82_FR_6379 82 FR 6367 - Manufacturer Communications Regarding Unapproved Uses of Approved or Cleared Medical Products; Availability of Memorandum; Reopening of the Comment Period

82 FR 6367 - Manufacturer Communications Regarding Unapproved Uses of Approved or Cleared Medical Products; Availability of Memorandum; Reopening of the Comment Period

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 12 (January 19, 2017)

Page Range6367-6368
FR Document2017-01013

The Food and Drug Administration (FDA) is reopening the comment period for the notification of public hearing, published in the Federal Register of September 1, 2016 (81 FR 60299) concerning our comprehensive review of our regulations and policies governing manufacturer communications regarding unapproved uses of approved or cleared medical products. FDA is also announcing that it has added a document to the docket for the public hearing entitled ``Memorandum: Public Health Interests and First Amendment Considerations Related to Manufacturer Communications Regarding Unapproved Uses of Approved or Cleared Medical Products'' (Memorandum). The Memorandum provides additional background on the issues FDA is considering as part of its comprehensive review, including a discussion of First Amendment considerations. In addition, elsewhere in this issue of the Federal Register, FDA is announcing the availability of two draft guidance for industry that address manufacturer communications, one entitled ``Drug and Device Manufacturer Communications With Payors, Formulary Committees, and Similar Entities--Questions and Answers,'' and the other entitled ``Medical Product Communications That Are Consistent With the FDA-Required Labeling--Questions and Answers.'' FDA is reopening the comment period to provide the public an opportunity to review the Memorandum as it relates to the specific questions and issues identified in the notification of public hearing as well as review the two draft guidances and provide additional or new comments.

Federal Register, Volume 82 Issue 12 (Thursday, January 19, 2017)
[Federal Register Volume 82, Number 12 (Thursday, January 19, 2017)]
[Proposed Rules]
[Pages 6367-6368]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-01013]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 15

[Docket No. FDA-2016-N-1149]


Manufacturer Communications Regarding Unapproved Uses of Approved 
or Cleared Medical Products; Availability of Memorandum; Reopening of 
the Comment Period

AGENCY: Food and Drug Administration, HHS.

ACTION: Reopening of comment period related to public hearing; 
availability of memorandum.

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

SUMMARY: The Food and Drug Administration (FDA) is reopening the 
comment period for the notification of public hearing, published in the 
Federal Register of September 1, 2016 (81 FR 60299) concerning our 
comprehensive review of our regulations and policies governing 
manufacturer communications regarding unapproved uses of approved or 
cleared medical products. FDA is also announcing that it has added a 
document to the docket for the public hearing entitled ``Memorandum: 
Public Health Interests and First Amendment Considerations Related to 
Manufacturer Communications Regarding Unapproved Uses of Approved or 
Cleared Medical Products'' (Memorandum). The Memorandum provides 
additional background on the issues FDA is considering as part of its 
comprehensive review, including a discussion of First Amendment 
considerations. In addition, elsewhere in this issue of the Federal 
Register, FDA is announcing the availability of two draft guidance for 
industry that address manufacturer communications, one entitled ``Drug 
and Device Manufacturer Communications With Payors, Formulary 
Committees, and Similar Entities--Questions and Answers,'' and the 
other entitled ``Medical Product Communications That Are Consistent 
With the FDA-Required Labeling--Questions and Answers.'' FDA is 
reopening the comment period to provide the public an opportunity to 
review the Memorandum as it relates to the specific questions and 
issues identified in the notification of public hearing as well as 
review the two draft guidances and provide additional or new comments.

DATES: Submit either electronic or written comments by April 19, 2017.

ADDRESSES: You may submit comments as follows:

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): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, 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-2016-N-1149 for ``Manufacturer Communications Regarding Unapproved 
Uses of Approved or Cleared Medical Products; Public Hearing; Requests 
for Comments.'' Received comments will be placed in the docket and, 
except for those submitted as ``Confidential Submissions,'' publicly 
viewable at https://www.regulations.gov or at the Division of Dockets 
Management 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

[[Page 6368]]

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 https://www.regulations.gov. Submit both copies to the Division of Dockets 
Management. 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: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    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 Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Kristin Davis, Office of Policy, Food 
and Drug Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 4252, 
Silver Spring, MD 20993, 301-796-0418.

