82_FR_53146 82 FR 52927 - Agency Information Collection Activities; Proposed Collection; Comment Request; Infant Formula Requirements

82 FR 52927 - Agency Information Collection Activities; Proposed Collection; Comment Request; Infant Formula Requirements

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 219 (November 15, 2017)

Page Range52927-52933
FR Document2017-24688

The Food and Drug Administration (FDA or we) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This notice invites comments on the information collection provisions of our infant formula regulations, including infant formula labeling, quality control procedures, notification requirements, and recordkeeping. The notice also invites comment on a pilot electronic form that allows manufacturers of infant formula to submit reports and notifications in a standardized format.

Federal Register, Volume 82 Issue 219 (Wednesday, November 15, 2017)
[Federal Register Volume 82, Number 219 (Wednesday, November 15, 2017)]
[Notices]
[Pages 52927-52933]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-24688]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2013-N-0545]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Infant Formula Requirements

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or we) is announcing an 
opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(PRA), Federal Agencies are required to publish notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension of an existing collection of information, and 
to allow 60 days for public comment in response to the notice. This 
notice invites comments on the information collection provisions of our 
infant formula regulations, including infant formula labeling, quality 
control procedures, notification requirements, and recordkeeping. The 
notice also invites comment on a pilot electronic form that allows 
manufacturers of infant formula to submit reports and notifications in 
a standardized format.

DATES: Submit either electronic or written comments on the collection 
of information by January 16, 2018.

ADDRESSES: You may submit comments as follows. Please note that late, 
untimely filed comments will not be considered. Electronic comments 
must be submitted on or before January 16, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of January 16, 2018. Comments received 
by mail/hand delivery/courier (for written/paper submissions) will be 
considered timely if they are postmarked or the delivery service 
acceptance receipt is on or before that date.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2013-N-0545 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; Infant Formula Requirements.'' 
Received comments, those filed in a timely manner (see ADDRESSES), will 
be placed in the docket and, except for those submitted as 
``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. 
and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on

[[Page 52928]]

https://www.regulations.gov. Submit both copies to the Dockets 
Management Staff. If you do not wish your name and contact information 
to be made publicly available, you can provide this information on the 
cover sheet and not in the body of your comments and you must identify 
this information as ``confidential.'' Any information marked as 
``confidential'' will not be disclosed except in accordance with 21 CFR 
10.20 and other applicable disclosure law. For more information about 
FDA's posting of comments to public dockets, see 80 FR 56469, September 
18, 2015, or access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Ila S. Mizrachi, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 301-796-7726, 
[email protected].

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), Federal 
Agencies must obtain approval from the Office of Management and Budget 
(OMB) for each collection of information they conduct or sponsor. 
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes Agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) 
requires Federal Agencies to provide a 60-day notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension of an existing collection of information, 
before submitting the collection to OMB for approval. To comply with 
this requirement, FDA is publishing notice of the proposed collection 
of information set forth in this document.
    With respect to the following collection of information, we invite 
comments on these topics: (1) Whether the proposed collection of 
information is necessary for the proper performance of FDA's functions, 
including whether the information will have practical utility; (2) the 
accuracy of FDA's estimate of the burden of the proposed collection of 
information, including the validity of the methodology and assumptions 
used; (3) ways to enhance the quality, utility, and clarity of the 
information to be collected; and (4) ways to minimize the burden of the 
collection of information on respondents, including through the use of 
automated collection techniques, when appropriate, and other forms of 
information technology.
Infant Formula Requirements--21 CFR parts 106 and 107
OMB Control Number 0910-0256--Extension
    Statutory requirements for infant formula under the Federal Food, 
Drug, and Cosmetic Act (the FD&C Act) are intended to protect the 
health of infants and include a number of reporting and recordkeeping 
requirements. Among other things, section 412 of the FD&C Act (21 
U.S.C. 350a) requires manufacturers of infant formula to establish and 
adhere to quality control procedures, notify us when a batch of infant 
formula that has left the manufacturers' control may be adulterated or 
misbranded, and keep records of distribution. We have issued 
regulations to implement the FD&C Act's requirements for infant formula 
in parts 106 and 107 (21 CFR parts 106 and 107). We also regulate the 
labeling of infant formula under the authority of section 403 of the 
FD&C Act (21 U.S.C. 343). Under our labeling regulations for infant 
formula in part 107, the label of an infant formula must include 
nutrient information and directions for use. The purpose of these 
labeling requirements is to ensure that consumers have the information 
they need to prepare and use infant formula appropriately.
    We have developed an electronic form (Form FDA 3978) that infant 
formula manufacturers will be able to use to electronically submit 
reports and notifications in a standardized format to FDA. 
Manufacturers that prefer to submit paper submissions in a format of 
their own choosing will still have the option to do so, however. Form 
FDA 3978 prompts a respondent to include reports and notifications in a 
standard electronic format and helps the respondent organize their 
submission to include only the information needed for our review. Draft 
screenshots of Form FDA 3978 and instructions are available for comment 
at http://www.fda.gov/Food/GuidanceRegulation/FoodFacilityRegistration/InfantFormula/default.htm.
    Description of Respondents: Respondents to this information 
collection are manufacturers of infant formula.
    We estimate the burden of this collection of information as 
follows:

                                 Table 1--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                  Number of
  Row No.     FD&C Act or 21      Number of     responses per   Total annual    Average  burden     Total hours
                CFR section      respondents     respondent       responses      per  response
----------------------------------------------------------------------------------------------------------------
1..........  Reports; Section               5              13              65  10...............             650
              412(d) of the
              FD&C Act.
2..........  Notifications;                 1               1               1  4................               4
              Sec.
              106.120(b).
3..........  Reports for                    3               2               6  4................              24
              Exempt Infant
              Formula; Sec.
              107.50(b)(3)
              and (4).
4..........  Notifications                  1               1               1  4................               4
              for Exempt
              Infant
              Formula;Sec.
              107.50(e)(2).
5..........  Requirements for               4               9              36  20...............             720
              Quality Factors
              Growth
              Monitoring
              Study
              Exemption; Sec.
                106.96(c).
6..........  Requirements for               1              34              34  12...............             408
              Quality
              Factors--PER
              Exemption; Sec.
                106.96(g).
7..........  New Infant                     4               9              36  0.50 (30 minutes)              18
              Formula
              Registration;
              Sec.   106.110.
8..........  New Infant                     4               9              36  10...............             360
              Formula
              Submission;
              Sec.   106.120.
                              ----------------------------------------------------------------------------------
                Total........  ..............  ..............  ..............  .................           2,188
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


[[Page 52929]]

    In compiling these estimates, we consulted our records of the 
number of infant formula submissions received in the past. All infant 
formula submissions may be provided to us in electronic format. The 
hours per response reporting estimates are based on our experience with 
similar programs and information received from industry.
    We estimate that we will receive 13 reports from 5 manufacturers 
annually under section 412(d) of the FD&C Act, for a total annual 
response of 65 reports. Each report is estimated to take 10 hours per 
response for a total of 650 hours. We also estimate that we receive one 
notification under Sec.  106.120(b). The notification is expected to 
take 4 hours per response, for a total of 4 hours.
    For exempt infant formula, we estimate that we receive two reports 
from three manufacturers annually under Sec.  107.50(b)(3) and (4), for 
a total annual response of six reports. Each report is estimated to 
take 4 hours per response for a total of 24 hours. We also estimate 
that we receive one notification annually under Sec.  107.50(e)(2) and 
that the notification takes 4 hours to prepare.
    We estimate that 4 firms submit 36 exemptions annually and that 
each exemption will take 20 hours to assemble. Therefore, we calculate 
36 exemptions x 20 hours = 720 hours as the estimated burden for Sec.  
106.96(c), as presented in row 5 of table 1.
    We estimate that the infant formula industry annually submits 35 
Protein Efficiency Ratio (PER) submissions. For the submission of the 
PER exemption, we estimate that the infant formula industry submits 34 
exemptions per year and that each exemption takes supporting staff 12 
hours to prepare. Therefore, we calculate 34 exemptions x 12 hours per 
exemption = 408 hours to fulfill the requirements of Sec.  106.96(g), 
as shown in row 6 of table 1.
    We estimate that four firms each use one senior scientist or 
regulatory affairs professional who needs 30 minutes to gather and 
record the required information for an infant formula registration 
pursuant to Sec.  106.110. We estimate that the industry annually 
registers 35 new infant formulas, or an average of 9 registrations per 
firm. Therefore, we calculate the annual burden as 36 registrations x 
0.5 hour per registration = 17.5 (rounded to 18) hours, as shown in row 
7 of table 1.
    We estimate that four firms each use one senior scientist or 
regulatory affairs professional who needs 10 hours to gather and record 
information needed for infant formula submissions pursuant to Sec.  
106.120. This estimate includes the time needed to gather and record 
the information the manufacturer uses to request an exemption under 
Sec.  106.91(b)(1)(ii), which provides that the manufacturer includes 
the scientific evidence that the manufacturer is relying on to 
demonstrate that the stability of the new infant formula will likely 
not differ from the stability of formula with similar composition, 
processing, and packaging for which there are extensive stability data. 
We estimate that 4 firms make submissions for 36 new infant formulas, 
or an average of 9 submissions per firm. Therefore, to comply with 
Sec.  106.120, we calculate the annual burden as 36 submissions x 10 
hours per submission = 360 hours, as shown in row 8 of table 1. Thus, 
the total annual reporting burden is 2,188 hours.

