83_FR_11587 83 FR 11536 - Final Revised Vaccine Information Materials for Varicella Vaccine

83 FR 11536 - Final Revised Vaccine Information Materials for Varicella Vaccine

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

Federal Register Volume 83, Issue 51 (March 15, 2018)

Page Range11536-11537
FR Document2018-05298

Under the National Childhood Vaccine Injury Act (NCVIA), CDC must develop vaccine information materials that all health care providers are required to give to patients/parents prior to administration of specific vaccines. On March 15, 2016, CDC published a notice in the Federal Register (81 FR 13794) seeking public comments on proposed updated vaccine information materials for polio vaccine and varicella vaccine. Following review of comments submitted and consultation as required under the law, CDC has finalized the materials for varicella vaccine. Copies of the final vaccine information materials for varicella vaccine are available to download from http:// www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov (see Docket Number CDC-2016-0029).

Federal Register, Volume 83 Issue 51 (Thursday, March 15, 2018)
[Federal Register Volume 83, Number 51 (Thursday, March 15, 2018)]
[Notices]
[Pages 11536-11537]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-05298]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2016-0029]


Final Revised Vaccine Information Materials for Varicella Vaccine

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

ACTION: Notice.

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

SUMMARY: Under the National Childhood Vaccine Injury Act (NCVIA), CDC 
must develop vaccine information materials that all health care 
providers are required to give to patients/parents prior to 
administration of specific vaccines. On March 15, 2016, CDC published a 
notice in the Federal Register (81 FR 13794) seeking public comments on 
proposed updated vaccine information materials for polio vaccine and 
varicella vaccine. Following review of comments submitted and 
consultation as required under the law, CDC has finalized the materials 
for varicella vaccine. Copies of the final vaccine information 
materials for varicella vaccine are available to download from http://www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov 
(see Docket Number CDC-2016-0029).

DATES: Beginning no later than June 1, 2018, each health care provider 
who administers varicella vaccine to any child or adult in the United 
States shall provide copies of the relevant vaccine information 
materials referenced in this notice, dated February 12, 2018, in 
conformance with the February 23, 2018 CDC Instructions for the Use of 
Vaccine Information Statements prior to providing such vaccinations.

FOR FURTHER INFORMATION CONTACT: Suzanne Johnson-DeLeon (msj1@cdc.gov), 
National Center for Immunization and Respiratory Diseases, Centers for 
Disease Control and Prevention, Mailstop A-19, 1600 Clifton Road NE, 
Atlanta, Georgia 30329.

SUPPLEMENTARY INFORMATION: The National Childhood Vaccine Injury Act of 
1986 (Pub. L. 99-660), as amended by section 708 of Public Law 103-183, 
added section 2126 to the Public Health

[[Page 11537]]

Service Act. Section 2126, codified at 42 U.S.C. 300aa-26, requires the 
Secretary of Health and Human Services to develop and disseminate 
vaccine information materials for distribution by all health care 
providers in the United States to any patient (or to the parent or 
legal representative in the case of a child) receiving vaccines covered 
under the National Vaccine Injury Compensation Program (VICP).
    Development and revision of the vaccine information materials, also 
known as Vaccine Information Statements (VIS), have been delegated by 
the Secretary to the Centers for Disease Control and Prevention (CDC). 
Section 2126 requires that the materials be developed, or revised, 
after notice to the public, with a 60-day comment period, and in 
consultation with the Advisory Commission on Childhood Vaccines, 
appropriate health care provider and parent organizations, and the Food 
and Drug Administration. The law also requires that the information 
contained in the materials be based on available data and information, 
be presented in understandable terms, and include:
    (1) A concise description of the benefits of the vaccine,
    (2) A concise description of the risks associated with the vaccine,
    (3) A statement of the availability of the National Vaccine Injury 
Compensation Program, and
    (4) Such other relevant information as may be determined by the 
Secretary.
    The vaccines initially covered under the National Vaccine Injury 
Compensation Program were diphtheria, tetanus, pertussis, measles, 
mumps, rubella, and poliomyelitis vaccines. Since April 15, 1992, any 
health care provider in the United States who intends to administer one 
of these covered vaccines is required to provide copies of the relevant 
vaccine information materials prior to administration of any of these 
vaccines. Since then, the following vaccines have been added to the 
National Vaccine Injury Compensation Program, requiring use of vaccine 
information materials for them as well: Hepatitis B, Haemophilus 
influenzae type b (Hib), varicella (chickenpox), pneumococcal 
conjugate, rotavirus, hepatitis A, meningococcal, human papillomavirus 
(HPV), and seasonal influenza vaccines. Instructions for use of the 
vaccine information materials are found on the CDC website at: http://www.cdc.gov/vaccines/hcp/vis/index.html.