SUPPLEMENTARY INFORMATION: In the Federal Register of September 1, 2016 
(81 FR 60299), FDA published a notification of public hearing on firm 
communications regarding unapproved uses of approved or cleared medical 
products. FDA is currently engaged in a comprehensive review of its 
regulations and policies governing firms' communications about 
unapproved uses of approved or cleared medical products, and the 
comments on the notification of public hearing will inform FDA's policy 
development in this area.
    Interested persons were originally given until January 9, 2017, to 
comment on the topics discussed in the notification of public hearing.
    At the public hearing on November 9 and 10, 2016, a number of 
speakers presented legal views regarding the application of First 
Amendment principles to firm communications regarding unapproved uses 
of approved or cleared medical products. Some expressed the view that 
FDA had not sufficiently discussed the First Amendment in the 
notification of public hearing. In response to these comments, FDA is 
now placing the Memorandum in the docket for the public hearing to 
provide additional background on the issues it is considering as part 
of its review of its rules and policies relating to firm communications 
regarding unapproved uses of approved or cleared medical products, 
including a discussion of First Amendment considerations. In the 
notification of public hearing, FDA requested comments on a number of 
specific issues and questions identified throughout the document. The 
Memorandum is intended to help advance the discussion of these topics, 
and FDA is seeking input on the information in the Memorandum as it 
relates to these issues and questions in the notification of public 
hearing.
    Furthermore, elsewhere in this issue of the Federal Register, FDA 
is announcing the availability of a draft guidance for industry 
entitled ``Drug and Device Manufacturer Communications With Payors, 
Formulary Committees, and Similar Entities--Questions and Answers,'' 
which provides answers to common questions regarding the communication 
of health care economic information about approved prescription drugs 
by medical product firms to payors, formulary committees, or other 
similar entities. The draft guidance also provides answers to common 
questions related to firms' communications about investigational drugs 
and devices (investigational products) to payors before FDA approval or 
clearance of such products.
    Additionally, in this issue of the Federal Register, FDA is 
announcing the availability of a draft guidance for industry entitled 
``Medical Product Communications That Are Consistent With the FDA-
Required Labeling--Questions and Answers.'' The guidance provides 
information for medical product firms about how FDA evaluates their 
medical product communications, including their promotional materials, 
that present information that is not contained in the FDA-required 
labeling for the product but that may be consistent with the FDA-
required labeling for the product.
    FDA is harmonizing the comment periods for the notification of 
public hearing and the two draft guidances, as all three documents 
relate to the overarching topic of firm communications regarding 
medical products, and interested persons may wish to review all the 
documents before submitting comments to any of the relevant dockets. 
FDA is requesting comments on both draft guidances by April 19, 2017.
    To allow interested parties an opportunity to review the Memorandum 
and the two draft guidances, FDA is reopening the comment period for 
the notification of public hearing for an additional 90 days, until 
April 19, 2017. The Agency believes reopening the comment period for an 
additional 90 days for the notification of public hearing will allow 
adequate time for interested persons to submit comments without 
significantly delaying Agency decision making and policy development on 
these important issues.

    Dated: January 6, 2017.
Jeremy Sharp,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-01013 Filed 1-18-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                             Federal Register / Vol. 82, No. 12 / Thursday, January 19, 2017 / Proposed Rules                                           6367