                             Table 2--Estimated Annual Recordkeeping Burden \1\ \2\
----------------------------------------------------------------------------------------------------------------
                                                   Number of                     Average burden
   Row No.    Activity; 21 CFR     Number of      records per    Total annual          per          Total hours
                   section       recordkeepers   recordkeeper       records       recordkeeping
----------------------------------------------------------------------------------------------------------------
1...........  Controls to                   21               1              21  1.5 (90 minutes)              32
               prevent
               adulteration
               caused by
               facilities--tes
               ting for
               radiological
               contaminants
               \3\; Sec.
               106.20(f)(3).
2...........  Controls to                   21               1              21  0.08 (5 minutes)               2
               prevent
               adulteration
               caused by
               facilities--rec
               ordkeeping of
               testing for
               radiological
               contaminants\2\
               ; Sec.  Sec.
               106.20(f)(4)
               and
               106.100(f)(1).
3...........  Controls to                    5              52             260  0.08 (5 minutes)              21
               prevent
               adulteration
               caused by
               facilities--tes
               ting for
               bacteriological
               contaminants
               Sec.
               106.20(f)(3).
4...........  Controls to                    5              52             260  0.08 (5 minutes)              21
               prevent
               adulteration
               caused by
               facilities--rec
               ordkeeping of
               testing for
               bacteriological
               contaminants
               Sec.  Sec.
               106.20(f)(4)
               and 106.100(f).
5...........  Controls to                    5              52             260  0.22 (13                      57
               prevent                                                           minutes).
               adulteration by
               equipment or
               utensils; Sec.
               Sec.
               106.30(d) and
               106.100(f)(2).
6...........  Controls to                    5              52             260  0.22 (13                      57
               prevent                                                           minutes).
               adulteration by
               equipment or
               utensils; Sec.
               Sec.
               106.30(e)(3)(ii
               i) and
               106.100(f)(3).
7...........  Controls to                    5              52             260  0.20 (12                      52
               prevent                                                           minutes).
               adulteration by
               equipment or
               utensils; Sec.
               Sec.
               106.30(f) and
               106.100(f)(4).

[[Page 52930]]

 
8...........  Controls to                    5               1               5  520.............           2,600
               prevent
               adulteration
               due to
               automatic
               (mechanical or
               electronic)
               equipment; Sec.
                Sec.
               106.35(c) and
               106.100(f)(5).
9...........  Controls to                    5               2              10  640.............           6,400
               prevent
               adulteration
               due to
               automatic
               (mechanical or
               electronic)
               equipment Sec.
               Sec.
               106.35(c) and
               106.100(f)(5).
10..........  Controls to                    5              52             260  0.17 (10                      44
               prevent                                                           minutes).
               adulteration
               caused by
               ingredients,
               containers, and
               closures; Sec.
               Sec.
               106.40(d) and
               106.100(f)(6).
11..........  Controls to                    5              52             260  0.23 (14                      60
               prevent                                                           minutes).
               adulteration
               during
               manufacturing;
               Sec.  Sec.
               106.50(a)(1)
               and 106.100(e).
12..........  Controls to                    5              52             260  0.25 (15                      65
               prevent                                                           minutes).
               adulteration
               from
               microorganisms;
               Sec.  Sec.
               106.55(d) and
               106.100(e)(5)(i
               i) and (f)(7).
13..........  Controls to                    1              12              12  0.25 (15                       3
               prevent                                                           minutes).
               adulteration
               during
               packaging and
               labeling of
               infant formula;
               Sec.
               106.60(c).
14..........  General quality                4               1               4  2...............               8
               control--testin
               g; Sec.
               106.91(b)(1),
               (2), and (3).
15..........  General quality                4              52             208  0.15 (9 minutes)              31
               control; Sec.
               Sec.
               106.91(b)(1)
               and(d), and
               106.100(e)(5)(i
               ).
16..........  General quality                4              52             208  0.15 (9 minutes)              31
               control; Sec.
               Sec.
               106.91(b)(2)
               and (d), and
               106.100(e)(5)(i
               ).
17..........  General quality                4              52             208  0.15 (9 minutes)              31
               control; Sec.
               Sec.
               106.91(b)(3)
               and (d), and
               106.100(e)(5)(i
               ).
18..........  Audit plans and                5               1               5  8...............              40
               procedures;
               ongoing review
               and updating of
               audits; Sec.
               106.94.
19..........  Audit plans and                5              52             260  4...............           1,040
               procedures --
               regular audits;
               Sec.   106.94.
20..........  Requirements for               1               1               1  16..............              16
               quality factors
               for infant
               formulas--writt
               en study
               report; Sec.
               Sec.
               106.96(b) and
               (d),
               106.100(p)(1)
               and (q)(1), and
               106.121.
21..........  Requirements for             112               6             672  0.50 (30                     336
               quality factors                                                   minutes).
               for infant
               formulas--anthr
               opometric data;
               Sec.  Sec.
               106.96(b)(2)
               and (d), and
               106.100(p)(1).
22..........  Requirements for             112               6             672  0.25 (15                     168
               quality factors                                                   minutes).
               for infant
               formulas--formu
               la intake Sec.
               Sec.
               106.96(b)(3)
               and (d), and
               106.100(p)(1).
23..........  Requirements for             112               6             672  0.08 (5 minutes)              54
               quality factors
               for infant
               formulas--data
               plotting; Sec.
               Sec.
               106.96(b)(4)
               and (d), and
               106.100(p)(1).
24..........  Requirements for             112               6             672  0.08 (5 minutes)              54
               quality factors
               for infant
               formulas--data
               comparison;
               Sec.  Sec.
               106.96(b)(5)
               and (d), and
               106.100(p)(1).

[[Page 52931]]

 
25..........  Requirements for               1               1               1  8...............               8
               quality
               factors--per
               data
               collection;
               Sec.
               106.96(f).
26..........  Requirements for               1               1               1  1...............               1
               quality
               factors--per
               written report;
               Sec.
               106.96(f).
27..........  Records; Sec.                  5              10              50  400.............          20,000
               106.100.
28..........  Records for                    3              10              30  300.............           9,000
               Exempt Infant
               Formula; Sec.
               107.50(c)(3).
                               ---------------------------------------------------------------------------------
                 Total........  ..............  ..............  ..............  ................          40,232
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.
\2\ Where necessary, numbers have been rounded to the nearest whole number.
\3\ This testing only occurs every 4 years.

    We estimate that 21 infant formula plants will test at least every 
4 years for radiological contaminants. In addition, we estimate that 
collecting water for all testing in Sec.  106.20(f)(3) takes between 1 
and 2 hours. We estimate that water collection takes an average of 1.5 
hours and that water collection occurs separately for each type of 
testing. We estimate that performing the test will take 1.5 hours per 
test, every 4 years. Therefore, 1.5 hours per plant x 21 plants = 31.5 
(rounded to 32) total hours, every 4 years, as seen in row 1 of table 
2. Furthermore, Sec. Sec.  106.20(f)(4) and 106.100(f)(1) require firms 
to make and retain records of the frequency and results of water 
testing. For the 21 plants that are estimated not to currently test for 
radiological contaminants, this burden is estimated to be 5 minutes per 
record every 4 years. Therefore, 0.08 hour per record x 21 plants = 
1.68 (rounded to 2) hours, every 4 years for the maintenance of records 
of radiological testing, as seen on row 2 of table 2.
    We estimate that five infant formula plants will test weekly for 
bacteriological contaminants. We estimate that performing the test will 
take 5 minutes per test once a week. Annually, this burden is 0.08 
hours x 52 weeks = 4.16 hours per year, per plant, and 4.16 hours per 
plant x 5 plants = 20.8 (rounded to 21) total annual hours, as seen on 
row 3 of table 2. Furthermore, for the five plants that are estimated 
to not currently test weekly for bacteriological contaminants, this 
burden is estimated to be 5 minutes per record, every week. Therefore, 
0.08 hour per record x 52 weeks = 4.16 hours per plant for the 
maintenance of records of bacteriological testing. Accordingly, 4.16 
hours x 5 plants = 20.8 (rounded to 21) annual hours, as seen on row 4 
of table 2.
    Sections 106.30(d) and 106.100(f)(2) require that records of 
calibrating certain instruments be made and retained. We estimate that 
one senior validation engineer for each of the five plants will need to 
spend about 13 minutes per week to satisfy the ongoing calibration 
recordkeeping requirements. Therefore, 5 recordkeepers x 52 weeks = 260 
records; 260 records x 0.22 hour per record = 57 hours as the annual 
burden, as presented in row 5 of table 2.
    Sections 106.30(e)(3)(iii) and 106.100(f)(3)) require the 
recordkeeping of the temperatures of each cold storage compartment. We 
estimate that five plants will each require one senior validation 
engineer about 13 minutes per week of recordkeeping. Therefore, 5 
recordkeepers x 52 weeks = 260 records; 260 records x 0.22 hours per 
record = 57 hours as the annual burden, as presented in row 6 of table 
2.
    Sections 106.30(f) and 106.100(f)(4) require the recordkeeping of 
ongoing sanitation efforts. We estimate that five plants will each 
require one senior validation engineer about 12 minutes per week of 
recordkeeping. Therefore, 5 recordkeepers x 52 weeks = 260 records; 260 
records x 0.20 hours per record = 52 hours as the annual burden, as 
presented in row 7 of table 2.
    For Sec. Sec.  106.35(c) and 106.100(f)(5), we estimate that one 
senior validation engineer per plant needs 10 hours per week of 
recordkeeping, with the annual burden for this provision being 520 
hours per plant x 5 plants = 2,600 annual hours, as shown in row 8 of 
table 2. In addition, an infant formula manufacturer revalidates its 
systems when it makes changes to automatic equipment. We estimate that 
such changes occur twice a year, and that on each of the two occasions, 
a team of four senior validation engineers per plant needs to work full 
time for 4 weeks (4 weeks x 40 hours per week = 160 work hours per 
person) to provide revalidation of the plant's automated systems 
sufficient to comply with this section. The annual burden for four 
senior validation engineers each working 160 hours twice a year is 
1,280 hours ((160 hours x 2 revalidations) x 4 engineers = 1,280 total 
work hours) per plant. Therefore, 640 hours x 5 plants x 2 times per 
year = 6,400 hours as the annual burden, as shown on row 9 of table 2.
    Sections 106.40(d) and 106.100(f)(6) require written specifications 
for ingredients, containers, and closures. We estimate that one senior 
validation engineer per plant needs about 10 minutes a week to fulfill 
the recordkeeping requirements. Therefore, 5 recordkeepers x 52 weeks = 
260 records and 260 records x 0.17 hour = 44 hours as the annual 
burden, as shown in row 10 of table 2.
    We estimate that five plants will change a master manufacturing 
order and that one senior validation engineer for each of the five 
plants spends about 14 minutes per week on recordkeeping pertaining to 
the master manufacturing order, as required by Sec. Sec.  106.50(a)(1) 
and 106.100(e). Thus, 5 recordkeepers x 52 weeks = 260 records; 260 
records x 0.23 hour = 60 hours as the annual burden, as shown in row 11 
of table 2.
    Sections 106.55(d), 106.100(e)(5)(ii), and 106.100(f)(7)) require 
recordkeeping of the testing of infant formula for microorganisms. We 
estimate that five plants each need one senior validation engineer to 
spend 15 minutes per week on recordkeeping pertaining to 
microbiological testing. Thus, 5 recordkeepers x 52 weeks = 260 
records; 260 records x 0.25 hour per record = 65 hours as the annual 
burden, as shown in row 12 of table 2.