Revised Vaccine Information Materials

    The varicella vaccine information materials referenced in this 
notice were developed in consultation with the Advisory Commission on 
Childhood Vaccines, the Food and Drug Administration, and parent and 
healthcare provider organizations. Following consultation and review of 
comments submitted, the vaccine information materials covering 
varicella vaccine have been finalized and are available to download 
from http://www.cdc.gov/vaccines/hcp/vis/index.html or http://www.regulations.gov (see Docket Number CDC-2016-0029). The Vaccine 
Information Statement (VIS) is ``Varicella (Chickenpox) Vaccine: What 
You Need to Know,'' publication date February 12, 2018.
    With publication of this notice, by June 1, 2018, all health care 
providers must discontinue use of the previous edition and provide 
copies of these updated varicella vaccine information materials prior 
to immunization in conformance with CDC's February 23, 2018 
Instructions for the Use of Vaccine Information Statements.

    Dated: March 12, 2018.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2018-05298 Filed 3-14-18; 8:45 am]
 BILLING CODE 4163-18-P



                                                11536                                 Federal Register / Vol. 83, No. 51 / Thursday, March 15, 2018 / Notices

                                                from the 9/11 terrorist attacks. Thus, the                              produce tangible outputs such as                                              groups will each consist of a well-
                                                CDC seeks a one-year OMB approval to                                    research findings on WTC-related                                              defined stakeholder group, and will last
                                                collect information using focus groups.                                 conditions, healthcare protocols, peer-                                       approximately two hours.
                                                   The WTCHP employs the Research-to-                                   reviewed publications, quality                                                   These focus groups are necessary to
                                                Care (RTC) model strategic framework                                    assessment reports, and member and                                            gather background information on the
                                                employed to prioritize, conduct, and                                    provider education products. Finally,                                         relationship between different
                                                assess research that informs excellence                                 the model anticipates short-,                                                 stakeholders and the WTCHP that will
                                                in clinical care for the population of                                  intermediate-, and long-term                                                  inform the development of more
                                                responders and survivors affected by the                                measurement of outcomes and serves as                                         detailed interview protocols to be used
                                                9/11 attack in New York City. The RTC                                   a communication tool for program                                              with stakeholders in the next phase of
                                                model assumes the collective                                            planning and evaluation.                                                      this evaluation. Specific topics to be
                                                involvement of WTCHP stakeholders,                                         In 2016, NIOSH contracted with the                                         addressed in the focus groups will
                                                including members, researchers,                                         Research and Development (RAND)                                               include:
                                                clinicians, and program administrators.                                 Corporation to evaluate the WTCHP                                                • Conceptualizations of research and
                                                It accounts for a variety of inputs that                                RTC model including the research                                              ‘‘translational research.’’
                                                can affect the progress and impact of                                   investments to date and the
                                                                                                                                                                                                         • Relevance of WTCHP research
                                                WTCHP research. These inputs include                                    effectiveness with which the Program
                                                                                                                                                                                                      topics, potential gaps, and stakeholder
                                                people and organizations (e.g., program                                 translates its research to different
                                                                                                                                                                                                      priorities.
                                                members, providers, clinical centers of                                 stakeholder groups. This work will
                                                excellence, extramural researchers, and                                 ultimately provide guidance for the                                              • Uses and usefulness of WTCHP
                                                program staff), resources (e.g.,                                        WTCHP on strategic directions, as well                                        research.
                                                technology, data centers, the NYC 9/11                                  as produce generalizable knowledge                                               • Barriers to conduct and use of
                                                Health Registry) and regulatory rules,                                  about the translation of research into                                        WTCHP research.
                                                principally the Zadroga Act.                                            improved outcomes for individuals and                                            • Understanding of and perspectives
                                                   The program supports activities such                                 populations exposed to disasters such as                                      on the relevance and usefulness of the
                                                as research prioritization, conduct of                                  the 9/11 attacks. In the formative stage                                      Research-to-Care model.
                                                research, delivery of medical care, and                                 of our assessment, we propose to hold                                            The total estimated burden hours is
                                                iterative assessments of the translation                                a series of focus groups with different                                       360. There are no costs to the
                                                of research to improvements in health                                   stakeholder groups to explore their                                           respondent other than their time and
                                                care services and chronic disease                                       perspectives on translational research in                                     local travel to the location of the focus
                                                management. These activities aim to                                     the context of the WTCHP. The focus                                           group.