                                                      Appendices to Recordkeeping—                            DEPARTMENT OF HEALTH AND                               Electronic Submissions
                                                      Commission Voting Summary and                           HUMAN SERVICES                                           Submit electronic comments in the
                                                      Chairman’s Statement                                                                                           following way:
                                                                                                              Food and Drug Administration
                                                      Appendix 1—Commission Voting                                                                                     • Federal eRulemaking Portal:
                                                      Summary                                                                                                        https://www.regulations.gov. Follow the
                                                                                                              21 CFR Part 15
                                                                                                                                                                     instructions for submitting comments.
                                                        On this matter, Chairman Massad and                   [Docket No. FDA–2016–N–1149]                           Comments submitted electronically,
                                                      Commissioners Bowen and Giancarlo                                                                              including attachments, to https://
                                                      voted in the affirmative. No                            Manufacturer Communications                            www.regulations.gov will be posted to
                                                      Commissioner voted in the negative.                     Regarding Unapproved Uses of                           the docket unchanged. Because your
                                                                                                              Approved or Cleared Medical                            comment will be made public, you are
                                                      Appendix 2—Statement of Chairman                        Products; Availability of Memorandum;                  solely responsible for ensuring that your
                                                      Timothy G. Massad                                       Reopening of the Comment Period                        comment does not include any
                                                         I have said many times that it is                    AGENCY:    Food and Drug Administration,               confidential information that you or a
                                                                                                              HHS.                                                   third party may not wish to be posted,
                                                      important for the CFTC to ensure its
                                                                                                              ACTION:  Reopening of comment period                   such as medical information, your or
                                                      rules are up-to-date in light of
                                                                                                              related to public hearing; availability of             anyone else’s Social Security number, or
                                                      technological changes, as outdated rules
                                                                                                              memorandum.                                            confidential business information, such
                                                      can create unnecessary burdens. That is                                                                        as a manufacturing process. Please note
                                                      why I’m pleased we are unanimously                      SUMMARY:    The Food and Drug                          that if you include your name, contact
                                                      issuing this proposed rulemaking,                       Administration (FDA) is reopening the                  information, or other information that
                                                      which is in keeping with that goal.                     comment period for the notification of                 identifies you in the body of your
                                                         Today’s proposal will modernize                      public hearing, published in the Federal               comments, that information will be
                                                      recordkeeping and storage obligations                   Register of September 1, 2016 (81 FR                   posted on https://www.regulations.gov.
                                                      set forth in CFTC rules, and make them                  60299) concerning our comprehensive                      • If you want to submit a comment
                                                      technology neutral. By doing so, it will                review of our regulations and policies                 with confidential information that you
                                                      reduce costs for businesses and improve                 governing manufacturer                                 do not wish to be made available to the
                                                      the quality of record preservation and                  communications regarding unapproved                    public, submit the comment as a
                                                      production. Among other things, the                     uses of approved or cleared medical                    written/paper submission and in the
                                                                                                              products. FDA is also announcing that                  manner detailed (see ‘‘Written/Paper
                                                      proposal will provide greater flexibility
                                                                                                              it has added a document to the docket                  Submissions’’ and ‘‘Instructions’’).
                                                      when it comes to how records must be
                                                                                                              for the public hearing entitled
                                                      retained and produced. In this age                      ‘‘Memorandum: Public Health Interests                  Written/Paper Submissions
                                                      where terabytes of storage easily fit in                and First Amendment Considerations                        Submit written/paper submissions as
                                                      one’s pocket, our rules should not refer                Related to Manufacturer                                follows:
                                                      to microfiche or require paper records.                 Communications Regarding                                  • Mail/Hand delivery/Courier (for
                                                         Today’s proposal is also an example                  Unapproved Uses of Approved or                         written/paper submissions): Division of
                                                      of how the Commission is focusing on                    Cleared Medical Products’’                             Dockets Management (HFA–305), Food
                                                      issues related to technological change                  (Memorandum). The Memorandum                           and Drug Administration, 5630 Fishers
                                                      generally in our markets. In this regard,               provides additional background on the                  Lane, Rm. 1061, Rockville, MD 20852.
                                                      there is much talk today about                          issues FDA is considering as part of its                  • For written/paper comments
                                                      innovations that may come from                          comprehensive review, including a                      submitted to the Division of Dockets
                                                      financial technology. While it is the role              discussion of First Amendment                          Management, FDA will post your
                                                      of the private sector to develop                        considerations. In addition, elsewhere                 comment, as well as any attachments,
                                                                                                              in this issue of the Federal Register,                 except for information submitted,
                                                      innovations, I believe it is our role to
                                                                                                              FDA is announcing the availability of                  marked and identified, as confidential,
                                                      ensure that the Commission’s rules do
                                                                                                              two draft guidance for industry that                   if submitted as detailed in
                                                      not stand in the way of their potential.                address manufacturer communications,
                                                      Today’s proposal is a way to do just                                                                           ‘‘Instructions.’’
                                                                                                              one entitled ‘‘Drug and Device                            Instructions: All submissions received
                                                      that.                                                   Manufacturer Communications With                       must include the Docket No. FDA–
                                                         I thank the CFTC staff for their work                Payors, Formulary Committees, and                      2016–N–1149 for ‘‘Manufacturer
                                                      on this proposal and my fellow                          Similar Entities—Questions and                         Communications Regarding
                                                      Commissioners for their support.                        Answers,’’ and the other entitled                      Unapproved Uses of Approved or
                                                      [FR Doc. 2017–01148 Filed 1–18–17; 8:45 am]             ‘‘Medical Product Communications That                  Cleared Medical Products; Public
                                                                                                              Are Consistent With the FDA-Required                   Hearing; Requests for Comments.’’
                                                      BILLING CODE 6351–01–P
                                                                                                              Labeling—Questions and Answers.’’                      Received comments will be placed in
                                                                                                              FDA is reopening the comment period                    the docket and, except for those
                                                                                                              to provide the public an opportunity to                submitted as ‘‘Confidential
                                                                                                              review the Memorandum as it relates to                 Submissions,’’ publicly viewable at
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                                                                              the specific questions and issues                      https://www.regulations.gov or at the
                                                                                                              identified in the notification of public               Division of Dockets Management
                                                                                                              hearing as well as review the two draft                between 9 a.m. and 4 p.m., Monday
                                                                                                              guidances and provide additional or                    through Friday.
                                                                                                              new comments.                                             • Confidential Submissions—To
                                                                                                              DATES: Submit either electronic or                     submit a comment with confidential
                                                                                                              written comments by April 19, 2017.                    information that you do not wish to be
                                                                                                              ADDRESSES: You may submit comments                     made publicly available, submit your
                                                                                                              as follows:                                            comments only as a written/paper


