff entitled ‘‘Dear Health Care
                                                    between August 15, 2016 and October 1,                                                                                                                   Provider Letters: Improving
                                                                                                                             SUMMARY:   The Food and Drug                                                    Communication of Important Safety
                                                    2016. The low-cost extensions will                                       Administration (FDA or we) is
                                                    support refugee access to services                                                                                                                       Information’’ offers specific guidance to
                                                                                                                             announcing that a proposed collection                                           industry and FDA staff on the content
                                                    critical to refugee student success at the                               of information has been submitted to the
                                                    beginning of the school year, when such                                                                                                                  and format of Dear Health Care Provider
                                                                                                                             Office of Management and Budget                                                 (DHCP) letters. These letters are sent by
                                                    services are greatest and most urgent.                                   (OMB) for review and clearance under                                            manufacturers or distributors to health
                                                    DATES: Low-cost extension supplement                                     the Paperwork Reduction Act of 1995                                             care providers to communicate an
                                                    grants will support activities from                                      (the PRA).                                                                      important drug warning, a change in
                                                    August 15, 2016, through September 30,                                   DATES: Fax written comments on the                                              prescribing information, or a correction
                                                    2016.                                                                    collection of information by November                                           of misinformation in prescription drug
                                                    FOR FURTHER INFORMATION CONTACT: Carl                                    21, 2016.                                                                       promotional labeling or advertising.
                                                    Rubenstein, Director, Division of                                        ADDRESSES: To ensure that comments on
                                                    Refugee Assistance, Office of Refugee                                                                                                                       This guidance gives specific
                                                                                                                             the information collection are received,                                        instruction on what should and should
                                                    Resettlement, 330 C Street SW.,                                          OMB recommends that written
                                                    Washington, DC 20201. Email:                                                                                                                             not be included in DHCP letters. To
                                                                                                                             comments be faxed to the Office of                                              date, some DHCP letters have been too
                                                    carl.rubenstein@acf.hhs.gov.                                             Information and Regulatory Affairs,                                             long, have contained promotional
                                                      Statutory Authority: This program is                                   OMB, Attn: FDA Desk Officer, FAX:                                               material, or otherwise have not met the
                                                    authorized by Section 412(c)(1)(A)(iii) of the                           202–395–7285, or emailed to oira_                                               goals set forth in the applicable
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Immigration and Nationality Act (INA), 8                                 submission@omb.eop.gov. All
                                                    U.S.C. 1522(c)(1)(A)(iii).
                                                                                                                                                                                                             regulation (21 CFR 200.5). In some
                                                                                                                             comments should be identified with the                                          cases, health care providers have not
                                                    Christopher Beach,                                                       OMB control number 0910–0754. Also                                              been aware of important new
                                                    Senior Grants Policy Specialist, Office of                               include the FDA docket number found                                             information and have been unable to
                                                    Administration, Office of Financial Services,                            in brackets in the heading of this                                              communicate it to patients because the
                                                    Division of Grants Policy.                                               document.                                                                       letters’ content and length have made it
                                                    [FR Doc. 2016–25496 Filed 10–20–16; 8:45 am]                             FOR FURTHER INFORMATION CONTACT: FDA                                            difficult to find the relevant
                                                    BILLING CODE 4184–01–P                                                   PRA Staff, Office of Operations, Food                                           information. In addition, letters have


                                               VerDate Sep<11>2014        19:06 Oct 20, 2016         Jkt 241001       PO 00000      Frm 00039         Fmt 4703       Sfmt 4703        E:\FR\FM\21OCN1.SGM                21OCN1


                                                                                         Federal Register / Vol. 81, No. 204 / Friday, October 21, 2016 / Notices                                                      72809

                                                    sometimes been sent for the wrong                                    identified DHCP letters that were sent                 hours to prepare and send DHCP letters
                                                    reasons.                                                             and the identity of each sponsor sending               in accordance with the guidance.
                                                       In addition to content and format                                 out a DHCP letter for each year. We                      In the Federal Register of March 10,
                                                    recommendations for each type of DHCP                                estimate that we will receive                          2016 (81 FR 12734), we published a 60-
                                                    letter, the guidance also includes advice                            approximately 25 DHCP Letters                          day notice requesting public comment
                                                    on consulting with FDA to develop a                                  annually from approximately 18                         on the proposed extension of this
                                                    DHCP letter, when to send a letter, what                             application holders. FDA professionals                 collection of information. No comments
                                                    type of letter to send, and conducting an                            familiar with DHCP letters and with the
                                                    assessment of the letter’s impact.                                                                                          were received.
                                                                                                                         recommendations in the guidance                          FDA estimates the annual reporting
                                                       Based on a review of FDA’s Document
                                                    Archiving, Reporting and Regulatory                                  estimate that it should take an                        burden of this collection of information
                                                    Tracking System for 2012 to 2015, we                                 application holder approximately 100                   as follows:
                                                                                                              TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                            Number of re-                          Average bur-
                                                                                                                                          Number of re-                        Total annual
                                                                                        Activity                                                             sponses per                            den per re-    Total hours
                                                                                                                                           spondents                            responses
                                                                                                                                                              respondent                          sponse (hours)

                                                    Annual average ....................................................................        18                  1.4              25                 100           2,500
                                                       1 There    are no capital costs or operating and maintenance costs associated with this collection of information.