[[Page 52932]]

    Section 106.60 establishes requirements for the recordkeeping and 
labeling of mixed-lot packages of infant formula. Section 106.60(c) 
requires infant formula diverters to label infant formula packaging 
(such as packing cases) to facilitate product tracing and to keep 
specific records of the distribution of these mixed lot cases. We 
estimate that one worker needs 15 minutes, once a month (0.25 x 12 
months) to accomplish this, for an annual burden of 3 hours, as shown 
in row 13 of table 2.
    Sections 106.91(b)(1), (2), and (3) provide ongoing stability 
testing requirements. We estimate that the stability testing 
requirements has a burden of 2 hours per plant. Therefore, 2 hours x 4 
plants = 8 hours as the annual burden to fulfill the testing 
requirements, as shown in row 14 of table 2.
    Sections 106.91(d) and 106.100(e)(5)(i) provide for recordkeeping 
of tests required under Sec.  106.91(b)(1), (2), and (3). We estimate 
that one senior validation engineer per plant will spend about 9 
minutes per week of recordkeeping to be in compliance. Thus, 4 
recordkeepers x 52 weeks = 208 records; 208 records x 0.15 hour per 
record = 31.2 (rounded to 31) hours for the annual burden, as shown in 
rows 15, 16, and 17 of table 2.
    We estimate that the ongoing review and updating of audit plans 
requires a senior validation engineer 8 hours per year, per plant. 
Therefore, 8 hours x 5 plants = 40 hours for the annual burden, as 
shown in row 18 of table 2.
    We estimate that a manufacturer chooses to audit once per week. We 
estimate each weekly audit requires a senior validation engineer 4 
hours, or 52 weeks x 4 hours = 208 hours per plant. Therefore, burden 
for updating audit plans is calculated as 208 hours x 5 plants = 1,040 
hours for the annual burden, as shown in row 19 of table 2.
    We estimate that, as a result of the regulations, the industry as a 
whole performs one additional growth study per year, in accordance with 
Sec.  106.96. The regulations require that several pieces of data be 
collected and maintained for each infant in the growth study. We 
estimate that the data collection associated with the growth study is 
assembled into a written report and kept as a record in compliance with 
Sec. Sec.  106.96(d) and 106.100(p)(1). Thus, we estimate that one 
additional growth study report is generated, and that this report 
requires one senior scientist to work 16 hours to compile the data into 
a study report. Therefore, one growth study report x 16 hours = 16 
hours for the annual burden for compliance with Sec. Sec.  106.96(b) 
and (d), 106.100(p)(1) and (q)(1), and 106.121 as shown in row 20 of 
table 2.
    A study conducted according to the requirements of Sec.  
106.96(b)(2) must include the collection of anthropometric measurements 
of physical growth and information on formula intake, and Sec. Sec.  
106.96(d) and 106.100(p)(1) require that the anthropometric 
measurements be made six times during the growth study. We estimate 
that in a growth study of 112 infants, 2 nurses or other health 
professionals with similar experience need 15 minutes per infant at 
each of the required 6 times to collect and record the required 
anthropometric measurements. Therefore, 2 nurses x 0.25 hours = 0.50 
hour per infant, per visit, and 0.50 hour x 6 visits = 3 hours per 
infant. For 112 infants in the study, 3 hours x 112 infants = 336 hours 
for the annual burden, as shown in row 21 of table 2. In addition, we 
estimate that one nurse needs 15 minutes per infant to collect and 
record the formula intake information. That is, 0.25 hour x 6 visits = 
1.5 hour per infant, and 1.5 hour per infant x 112 infants = 168 hours 
for the annual burden, as shown in row 22 of table 2.
    Section 106.96(b)(4) requires plotting each infant's anthropometric 
measurements on the Centers for Disease Control-recommended World 
Health Organization Child Growth Standards. We estimate that it takes 5 
minutes per infant to record the anthropometric data on the growth 
chart at each study visit. Therefore, 112 infants x 6 data plots = 672 
data plots, and 672 data plots x 0.08 hour per comparison = 53.75 hours 
(rounded to 54) for the annual burden, as shown in row 23 of table 2.
    Section 106.96(b)(5) requires that data on formula intake by the 
test group be compared to the intake of a concurrent control group. We 
estimate that one nurse or other health care professional with similar 
experience needs 5 minutes per infant for each of the six times 
anthropometric data are collected. Therefore, 6 comparisons of data x 
112 infants = 672 data comparisons and 672 data comparisons x 0.08 hour 
per comparison = 53.75 hours (rounded to 54) for the annual burden, as 
shown in row 24 of table 2.
    Section 106.96(f) provides that a manufacturer meets the quality 
factor of sufficient biological quality of the protein by establishing 
the biological quality of the protein in the infant formula when fed as 
the sole source of nutrition using an appropriate modification of the 
PER rat bioassay. Under Sec.  106.96(g)(1), a manufacturer of infant 
formula may be exempt from this requirement if the manufacturer 
requests an exemption and provides assurances, as required under Sec.  
106.121, that changes made by the manufacturer to an existing infant 
formula are limited to changing the type of packaging. A manufacturer 
may also be exempt from this requirement under Sec.  106.100(g)(2), if 
the manufacturer requests an exemption and provides assurances, as 
required under Sec.  106.121, that demonstrate to FDA's satisfaction 
that the change to an existing formula does not affect the 
bioavailability of the protein. Finally, a manufacturer of infant 
formula may be exempt from this requirement under Sec.  106.96(g)(3) if 
the manufacturer requests an exemption and provides assurances, as 
required under Sec.  106.121(i), that demonstrate that an alternative 
method to the PER that is based on sound scientific principles is 
available to show that the formula supports the quality factor for the 
biological quality of the protein. We estimate that the infant formula 
industry submits a total of 35 PER submissions: 34 exemption requests 
and the results of 1 PER study.
    A PER study conducted according to the Association of Analytical 
Communities Official Method 960.48 is 28 days in duration. We estimate 
that there will be 10 rats in the control and test groups (20 rats 
total) and that food consumption and body weight will be measured at 
day 0 and at 7-day intervals during the 28-day study period (a total of 
5 records per rat). We further estimate that measuring and recording 
food consumption and body weight will take 5 minutes per rat. 
Therefore, 20 rats x 5 records = 100 records; 100 records x 0.08 hour 
minutes per record = 8 hours to fulfill the requirements of Sec.  
106.96(f). Further, we estimate that a report based on the PER study 
will be generated and that this study report will take a senior 
scientist 1 hour to generate. Therefore, a total of 9 hours will be 
required to fulfill the requirements for Sec.  106.96(f): 8 hours for 
the PER study and data collection, and 1 hour for the development of a 
report based on the PER study, as shown in rows 25 and 26 of table 2.
    We estimate that five firms will expend approximately 20,000 hours 
per year to fully satisfy the recordkeeping requirements in Sec.  
106.100 and that three firms will expend approximately 9,000 hours per 
year to fully satisfy the recordkeeping requirements in Sec.  
107.50(c)(3). Thus, the total recordkeeping burden is 40,232 hours.