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                                                      6368                   Federal Register / Vol. 82, No. 12 / Thursday, January 19, 2017 / Proposed Rules

                                                      submission. You should submit two                          At the public hearing on November 9                    FDA is harmonizing the comment
                                                      copies total. One copy will include the                 and 10, 2016, a number of speakers                     periods for the notification of public
                                                      information you claim to be confidential                presented legal views regarding the                    hearing and the two draft guidances, as
                                                      with a heading or cover note that states                application of First Amendment                         all three documents relate to the
                                                      ‘‘THIS DOCUMENT CONTAINS                                principles to firm communications                      overarching topic of firm
                                                      CONFIDENTIAL INFORMATION.’’ The                         regarding unapproved uses of approved                  communications regarding medical
                                                      Agency will review this copy, including                 or cleared medical products. Some                      products, and interested persons may
                                                      the claimed confidential information, in                expressed the view that FDA had not                    wish to review all the documents before
                                                      its consideration of comments. The                      sufficiently discussed the First                       submitting comments to any of the
                                                      second copy, which will have the                        Amendment in the notification of public                relevant dockets. FDA is requesting
                                                      claimed confidential information                        hearing. In response to these comments,                comments on both draft guidances by
                                                      redacted/blacked out, will be available                 FDA is now placing the Memorandum                      April 19, 2017.
                                                      for public viewing and posted on                        in the docket for the public hearing to                   To allow interested parties an
                                                      https://www.regulations.gov. Submit                     provide additional background on the                   opportunity to review the Memorandum
                                                      both copies to the Division of Dockets                  issues it is considering as part of its                and the two draft guidances, FDA is
                                                      Management. If you do not wish your                     review of its rules and policies relating              reopening the comment period for the
                                                      name and contact information to be                      to firm communications regarding                       notification of public hearing for an
                                                      made publicly available, you can                        unapproved uses of approved or cleared                 additional 90 days, until April 19, 2017.
                                                      provide this information on the cover                   medical products, including a                          The Agency believes reopening the
                                                      sheet and not in the body of your                       discussion of First Amendment                          comment period for an additional 90
                                                      comments and you must identify this                     considerations. In the notification of                 days for the notification of public
                                                      information as ‘‘confidential.’’ Any                    public hearing, FDA requested                          hearing will allow adequate time for
                                                      information marked as ‘‘confidential’’                  comments on a number of specific                       interested persons to submit comments
                                                      will not be disclosed except in                         issues and questions identified                        without significantly delaying Agency
                                                      accordance with 21 CFR 10.20 and other                  throughout the document. The                           decision making and policy
                                                      applicable disclosure law. For more                     Memorandum is intended to help                         development on these important issues.
                                                      information about FDA’s posting of                      advance the discussion of these topics,                  Dated: January 6, 2017.
                                                      comments to public dockets, see 80 FR                   and FDA is seeking input on the                        Jeremy Sharp,
                                                      56469, September 18, 2015, or access                    information in the Memorandum as it
                                                                                                                                                                     Deputy Commissioner for Policy, Planning,
                                                      the information at: http://www.fda.gov/                 relates to these issues and questions in               Legislation, and Analysis.
                                                      regulatoryinformation/dockets/                          the notification of public hearing.
                                                                                                                                                                     [FR Doc. 2017–01013 Filed 1–18–17; 8:45 am]
                                                      default.htm.                                               Furthermore, elsewhere in this issue
                                                         Docket: For access to the docket to                  of the Federal Register, FDA is
                                                                                                                                                                     BILLING CODE 4164–01–P