                                                      Dated: October 17, 2016.                                           Advisory Committee Membership                          recommendations on ways of
                                                    Leslie Kux,                                                          Nomination Portal: https://                            communicating to the public the
                                                    Associate Commissioner for Policy.                                   www.accessdata.fda.gov/scripts/                        potential risks associated with these
                                                    [FR Doc. 2016–25481 Filed 10–20–16; 8:45 am]                         FACTRSPortal/FACTRS/index.cfm or by                    issues and on approaches that might be
                                                    BILLING CODE 4164–01–P
                                                                                                                         mail to Advisory Committee Oversight                   considered for addressing the issues.
                                                                                                                         and Management Staff, Food and Drug
                                                                                                                                                                                II. Criteria for Voting Members
                                                                                                                         Administration, 10903 New Hampshire
                                                    DEPARTMENT OF HEALTH AND                                             Ave., Bldg. 32, Rm. 5103, Silver Spring,                  The Committee consists of a core of
                                                    HUMAN SERVICES                                                       MD 20993–0002.                                         15 voting members including the Chair.
                                                                                                                         FOR FURTHER INFORMATION CONTACT:                       Members and the Chair are selected by
                                                    Food and Drug Administration                                         Regarding all nomination questions for                 the Commissioner of Food and Drugs
                                                    [Docket No. FDA–2016–N–0001]                                         membership, the primary contact is:                    (the Commissioner) designee from
                                                                                                                         Karen Strambler, 5001 Campus Drive,                    among authorities knowledgeable in the
                                                    Request for Nominations for Voting                                   Rm. 1C–008, College Park, MD 20740,                    fields of physical sciences, biological
                                                    Members on a Public Advisory                                         email: karen.strambler@fda.hhs.gov,                    and life sciences, food science, risk
                                                    Committee; Food Advisory Committee                                   240–402–2589, Fax: 301–436–2367.                       assessment, nutrition, food technology,
                                                                                                                           Information about becoming a                         molecular biology, epidemiology and
                                                    AGENCY:       Food and Drug Administration,                          member on an FDA advisory committee                    other relevant scientific and technical
                                                    HHS.                                                                 can also be obtained by visiting FDA’s                 disciplines. Members will be invited to
                                                    ACTION:     Notice.                                                  Web site by using the following link:                  serve for overlapping terms of up to 4
                                                                                                                         http://www.fda.gov/                                    years. Almost all non-Federal members
                                                    SUMMARY:   The Food and Drug                                         AdvisoryCommittees/default.htm.                        of this Committee serve as Special
                                                    Administration (FDA) is requesting                                                                                          Government Employees. The core of
                                                                                                                         SUPPLEMENTARY INFORMATION: FDA is
                                                    nominations for voting members to                                                                                           voting members may include two
                                                                                                                         requesting nomination for voting
                                                    serve on the Food Advisory Committee                                                                                        technically qualified member(s),
                                                                                                                         members on the Committee.
                                                    (the Committee), Office of Regulations,                                                                                     selected by the Commissioner or
                                                    Policy, and Social Sciences, Center for                              I. General Description of the Committee                designee, who are identified with
                                                    Food Safety and Applied Nutrition.                                   Duties                                                 consumer interests and are
                                                       FDA seeks to include the views of                                    The Committee reviews and evaluates                 recommended by either a consortium of
                                                    women and men, members of all racial                                 emerging food safety, nutrition, and                   consumer-oriented organizations or
                                                    and ethnic groups, and individuals with                              other food- or cosmetic-related health                 other interested persons. In addition to
                                                    and without disabilities on its advisory                             issues that FDA considers of primary                   the voting members, the Committee may
                                                    committees and, therefore, encourages                                importance for its food and cosmetics                  include two non-voting member(s) who
                                                    nominations of appropriately qualified                               programs. The Committee may be                         are identified with industry interests.
                                                    candidates from these groups.                                        charged with reviewing and evaluating
                                                    DATES: Nominations received on or
                                                                                                                                                                                III. Nomination Procedures
                                                                                                                         available data and making
                                                    before December 20, 2016, will be given                              recommendations on matters such as                        Any interested person may nominate
                                                    first consideration for membership on                                those relating to: (1) Broad scientific and            one or more qualified individuals for
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    the Food Advisory Committee.                                         technical food- or cosmetic-related                    membership on the advisory committee.
                                                    Nominations received after December                                  issues, (2) the safety of food ingredients             Self-nominations are also accepted.
                                                    20, 2016, will be considered for                                     and new foods, (3) labeling of foods and               Nominations must include a current,
                                                    nomination to the committee as later                                 cosmetics, (4) nutrient needs and                      complete résumé or curriculum vitae for
                                                    vacancies occur.                                                     nutritional adequacy, and (5) safe                     each nominee, including current
                                                    ADDRESSES: All nominations for                                       exposure limits for food contaminants.                 business address and/or home address,
                                                    membership should be sent                                            The Committee may also be asked to                     telephone number, and email address if
                                                    electronically by logging into the FDA                               provide advice and make                                available. Nominations must also


                                               VerDate Sep<11>2014       19:06 Oct 20, 2016       Jkt 241001     PO 00000      Frm 00040    Fmt 4703   Sfmt 4703   E:\FR\FM\21OCN1.SGM   21OCN1



Document Created: 2018-02-13 16:36:03
Document Modified: 2018-02-13 16:36:03
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.
DatesFax written comments on the collection of information by November 21, 2016.
ContactFDA PRA Staff, Office of Operations, Food and Drug Administration, Three White Flint North, 10A63, 11601 Landsdown St., North Bethesda, MD 20852, [email protected]
FR Citation81 FR 72808 

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