[[Page 52933]]



                           Table 3--Estimated Annual Third-Party Disclosure Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of
                                     Number of      disclosures    Total annual   Average burden
         21 CFR section             respondents         per         disclosures   per disclosure    Total hours
                                                    respondent
----------------------------------------------------------------------------------------------------------------
Nutrient labeling; 21 CFR                      5              13              65               8             520
 107.10(a) and 107.20...........
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.

    We estimate compliance with our labeling requirements in Sec. Sec.  
107.10(a) and 107.20 requires 520 hours annually by five manufacturers.

    Dated: November 8, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-24688 Filed 11-14-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                        Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices                                           52927

                                                FEDERAL RESERVE SYSTEM                                  DEPARTMENT OF HEALTH AND                              solely responsible for ensuring that your
                                                                                                        HUMAN SERVICES                                        comment does not include any
                                                Formations of, Acquisitions by, and                                                                           confidential information that you or a
                                                Mergers of Bank Holding Companies                       Food and Drug Administration                          third party may not wish to be posted,
                                                                                                        [Docket No. FDA–2013–N–0545]                          such as medical information, your or
                                                   The companies listed in this notice                                                                        anyone else’s Social Security number, or
                                                have applied to the Board for approval,                 Agency Information Collection                         confidential business information, such
                                                pursuant to the Bank Holding Company                    Activities; Proposed Collection;                      as a manufacturing process. Please note
                                                Act of 1956 (12 U.S.C. 1841 et seq.)                    Comment Request; Infant Formula                       that if you include your name, contact
                                                (BHC Act), Regulation Y (12 CFR part                    Requirements                                          information, or other information that
                                                225), and all other applicable statutes                                                                       identifies you in the body of your
                                                                                                        AGENCY:    Food and Drug Administration,              comments, that information will be
                                                and regulations to become a bank                        HHS.
                                                holding company and/or to acquire the                                                                         posted on https://www.regulations.gov.
                                                                                                        ACTION:   Notice.                                       • If you want to submit a comment
                                                assets or the ownership of, control of, or
                                                                                                                                                              with confidential information that you
                                                the power to vote shares of a bank or                   SUMMARY:    The Food and Drug
                                                                                                                                                              do not wish to be made available to the
                                                bank holding company and all of the                     Administration (FDA or we) is
                                                                                                                                                              public, submit the comment as a
                                                banks and nonbanking companies                          announcing an opportunity for public
                                                                                                                                                              written/paper submission and in the
                                                owned by the bank holding company,                      comment on the proposed collection of
                                                                                                                                                              manner detailed (see ‘‘Written/Paper
                                                including the companies listed below.                   certain information by the Agency.
                                                                                                                                                              Submissions’’ and ‘‘Instructions’’).
                                                                                                        Under the Paperwork Reduction Act of
                                                   The applications listed below, as well                                                                     Written/Paper Submissions
                                                                                                        1995 (PRA), Federal Agencies are
                                                as other related filings required by the                required to publish notice in the
                                                Board, are available for immediate                                                                               Submit written/paper submissions as
                                                                                                        Federal Register concerning each                      follows:
                                                inspection at the Federal Reserve Bank                  proposed collection of information,                      • Mail/Hand delivery/Courier (for
                                                indicated. The applications will also be                including each proposed extension of an               written/paper submissions): Dockets
                                                available for inspection at the offices of              existing collection of information, and               Management Staff (HFA–305), Food and
                                                the Board of Governors. Interested                      to allow 60 days for public comment in                Drug Administration, 5630 Fishers
                                                persons may express their views in                      response to the notice. This notice                   Lane, Rm. 1061, Rockville, MD 20852.
                                                writing on the standards enumerated in                  invites comments on the information                      • For written/paper comments
                                                the BHC Act (12 U.S.C. 1842(c)). If the                 collection provisions of our infant                   submitted to the Dockets Management
                                                proposal also involves the acquisition of               formula regulations, including infant                 Staff, FDA will post your comment, as
                                                a nonbanking company, the review also                   formula labeling, quality control                     well as any attachments, except for
                                                includes whether the acquisition of the                 procedures, notification requirements,                information submitted, marked and
                                                nonbanking company complies with the                    and recordkeeping. The notice also                    identified, as confidential, if submitted
                                                standards in section 4 of the BHC Act                   invites comment on a pilot electronic                 as detailed in ‘‘Instructions.’’
                                                (12 U.S.C. 1843). Unless otherwise                      form that allows manufacturers of infant                 Instructions: All submissions received
                                                noted, nonbanking activities will be                    formula to submit reports and                         must include the Docket No. FDA–
                                                conducted throughout the United States.                 notifications in a standardized format.               2013–N–0545 for ‘‘Agency Information
                                                                                                        DATES: Submit either electronic or                    Collection Activities; Proposed
                                                   Unless otherwise noted, comments
                                                                                                        written comments on the collection of                 Collection; Comment Request; Infant
                                                regarding each of these applications
                                                                                                        information by January 16, 2018.                      Formula Requirements.’’ Received
                                                must be received at the Reserve Bank                                                                          comments, those filed in a timely
                                                                                                        ADDRESSES: You may submit comments
                                                indicated or the offices of the Board of                                                                      manner (see ADDRESSES), will be placed
                                                                                                        as follows. Please note that late,
                                                Governors not later than December 11,                                                                         in the docket and, except for those
                                                                                                        untimely filed comments will not be
                                                2017.                                                                                                         submitted as ‘‘Confidential
                                                                                                        considered. Electronic comments must
                                                   A. Federal Reserve Bank of San                       be submitted on or before January 16,                 Submissions,’’ publicly viewable at
                                                Francisco (Gerald C. Tsai, Director,                    2018. The https://www.regulations.gov                 https://www.regulations.gov or at the
                                                Applications and Enforcement) 101                       electronic filing system will accept                  Dockets Management Staff between 9
                                                Market Street, San Francisco, California                comments until midnight Eastern Time                  a.m. and 4 p.m., Monday through
                                                94105–1579:                                             at the end of January 16, 2018.                       Friday.
                                                                                                        Comments received by mail/hand                           • Confidential Submissions—To
                                                   1. CBC Bancorp; to become a bank                                                                           submit a comment with confidential
                                                holding company by acquiring 98.3                       delivery/courier (for written/paper
                                                                                                        submissions) will be considered timely                information that you do not wish to be
                                                percent of the voting shares of NCAL                                                                          made publicly available, submit your
                                                Bancorp, and thereby indirectly acquire                 if they are postmarked or the delivery
                                                                                                        service acceptance receipt is on or                   comments only as a written/paper
                                                Commercial Bank of California, all of                                                                         submission. You should submit two
                                                                                                        before that date.
                                                Irvine, California.                                                                                           copies total. One copy will include the
                                                  Board of Governors of the Federal Reserve
                                                                                                        Electronic Submissions                                information you claim to be confidential
                                                System, November 8, 2017.                                 Submit electronic comments in the                   with a heading or cover note that states
                                                Yao-Chin Chao,                                          following way:                                        ‘‘THIS DOCUMENT CONTAINS
                                                                                                          • Federal eRulemaking Portal:                       CONFIDENTIAL INFORMATION.’’ The
sradovich on DSK3GMQ082PROD with NOTICES




                                                Assistant Secretary of the Board.
                                                                                                        https://www.regulations.gov. Follow the               Agency will review this copy, including
                                                [FR Doc. 2017–24653 Filed 11–14–17; 8:45 am]
                                                                                                        instructions for submitting comments.                 the claimed confidential information, in
                                                BILLING CODE P                                          Comments submitted electronically,                    its consideration of comments. The
                                                                                                        including attachments, to https://                    second copy, which will have the
                                                                                                        www.regulations.gov will be posted to                 claimed confidential information
                                                                                                        the docket unchanged. Because your                    redacted/blacked out, will be available
                                                                                                        comment will be made public, you are                  for public viewing and posted on


                                           VerDate Sep<11>2014   19:58 Nov 14, 2017   Jkt 244001   PO 00000   Frm 00055   Fmt 4703   Sfmt 4703   E:\FR\FM\15NON1.SGM   15NON1


                                                52928                          Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices

                                                https://www.regulations.gov. Submit                                      public submit reports, keep records, or                                    manufacturers of infant formula to
                                                both copies to the Dockets Management                                    provide information to a third party.                                      establish and adhere to quality control
                                                Staff. If you do not wish your name and                                  Section 3506(c)(2)(A) of the PRA (44                                       procedures, notify us when a batch of
                                                contact information to be made publicly                                  U.S.C. 3506(c)(2)(A)) requires Federal                                     infant formula that has left the
                                                available, you can provide this                                          Agencies to provide a 60-day notice in                                     manufacturers’ control may be
                                                information on the cover sheet and not                                   the Federal Register concerning each                                       adulterated or misbranded, and keep
                                                in the body of your comments and you                                     proposed collection of information,                                        records of distribution. We have issued
                                                must identify this information as                                        including each proposed extension of an                                    regulations to implement the FD&C
                                                ‘‘confidential.’’ Any information marked                                 existing collection of information,                                        Act’s requirements for infant formula in
                                                as ‘‘confidential’’ will not be disclosed                                before submitting the collection to OMB                                    parts 106 and 107 (21 CFR parts 106 and
                                                except in accordance with 21 CFR 10.20                                   for approval. To comply with this                                          107). We also regulate the labeling of
                                                and other applicable disclosure law. For                                 requirement, FDA is publishing notice                                      infant formula under the authority of
                                                more information about FDA’s posting                                     of the proposed collection of                                              section 403 of the FD&C Act (21 U.S.C.
                                                of comments to public dockets, see 80                                    information set forth in this document.                                    343). Under our labeling regulations for
                                                FR 56469, September 18, 2015, or access                                     With respect to the following                                           infant formula in part 107, the label of
                                                the information at: https://www.gpo.gov/                                 collection of information, we invite                                       an infant formula must include nutrient
                                                fdsys/pkg/FR-2015-09-18/pdf/2015-                                        comments on these topics: (1) Whether                                      information and directions for use. The
                                                23389.pdf.                                                               the proposed collection of information                                     purpose of these labeling requirements
                                                   Docket: For access to the docket to                                   is necessary for the proper performance                                    is to ensure that consumers have the
                                                read background documents or the                                         of FDA’s functions, including whether                                      information they need to prepare and
                                                electronic and written/paper comments                                    the information will have practical                                        use infant formula appropriately.
                                                received, go to https://                                                 utility; (2) the accuracy of FDA’s
                                                                                                                                                                                                       We have developed an electronic form
                                                www.regulations.gov and insert the                                       estimate of the burden of the proposed
                                                                                                                                                                                                    (Form FDA 3978) that infant formula
                                                docket number, found in brackets in the                                  collection of information, including the
                                                                                                                         validity of the methodology and                                            manufacturers will be able to use to
                                                heading of this document, into the                                                                                                                  electronically submit reports and
                                                ‘‘Search’’ box and follow the prompts                                    assumptions used; (3) ways to enhance
                                                                                                                         the quality, utility, and clarity of the                                   notifications in a standardized format to
                                                and/or go to the Dockets Management                                                                                                                 FDA. Manufacturers that prefer to
                                                Staff, 5630 Fishers Lane, Rm. 1061,                                      information to be collected; and (4)
                                                                                                                         ways to minimize the burden of the                                         submit paper submissions in a format of
                                                Rockville, MD 20852.                                                                                                                                their own choosing will still have the
                                                                                                                         collection of information on
                                                FOR FURTHER INFORMATION CONTACT: Ila                                     respondents, including through the use                                     option to do so, however. Form FDA
                                                S. Mizrachi, Office of Operations, Food                                  of automated collection techniques,                                        3978 prompts a respondent to include
                                                and Drug Administration, Three White                                     when appropriate, and other forms of                                       reports and notifications in a standard
                                                Flint North, 10A–12M, 11601                                              information technology.                                                    electronic format and helps the
                                                Landsdown St., North Bethesda, MD                                                                                                                   respondent organize their submission to
                                                20852, 301–796–7726, PRAStaff@                                           Infant Formula Requirements—21 CFR                                         include only the information needed for
                                                fda.hhs.gov.                                                             parts 106 and 107                                                          our review. Draft screenshots of Form
                                                                                                                         OMB Control Number 0910–0256—                                              FDA 3978 and instructions are available
                                                SUPPLEMENTARY INFORMATION:      Under the
                                                                                                                         Extension                                                                  for comment at http://www.fda.gov/
                                                PRA (44 U.S.C. 3501–3520), Federal
                                                                                                                                                                                                    Food/GuidanceRegulation/FoodFacility
                                                Agencies must obtain approval from the                                     Statutory requirements for infant
                                                                                                                                                                                                    Registration/InfantFormula/default.htm.
                                                Office of Management and Budget                                          formula under the Federal Food, Drug,
                                                (OMB) for each collection of                                             and Cosmetic Act (the FD&C Act) are                                           Description of Respondents:
                                                information they conduct or sponsor.                                     intended to protect the health of infants                                  Respondents to this information
                                                ‘‘Collection of information’’ is defined                                 and include a number of reporting and                                      collection are manufacturers of infant
                                                in 44 U.S.C. 3502(3) and 5 CFR                                           recordkeeping requirements. Among                                          formula.
                                                1320.3(c) and includes Agency requests                                   other things, section 412 of the FD&C                                         We estimate the burden of this
                                                or requirements that members of the                                      Act (21 U.S.C. 350a) requires                                              collection of information as follows:

                                                                                                            TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                          Number of                                              Average
                                                                                                                                               Number of                                            Total annual
                                                 Row No.                      FD&C Act or 21 CFR section                                                                responses per                                          burden per             Total hours
                                                                                                                                              respondents                                            responses
                                                                                                                                                                          respondent                                            response

                                                1 ...........    Reports; Section 412(d) of the FD&C Act ...........                                              5                         13                         65     10 ................              650
                                                2 ...........    Notifications; § 106.120(b) ...................................                                  1                          1                          1     4 ..................               4
                                                3 ...........    Reports      for     Exempt      Infant          Formula;                                        3                          2                          6     4 ..................              24
                                                                  § 107.50(b)(3) and (4).
                                                4 ...........    Notifications     for   Exempt           Infant         For-                                     1                           1                          1    4 ..................                  4
                                                                  mula;§ 107.50(e)(2).
                                                5 ...........    Requirements for Quality Factors Growth Moni-                                                     4                         9                        36      20 ................              720
                                                                  toring Study Exemption; § 106.96(c).
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                                                6 ...........    Requirements for Quality Factors—PER Exemp-                                                      1                         34                         34     12 ................              408
                                                                  tion; § 106.96(g).
                                                7 ...........    New Infant Formula Registration; § 106.110 .......                                                4                         9                         36     0.50 (30 min-                     18
                                                                                                                                                                                                                                utes).
                                                8 ...........    New Infant Formula Submission; § 106.120 .......                                                  4                         9                         36     10 ................              360

                                                                      Total ..............................................................   ........................   ........................   ........................   .....................          2,188
                                                   1 There      are no capital costs or operating and maintenance costs associated with this collection of information.



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                                                                          Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices                                                        52929

                                                   In compiling these estimates, we                         We estimate that 4 firms submit 36                   registration = 17.5 (rounded to 18)
                                                consulted our records of the number of                    exemptions annually and that each                      hours, as shown in row 7 of table 1.
                                                infant formula submissions received in                    exemption will take 20 hours to                           We estimate that four firms each use
                                                the past. All infant formula submissions                  assemble. Therefore, we calculate 36                   one senior scientist or regulatory affairs
                                                may be provided to us in electronic                       exemptions × 20 hours = 720 hours as                   professional who needs 10 hours to
                                                format. The hours per response                            the estimated burden for § 106.96(c), as               gather and record information needed
                                                reporting estimates are based on our                      presented in row 5 of table 1.
                                                                                                            We estimate that the infant formula                  for infant formula submissions pursuant
                                                experience with similar programs and                                                                             to § 106.120. This estimate includes the
                                                information received from industry.                       industry annually submits 35 Protein
                                                                                                          Efficiency Ratio (PER) submissions. For                time needed to gather and record the
                                                   We estimate that we will receive 13                                                                           information the manufacturer uses to
                                                                                                          the submission of the PER exemption,
                                                reports from 5 manufacturers annually                                                                            request an exemption under
                                                                                                          we estimate that the infant formula
                                                under section 412(d) of the FD&C Act,                                                                            § 106.91(b)(1)(ii), which provides that
                                                                                                          industry submits 34 exemptions per
                                                for a total annual response of 65 reports.                                                                       the manufacturer includes the scientific
                                                                                                          year and that each exemption takes
                                                Each report is estimated to take 10 hours                 supporting staff 12 hours to prepare.                  evidence that the manufacturer is
                                                per response for a total of 650 hours. We                 Therefore, we calculate 34 exemptions ×                relying on to demonstrate that the
                                                also estimate that we receive one                         12 hours per exemption = 408 hours to                  stability of the new infant formula will
                                                notification under § 106.120(b). The                      fulfill the requirements of § 106.96(g), as            likely not differ from the stability of
                                                notification is expected to take 4 hours                  shown in row 6 of table 1.                             formula with similar composition,
                                                per response, for a total of 4 hours.                       We estimate that four firms each use                 processing, and packaging for which
                                                   For exempt infant formula, we                          one senior scientist or regulatory affairs             there are extensive stability data. We
                                                estimate that we receive two reports                      professional who needs 30 minutes to                   estimate that 4 firms make submissions
                                                from three manufacturers annually                         gather and record the required                         for 36 new infant formulas, or an
                                                under § 107.50(b)(3) and (4), for a total                 information for an infant formula                      average of 9 submissions per firm.
                                                annual response of six reports. Each                      registration pursuant to § 106.110. We                 Therefore, to comply with § 106.120, we
                                                report is estimated to take 4 hours per                   estimate that the industry annually                    calculate the annual burden as 36
                                                response for a total of 24 hours. We also                 registers 35 new infant formulas, or an                submissions × 10 hours per submission
                                                estimate that we receive one notification                 average of 9 registrations per firm.                   = 360 hours, as shown in row 8 of table
                                                annually under § 107.50(e)(2) and that                    Therefore, we calculate the annual                     1. Thus, the total annual reporting
                                                the notification takes 4 hours to prepare.                burden as 36 registrations × 0.5 hour per              burden is 2,188 hours.