                                                      read background documents or the                        announcing the availability of a draft
                                                      electronic and written/paper comments                   guidance for industry entitled ‘‘Drug
                                                      received, go to https://                                and Device Manufacturer                                DEPARTMENT OF THE TREASURY
                                                      www.regulations.gov and insert the                      Communications With Payors,
                                                      docket number, found in brackets in the                 Formulary Committees, and Similar                      Internal Revenue Service
                                                      heading of this document, into the                      Entities—Questions and Answers,’’
                                                      ‘‘Search’’ box and follow the prompts                   which provides answers to common                       26 CFR Part 1
                                                      and/or go to the Division of Dockets                    questions regarding the communication
                                                      Management, 5630 Fishers Lane, Rm.                      of health care economic information                    [REG–127203–15]
                                                      1061, Rockville, MD 20852.                              about approved prescription drugs by
                                                      FOR FURTHER INFORMATION CONTACT:                        medical product firms to payors,                       RIN 1545–BN81
                                                      Kristin Davis, Office of Policy, Food and               formulary committees, or other similar
                                                      Drug Administration, 10903 New                          entities. The draft guidance also                      Transfers of Certain Property by U.S.
                                                      Hampshire Ave., Bldg. 32, Rm. 4252,                     provides answers to common questions                   Persons to Partnerships With Related
                                                      Silver Spring, MD 20993, 301–796–                       related to firms’ communications about                 Foreign Partners
                                                      0418.                                                   investigational drugs and devices                      AGENCY:  Internal Revenue Service (IRS),
                                                      SUPPLEMENTARY INFORMATION: In the                       (investigational products) to payors                   Treasury.
                                                      Federal Register of September 1, 2016                   before FDA approval or clearance of                    ACTION: Notice of proposed rulemaking
                                                      (81 FR 60299), FDA published a                          such products.                                         by cross-reference to temporary
                                                      notification of public hearing on firm                     Additionally, in this issue of the                  regulation.
                                                      communications regarding unapproved                     Federal Register, FDA is announcing
                                                      uses of approved or cleared medical                     the availability of a draft guidance for               SUMMARY:   In the Rules and Regulations
                                                      products. FDA is currently engaged in a                 industry entitled ‘‘Medical Product                    section of this issue of the Federal
                                                      comprehensive review of its regulations                 Communications That Are Consistent                     Register, temporary regulations are
                                                      and policies governing firms’                           With the FDA-Required Labeling—                        being issued under sections 197, 704,
                                                      communications about unapproved uses                    Questions and Answers.’’ The guidance                  721(c), and 6038B of the Internal
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                      of approved or cleared medical                          provides information for medical                       Revenue Code (Code) that address
                                                      products, and the comments on the                       product firms about how FDA evaluates                  transfers of appreciated property by U.S.
                                                      notification of public hearing will                     their medical product communications,                  persons to partnerships with foreign
                                                      inform FDA’s policy development in                      including their promotional materials,                 partners related to the transferor. The
                                                      this area.                                              that present information that is not                   temporary regulations affect U.S.
                                                         Interested persons were originally                   contained in the FDA-required labeling                 partners in domestic or foreign
                                                      given until January 9, 2017, to comment                 for the product but that may be                        partnerships. The text of the temporary
                                                      on the topics discussed in the                          consistent with the FDA-required                       regulations also serves as the text of
                                                      notification of public hearing.                         labeling for the product.                              these proposed regulations.


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Document Created: 2018-02-01 15:16:15
Document Modified: 2018-02-01 15:16:15
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionReopening of comment period related to public hearing; availability of memorandum.
DatesSubmit either electronic or written comments by April 19, 2017.
ContactKristin Davis, Office of Policy, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 4252, Silver Spring, MD 20993, 301-796-0418.
FR Citation82 FR 6367 

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