                                                                                            TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1 2
                                                                                                                              Number of
                                                                                                        Number of                              Total annual       Average burden per record-
                                                 Row No.           Activity; 21 CFR section                                  records per                                                                  Total hours
                                                                                                      recordkeepers                              records                   keeping
                                                                                                                            recordkeeper

                                                1 ...........   Controls to prevent adultera-                      21                    1                 21   1.5 (90 minutes) ......................             32
                                                                 tion caused by facilities—
                                                                 testing for radiological con-
                                                                 taminants 3; § 106.20(f)(3).
                                                2 ...........   Controls to prevent adultera-                      21                    1                 21   0.08 (5 minutes) ......................                 2
                                                                 tion caused by facilities—
                                                                 recordkeeping of testing for
                                                                 radiological contaminants2;
                                                                  §§ 106.20(f)(4) and
                                                                  106.100(f)(1).
                                                3 ...........   Controls to prevent adultera-                       5                   52                260   0.08 (5 minutes) ......................             21
                                                                 tion caused by facilities—
                                                                 testing for bacteriological
                                                                 contaminants § 106.20(f)(3).
                                                4 ...........   Controls to prevent adultera-                       5                   52                260   0.08 (5 minutes) ......................             21
                                                                 tion caused by facilities—
                                                                 recordkeeping of testing for
                                                                 bacteriological contaminants
                                                                 §§ 106.20(f)(4) and
                                                                 106.100(f).
                                                5 ...........   Controls to prevent adultera-                       5                   52                260   0.22 (13 minutes) ....................              57
                                                                 tion by equipment or uten-
                                                                 sils; §§ 106.30(d) and
                                                                 106.100(f)(2).
                                                6 ...........   Controls to prevent adultera-                       5                   52                260   0.22 (13 minutes) ....................              57
                                                                 tion by equipment or uten-
                                                                 sils; §§ 106.30(e)(3)(iii) and
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                                                                 106.100(f)(3).
                                                7 ...........   Controls to prevent adultera-                       5                   52                260   0.20 (12 minutes) ....................              52
                                                                 tion by equipment or uten-
                                                                 sils; §§ 106.30(f) and
                                                                 106.100(f)(4).




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                                                52930                     Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices

                                                                                  TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1 2—Continued
                                                                                                                              Number of
                                                                                                        Number of                              Total annual         Average burden per record-
                                                 Row No.           Activity; 21 CFR section                                  records per                                                                             Total hours
                                                                                                      recordkeepers                              records                     keeping
                                                                                                                            recordkeeper

                                                8 ...........   Controls to prevent adultera-                       5                    1                    5   520 ..........................................            2,600
                                                                  tion due to automatic (me-
                                                                  chanical or electronic)
                                                                  equipment; §§ 106.35(c) and
                                                                  106.100(f)(5).
                                                9 ...........   Controls to prevent adultera-                       5                    2                 10     640 ..........................................            6,400
                                                                  tion due to automatic (me-
                                                                  chanical or electronic)
                                                                  equipment §§ 106.35(c) and
                                                                  106.100(f)(5).
                                                10 .........    Controls to prevent adultera-                       5                   52                260     0.17 (10 minutes) ....................                       44
                                                                  tion caused by ingredients,
                                                                  containers, and closures;
                                                                  §§ 106.40(d) and
                                                                  106.100(f)(6).
                                                11 .........    Controls to prevent adultera-                       5                   52                260     0.23 (14 minutes) ....................                       60
                                                                  tion during manufacturing;
                                                                  §§ 106.50(a)(1) and
                                                                  106.100(e).
                                                12 .........    Controls to prevent adultera-                       5                   52                260     0.25 (15 minutes) ....................                       65
                                                                  tion from microorganisms;
                                                                  §§ 106.55(d) and
                                                                  106.100(e)(5)(ii) and (f)(7).
                                                13 .........    Controls to prevent adultera-                       1                   12                 12     0.25 (15 minutes) ....................                           3
                                                                  tion during packaging and
                                                                  labeling of infant formula;
                                                                  § 106.60(c).
                                                14 .........    General quality control—test-                       4                    1                    4   2 ..............................................                 8
                                                                  ing; § 106.91(b)(1), (2), and
                                                                  (3).
                                                15 .........    General quality control;                            4                   52                208     0.15 (9 minutes) ......................                      31
                                                                  §§ 106.91(b)(1) and(d), and
                                                                  106.100(e)(5)(i).
                                                16 .........    General quality control;                            4                   52                208     0.15 (9 minutes) ......................                      31
                                                                  §§ 106.91(b)(2) and (d), and
                                                                  106.100(e)(5)(i).
                                                17 .........    General quality control;                            4                   52                208     0.15 (9 minutes) ......................                      31
                                                                  §§ 106.91(b)(3) and (d), and
                                                                  106.100(e)(5)(i).
                                                18 .........    Audit plans and procedures;                         5                    1                    5   8 ..............................................             40
                                                                  ongoing review and updat-
                                                                  ing of audits; § 106.94.
                                                19 .........    Audit plans and procedures                          5                   52                260     4 ..............................................          1,040
                                                                  —regular audits; § 106.94.
                                                20 .........    Requirements for quality fac-                       1                    1                    1   16 ............................................              16
                                                                  tors for infant formulas—
                                                                  written study report;
                                                                  §§ 106.96(b) and (d),
                                                                  106.100(p)(1) and (q)(1),
                                                                  and 106.121.
                                                21 .........    Requirements for quality fac-                     112                    6                672     0.50 (30 minutes) ....................                      336
                                                                  tors for infant formulas—an-
                                                                  thropometric data;
                                                                  §§ 106.96(b)(2) and (d), and
                                                                  106.100(p)(1).
                                                22 .........    Requirements for quality fac-                     112                    6                672     0.25 (15 minutes) ....................                      168
                                                                  tors for infant formulas—for-
                                                                  mula intake §§ 106.96(b)(3)
                                                                  and (d), and 106.100(p)(1).
                                                23 .........    Requirements for quality fac-                     112                    6                672     0.08 (5 minutes) ......................                      54
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                                                                  tors for infant formulas—
                                                                  data plotting; §§ 106.96(b)(4)
                                                                  and (d), and 106.100(p)(1).
                                                24 .........    Requirements for quality fac-                     112                    6                672     0.08 (5 minutes) ......................                      54
                                                                  tors for infant formulas—
                                                                  data comparison;
                                                                  §§ 106.96(b)(5) and (d), and
                                                                  106.100(p)(1).



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                                                                            Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices                                                                                                 52931

                                                                                       TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1 2—Continued
                                                                                                                                             Number of
                                                                                                                 Number of                                            Total annual                Average burden per record-
                                                 Row No.           Activity; 21 CFR section                                                 records per                                                                                              Total hours
                                                                                                               recordkeepers                                            records                            keeping
                                                                                                                                           recordkeeper

                                                25 .........   Requirements for quality fac-                                         1                          1                          1    8 ..............................................                   8
                                                                tors—per data collection;
                                                                § 106.96(f).
                                                26 .........   Requirements for quality fac-                                         1                          1                          1    1 ..............................................                   1
                                                                tors—per written report;
                                                                § 106.96(f).
                                                27 .........   Records; § 106.100 .................                                 5                         10                        50      400 ..........................................             20,000
                                                28 .........   Records for Exempt Infant                                            3                         10                        30      300 ..........................................              9,000
                                                                Formula; § 107.50(c)(3).

                                                                    Total .................................    ........................   ........................   ........................   ..................................................         40,232
                                                   1 There    are no capital costs or operating and maintenance costs associated with this collection of information.
                                                   2 Where     necessary, numbers have been rounded to the nearest whole number.
                                                   3 This   testing only occurs every 4 years.


                                                  We estimate that 21 infant formula                                    Sections 106.30(d) and 106.100(f)(2)                                      needs to work full time for 4 weeks (4
                                                plants will test at least every 4 years for                          require that records of calibrating                                          weeks × 40 hours per week = 160 work
                                                radiological contaminants. In addition,                              certain instruments be made and                                              hours per person) to provide
                                                we estimate that collecting water for all                            retained. We estimate that one senior                                        revalidation of the plant’s automated
                                                testing in § 106.20(f)(3) takes between 1                            validation engineer for each of the five                                     systems sufficient to comply with this
                                                and 2 hours. We estimate that water                                  plants will need to spend about 13                                           section. The annual burden for four
                                                collection takes an average of 1.5 hours                             minutes per week to satisfy the ongoing                                      senior validation engineers each
                                                and that water collection occurs                                     calibration recordkeeping requirements.                                      working 160 hours twice a year is 1,280
                                                separately for each type of testing. We                              Therefore, 5 recordkeepers × 52 weeks                                        hours ((160 hours × 2 revalidations) × 4
                                                estimate that performing the test will                               = 260 records; 260 records × 0.22 hour                                       engineers = 1,280 total work hours) per
                                                take 1.5 hours per test, every 4 years.                              per record = 57 hours as the annual                                          plant. Therefore, 640 hours × 5 plants ×
                                                Therefore, 1.5 hours per plant × 21                                  burden, as presented in row 5 of table                                       2 times per year = 6,400 hours as the
                                                plants = 31.5 (rounded to 32) total                                  2.                                                                           annual burden, as shown on row 9 of
                                                hours, every 4 years, as seen in row 1                                  Sections 106.30(e)(3)(iii) and                                            table 2.
                                                of table 2. Furthermore, §§ 106.20(f)(4)                             106.100(f)(3)) require the recordkeeping                                        Sections 106.40(d) and 106.100(f)(6)
                                                and 106.100(f)(1) require firms to make                              of the temperatures of each cold storage                                     require written specifications for
                                                and retain records of the frequency and                              compartment. We estimate that five                                           ingredients, containers, and closures.
                                                results of water testing. For the 21                                 plants will each require one senior                                          We estimate that one senior validation
                                                plants that are estimated not to                                     validation engineer about 13 minutes                                         engineer per plant needs about 10
                                                currently test for radiological                                      per week of recordkeeping. Therefore, 5                                      minutes a week to fulfill the
                                                contaminants, this burden is estimated                               recordkeepers × 52 weeks = 260 records;                                      recordkeeping requirements. Therefore,
                                                to be 5 minutes per record every 4 years.                            260 records × 0.22 hours per record = 57                                     5 recordkeepers × 52 weeks = 260
                                                Therefore, 0.08 hour per record × 21                                 hours as the annual burden, as                                               records and 260 records × 0.17 hour =
                                                plants = 1.68 (rounded to 2) hours,                                  presented in row 6 of table 2.                                               44 hours as the annual burden, as
                                                every 4 years for the maintenance of                                    Sections 106.30(f) and 106.100(f)(4)                                      shown in row 10 of table 2.
                                                records of radiological testing, as seen                             require the recordkeeping of ongoing                                            We estimate that five plants will
                                                on row 2 of table 2.                                                 sanitation efforts. We estimate that five                                    change a master manufacturing order
                                                  We estimate that five infant formula                               plants will each require one senior                                          and that one senior validation engineer
                                                plants will test weekly for                                          validation engineer about 12 minutes                                         for each of the five plants spends about
                                                bacteriological contaminants. We                                     per week of recordkeeping. Therefore, 5                                      14 minutes per week on recordkeeping
                                                estimate that performing the test will                               recordkeepers × 52 weeks = 260 records;                                      pertaining to the master manufacturing
                                                take 5 minutes per test once a week.                                 260 records × 0.20 hours per record = 52                                     order, as required by §§ 106.50(a)(1) and
                                                Annually, this burden is 0.08 hours × 52                             hours as the annual burden, as                                               106.100(e). Thus, 5 recordkeepers × 52
                                                weeks = 4.16 hours per year, per plant,                              presented in row 7 of table 2.                                               weeks = 260 records; 260 records × 0.23
                                                and 4.16 hours per plant × 5 plants =                                   For §§ 106.35(c) and 106.100(f)(5), we                                    hour = 60 hours as the annual burden,
                                                20.8 (rounded to 21) total annual hours,                             estimate that one senior validation                                          as shown in row 11 of table 2.
                                                as seen on row 3 of table 2.                                         engineer per plant needs 10 hours per                                           Sections 106.55(d), 106.100(e)(5)(ii),
                                                Furthermore, for the five plants that are                            week of recordkeeping, with the annual                                       and 106.100(f)(7)) require recordkeeping
                                                estimated to not currently test weekly                               burden for this provision being 520                                          of the testing of infant formula for
                                                for bacteriological contaminants, this                               hours per plant × 5 plants = 2,600                                           microorganisms. We estimate that five
                                                burden is estimated to be 5 minutes per                              annual hours, as shown in row 8 of table                                     plants each need one senior validation
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                                                record, every week. Therefore, 0.08 hour                             2. In addition, an infant formula                                            engineer to spend 15 minutes per week
                                                per record × 52 weeks = 4.16 hours per                               manufacturer revalidates its systems                                         on recordkeeping pertaining to
                                                plant for the maintenance of records of                              when it makes changes to automatic                                           microbiological testing. Thus, 5
                                                bacteriological testing. Accordingly,                                equipment. We estimate that such                                             recordkeepers × 52 weeks = 260 records;
                                                4.16 hours × 5 plants = 20.8 (rounded                                changes occur twice a year, and that on                                      260 records × 0.25 hour per record = 65
                                                to 21) annual hours, as seen on row 4                                each of the two occasions, a team of four                                    hours as the annual burden, as shown
                                                of table 2.                                                          senior validation engineers per plant                                        in row 12 of table 2.


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                                                52932                   Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices

                                                   Section 106.60 establishes                           §§ 106.96(b) and (d), 106.100(p)(1) and               infant formula may be exempt from this
                                                requirements for the recordkeeping and                  (q)(1), and 106.121 as shown in row 20                requirement if the manufacturer
                                                labeling of mixed-lot packages of infant                of table 2.                                           requests an exemption and provides
                                                formula. Section 106.60(c) requires                        A study conducted according to the                 assurances, as required under § 106.121,
                                                infant formula diverters to label infant                requirements of § 106.96(b)(2) must                   that changes made by the manufacturer
                                                formula packaging (such as packing                      include the collection of anthropometric              to an existing infant formula are limited
                                                cases) to facilitate product tracing and to             measurements of physical growth and                   to changing the type of packaging. A
                                                keep specific records of the distribution               information on formula intake, and                    manufacturer may also be exempt from
                                                of these mixed lot cases. We estimate                   §§ 106.96(d) and 106.100(p)(1) require                this requirement under § 106.100(g)(2),
                                                that one worker needs 15 minutes, once                  that the anthropometric measurements                  if the manufacturer requests an
                                                a month (0.25 × 12 months) to                           be made six times during the growth                   exemption and provides assurances, as
                                                accomplish this, for an annual burden of                study. We estimate that in a growth                   required under § 106.121, that
                                                3 hours, as shown in row 13 of table 2.                 study of 112 infants, 2 nurses or other               demonstrate to FDA’s satisfaction that
                                                   Sections 106.91(b)(1), (2), and (3)                  health professionals with similar                     the change to an existing formula does
                                                provide ongoing stability testing                       experience need 15 minutes per infant                 not affect the bioavailability of the
                                                requirements. We estimate that the                      at each of the required 6 times to collect            protein. Finally, a manufacturer of
                                                stability testing requirements has a                    and record the required anthropometric                infant formula may be exempt from this
                                                burden of 2 hours per plant. Therefore,                 measurements. Therefore, 2 nurses ×
                                                                                                                                                              requirement under § 106.96(g)(3) if the
                                                2 hours × 4 plants = 8 hours as the                     0.25 hours = 0.50 hour per infant, per
                                                                                                                                                              manufacturer requests an exemption
                                                annual burden to fulfill the testing                    visit, and 0.50 hour × 6 visits = 3 hours
                                                                                                                                                              and provides assurances, as required
                                                requirements, as shown in row 14 of                     per infant. For 112 infants in the study,
                                                                                                                                                              under § 106.121(i), that demonstrate that
                                                table 2.                                                3 hours × 112 infants = 336 hours for the
                                                   Sections 106.91(d) and                               annual burden, as shown in row 21 of                  an alternative method to the PER that is
                                                106.100(e)(5)(i) provide for                            table 2. In addition, we estimate that                based on sound scientific principles is
                                                recordkeeping of tests required under                   one nurse needs 15 minutes per infant                 available to show that the formula
                                                § 106.91(b)(1), (2), and (3). We estimate               to collect and record the formula intake              supports the quality factor for the
                                                that one senior validation engineer per                 information. That is, 0.25 hour × 6 visits            biological quality of the protein. We
                                                plant will spend about 9 minutes per                    = 1.5 hour per infant, and 1.5 hour per               estimate that the infant formula industry
                                                week of recordkeeping to be in                          infant × 112 infants = 168 hours for the              submits a total of 35 PER submissions:
                                                compliance. Thus, 4 recordkeepers × 52                  annual burden, as shown in row 22 of                  34 exemption requests and the results of
                                                weeks = 208 records; 208 records × 0.15                 table 2.                                              1 PER study.
                                                hour per record = 31.2 (rounded to 31)                     Section 106.96(b)(4) requires plotting                A PER study conducted according to
                                                hours for the annual burden, as shown                   each infant’s anthropometric                          the Association of Analytical
                                                in rows 15, 16, and 17 of table 2.                      measurements on the Centers for                       Communities Official Method 960.48 is
                                                   We estimate that the ongoing review                  Disease Control-recommended World                     28 days in duration. We estimate that
                                                and updating of audit plans requires a                  Health Organization Child Growth                      there will be 10 rats in the control and
                                                senior validation engineer 8 hours per                  Standards. We estimate that it takes 5                test groups (20 rats total) and that food
                                                year, per plant. Therefore, 8 hours × 5                 minutes per infant to record the                      consumption and body weight will be
                                                plants = 40 hours for the annual burden,                anthropometric data on the growth chart               measured at day 0 and at 7-day intervals
                                                as shown in row 18 of table 2.                          at each study visit. Therefore, 112                   during the 28-day study period (a total
                                                   We estimate that a manufacturer                      infants × 6 data plots = 672 data plots,              of 5 records per rat). We further estimate
                                                chooses to audit once per week. We                      and 672 data plots × 0.08 hour per                    that measuring and recording food
                                                estimate each weekly audit requires a                   comparison = 53.75 hours (rounded to                  consumption and body weight will take
                                                senior validation engineer 4 hours, or 52               54) for the annual burden, as shown in                5 minutes per rat. Therefore, 20 rats ×
                                                weeks × 4 hours = 208 hours per plant.                  row 23 of table 2.                                    5 records = 100 records; 100 records ×
                                                Therefore, burden for updating audit                       Section 106.96(b)(5) requires that data            0.08 hour minutes per record = 8 hours
                                                plans is calculated as 208 hours × 5                    on formula intake by the test group be                to fulfill the requirements of § 106.96(f).
                                                plants = 1,040 hours for the annual                     compared to the intake of a concurrent                Further, we estimate that a report based
                                                burden, as shown in row 19 of table 2.                  control group. We estimate that one                   on the PER study will be generated and
                                                   We estimate that, as a result of the                 nurse or other health care professional               that this study report will take a senior
                                                regulations, the industry as a whole                    with similar experience needs 5 minutes               scientist 1 hour to generate. Therefore,
                                                performs one additional growth study                    per infant for each of the six times                  a total of 9 hours will be required to
                                                per year, in accordance with § 106.96.                  anthropometric data are collected.
                                                                                                                                                              fulfill the requirements for § 106.96(f): 8
                                                The regulations require that several                    Therefore, 6 comparisons of data × 112
                                                                                                                                                              hours for the PER study and data
                                                pieces of data be collected and                         infants = 672 data comparisons and 672
                                                                                                                                                              collection, and 1 hour for the
                                                maintained for each infant in the growth                data comparisons × 0.08 hour per
                                                study. We estimate that the data                                                                              development of a report based on the
                                                                                                        comparison = 53.75 hours (rounded to
                                                collection associated with the growth                                                                         PER study, as shown in rows 25 and 26
                                                                                                        54) for the annual burden, as shown in
                                                study is assembled into a written report                                                                      of table 2.
                                                                                                        row 24 of table 2.
                                                and kept as a record in compliance with                    Section 106.96(f) provides that a                     We estimate that five firms will
                                                §§ 106.96(d) and 106.100(p)(1). Thus,                   manufacturer meets the quality factor of              expend approximately 20,000 hours per
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                                                we estimate that one additional growth                  sufficient biological quality of the                  year to fully satisfy the recordkeeping
                                                study report is generated, and that this                protein by establishing the biological                requirements in § 106.100 and that three
                                                report requires one senior scientist to                 quality of the protein in the infant                  firms will expend approximately 9,000
                                                work 16 hours to compile the data into                  formula when fed as the sole source of                hours per year to fully satisfy the
                                                a study report. Therefore, one growth                   nutrition using an appropriate                        recordkeeping requirements in
                                                study report × 16 hours = 16 hours for                  modification of the PER rat bioassay.                 § 107.50(c)(3). Thus, the total
                                                the annual burden for compliance with                   Under § 106.96(g)(1), a manufacturer of               recordkeeping burden is 40,232 hours.



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                                                                         Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices                                                 52933

                                                                                       TABLE 3—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
                                                                                                                                            Number of                             Average
                                                                                                                        Number of           disclosures      Total annual
                                                                         21 CFR section                                                                                          burden per       Total hours
                                                                                                                       respondents              per          disclosures         disclosure
                                                                                                                                            respondent

                                                Nutrient labeling; 21 CFR 107.10(a) and 107.20 ................                       5                 13               65                   8               520
                                                   1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                  We estimate compliance with our                        I. Purpose                                            Registration may be completed online at
                                                labeling requirements in §§ 107.10(a)                       The Physician-Focused Payment                      www.regonline.com/
                                                and 107.20 requires 520 hours annually                   Model Technical Advisory Committee                    PTACMeetingsRegistration.
                                                by five manufacturers.                                   (‘‘the Committee’’) is required by the                  The following information is
                                                  Dated: November 8, 2017.                               Medicare Access and CHIP                              submitted when registering:
                                                Anna K. Abram,                                           Reauthorization Act of 2015, 42 U.S.C.
                                                                                                         1395ee. This Committee is also                        Name:
                                                Deputy Commissioner for Policy, Planning,
                                                Legislation, and Analysis.                               governed by provisions of the Federal                 Company/organization name:
                                                [FR Doc. 2017–24688 Filed 11–14–17; 8:45 am]             Advisory Committee Act, as amended (5                 Postal address:
                                                BILLING CODE 4164–01–P                                   U.S.C. App.), which sets forth standards
                                                                                                         for the formation and use of federal                  Email address:
                                                                                                         advisory committees. In accordance                      Persons wishing to attend this
                                                DEPARTMENT OF HEALTH AND                                 with its statutory mandate, the                       meeting must register by following the
                                                HUMAN SERVICES                                           Committee is to review physician-                     instructions in the ‘‘Meeting
                                                                                                         focused payment model proposals and                   Registration’’ section of this notice. A
                                                Meetings Announcement for the                            prepare recommendations regarding                     confirmation email will be sent to
                                                Physician-Focused Payment Model                          whether such models meet criteria that                registrants shortly after completing the
                                                Technical Advisory Committee                             were established through rulemaking by                registration process.
                                                Required by the Medicare Access and                      the Secretary of Health and Human
                                                CHIP Reauthorization Act of 2015                         Services (the Secretary). The Committee               IV. Special Accommodations
                                                (MACRA)                                                  is composed of 11 members appointed
                                                                                                         by the Comptroller General.                              If sign language interpretation or other
                                                ACTION:   Notice of public meetings.                                                                           reasonable accommodation for a
                                                                                                         II. Agenda                                            disability is needed, please contact
                                                SUMMARY:  This notice announces the                         At the December 18–20, 2017                        Angela Tejeda, no later than December
                                                next meeting of the Physician-Focused                    meeting, the Committee will hear                      4, 2017. Please submit your requests by
                                                Payment Model Technical Advisory                         presentations on PFPMs that are ready                 email to Angela.Tejeda@hhs.gov or by
                                                Committee (hereafter referred to as ‘‘the                for Committee deliberation. The                       calling 202–401–8297.
                                                Committee’’) which will be held in                       presentations will be followed by public
                                                                                                         comment and Committee deliberation. If                V. Copies of the PTAC Charter and
                                                Washington, DC. This meeting will
                                                                                                         the Committee completes deliberations,                Meeting Material
                                                include voting and deliberations on
                                                proposals for physician-focused                          voting will occur on recommendations                     The Secretary’s Charter for the
                                                payment models (PFPMs) submitted by                      to the Secretary of Health and Human                  Physician-Focused Payment Model
                                                members of the public. All meetings are                  Services. There will be time allocated
                                                                                                                                                               Technical Advisory Committee is
                                                open to the public.                                      for public comment on agenda items.
                                                                                                                                                               available on the ASPE Web site at
                                                                                                         Documents will be posted on the
                                                DATES:  The PTAC meeting will occur on                                                                         https://aspe.hhs.gov/charter-physician-
                                                                                                         Committee Web site and distributed on
                                                the following dates:                                     the Committee listserv prior to the                   focused-payment-model-technical-
                                                  • Monday–Wednesday, December                           public meeting. The agenda is subject to              advisory-committee.
                                                18–20, 2017, from 9:00 a.m. to 5:00 p.m.                 change. If the agenda does change, we                    Additional material for this meeting
                                                ET.                                                      will inform registrants and update our                can be found on the PTAC Web site. For
                                                  Please note that times are subject to                  Web site to reflect any changes.                      updates and announcements, please use
                                                change. If the times change, registrants                 III. Meeting Attendance                               the link to subscribe to the PTAC email
                                                will be notified directly via email.                                                                           listserv.
                                                                                                            The meeting is open to the public.
                                                ADDRESSES: The December 18–20, 2017                      The public may also attend via                          Dated: September 12, 2017.
                                                meeting will be held at the Hubert H.                    conference call or view the meeting via               John R. Graham,
                                                Humphrey Building, 200 Independence                      livestream at www.hhs.gov/live. The                   Acting Assistant Secretary for Planning and
                                                Avenue SW., Washington, DC 20201.                        conference call dial-in information will              Evaluation.
                                                FOR FURTHER INFORMATION CONTACT:     Ann                 be sent to registrants prior to the                   [FR Doc. 2017–24719 Filed 11–14–17; 8:45 am]
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                                                Page, Designated Federal Official, at the                meeting.                                              BILLING CODE 4150–05–P
                                                Office of Health Policy, Assistant                       Meeting Registration
                                                Secretary for Planning and Evaluation,
                                                                                                            The public may attend the meetings
                                                U.S. Department of Health and Human
                                                                                                         in-person or participate by phone via
                                                Services, 200 Independence Ave. SW.,
                                                                                                         audio teleconference. Space is limited
                                                Washington, DC 20201, (202) 690–6870.
                                                                                                         and registration is preferred in order to
                                                SUPPLEMENTARY INFORMATION:                               attend in-person or by phone.


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Document Created: 2018-10-25 10:37:38
Document Modified: 2018-10-25 10:37:38
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.
DatesSubmit either electronic or written comments on the collection of information by January 16, 2018.
ContactIla S. Mizrachi, Office of Operations, Food and Drug Administration, Three White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 20852, 301-796-7726, [email protected]
FR Citation82 FR 52927 

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