                                                                                                                       ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                                      Average
                                                                                                                                                                                                        Number of                                              Total
                                                                                                                                                                             Number of                                              burden per
                                                           Type of respondents                                                  Form name                                                             responses per                                           burden
                                                                                                                                                                            respondents                                              response
                                                                                                                                                                                                        respondent                                          (in hours)
                                                                                                                                                                                                                                     (in hours)

                                                WTCH Researchers ............................              Focus Group Protocol ........................                                       40                           1                         3            120
                                                WTCH Research Users ......................                 Focus Group Protocol ........................                                       70                           1                         3            210
                                                WTCH Funders (NIOSH) ....................                  Focus Group Protocol ........................                                       10                           1                         3             30

                                                     Total .............................................   .............................................................   ........................   ........................   ........................          360



                                                Leroy A. Richardson,                                                    SUMMARY:   Under the National                                                 DATES:  Beginning no later than June 1,
                                                Chief, Information Collection Review Office,                            Childhood Vaccine Injury Act (NCVIA),                                         2018, each health care provider who
                                                Office of Scientific Integrity, Office of the                           CDC must develop vaccine information                                          administers varicella vaccine to any
                                                Associate Director for Science, Office of the                           materials that all health care providers                                      child or adult in the United States shall
                                                Director, Centers for Disease Control and                                                                                                             provide copies of the relevant vaccine
                                                Prevention.
                                                                                                                        are required to give to patients/parents
                                                                                                                        prior to administration of specific                                           information materials referenced in this
                                                [FR Doc. 2018–05242 Filed 3–14–18; 8:45 am]                                                                                                           notice, dated February 12, 2018, in
                                                                                                                        vaccines. On March 15, 2016, CDC
                                                BILLING CODE 4163–18–P
                                                                                                                        published a notice in the Federal                                             conformance with the February 23, 2018
                                                                                                                        Register (81 FR 13794) seeking public                                         CDC Instructions for the Use of Vaccine
                                                                                                                        comments on proposed updated vaccine                                          Information Statements prior to
                                                DEPARTMENT OF HEALTH AND                                                                                                                              providing such vaccinations.
                                                HUMAN SERVICES                                                          information materials for polio vaccine
                                                                                                                        and varicella vaccine. Following review                                       FOR FURTHER INFORMATION CONTACT:
                                                Centers for Disease Control and                                         of comments submitted and                                                     Suzanne Johnson-DeLeon (msj1@
                                                Prevention                                                              consultation as required under the law,                                       cdc.gov), National Center for
                                                                                                                        CDC has finalized the materials for                                           Immunization and Respiratory Diseases,
                                                [Docket No. CDC–2016–0029]
                                                                                                                        varicella vaccine. Copies of the final                                        Centers for Disease Control and
sradovich on DSK3GMQ082PROD with NOTICES




                                                Final Revised Vaccine Information                                       vaccine information materials for                                             Prevention, Mailstop A–19, 1600 Clifton
                                                Materials for Varicella Vaccine                                         varicella vaccine are available to                                            Road NE, Atlanta, Georgia 30329.
                                                                                                                        download from http://www.cdc.gov/                                             SUPPLEMENTARY INFORMATION:    The
                                                AGENCY: Centers for Disease Control and
                                                Prevention (CDC), Department of Health                                  vaccines/hcp/vis/index.html or http://                                        National Childhood Vaccine Injury Act
                                                and Human Services (HHS).                                               www.regulations.gov (see Docket                                               of 1986 (Pub. L. 99–660), as amended by
                                                                                                                        Number CDC–2016–0029).                                                        section 708 of Public Law 103–183,
                                                ACTION: Notice.
                                                                                                                                                                                                      added section 2126 to the Public Health


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                                                                             Federal Register / Vol. 83, No. 51 / Thursday, March 15, 2018 / Notices                                           11537

                                                Service Act. Section 2126, codified at 42               developed in consultation with the                    • ADDRESSES:
                                                U.S.C. 300aa–26, requires the Secretary                 Advisory Commission on Childhood                      • FOR FURTHER INFORMATION
                                                of Health and Human Services to                         Vaccines, the Food and Drug                              CONTACT:
                                                develop and disseminate vaccine                         Administration, and parent and                        • SUPPLEMENTARY INFORMATION:
                                                information materials for distribution by               healthcare provider organizations.                    • BACKGROUND:
                                                all health care providers in the United                 Following consultation and review of                  DATES: Electronic or written comments
                                                States to any patient (or to the parent or              comments submitted, the vaccine                       must be received by May 14, 2018.
                                                legal representative in the case of a                   information materials covering varicella              ADDRESSES: You may submit comments,
                                                child) receiving vaccines covered under                 vaccine have been finalized and are                   identified by CDC–2018–0024 and
                                                the National Vaccine Injury                             available to download from http://                    docket number NIOSH–302, by any of
                                                Compensation Program (VICP).                            www.cdc.gov/vaccines/hcp/vis/                         the following methods:
                                                   Development and revision of the                      index.html or http://                                    • Federal eRulemaking Portal:
                                                vaccine information materials, also                     www.regulations.gov (see Docket                       https://www.regulations.gov Follow the
                                                known as Vaccine Information                            Number CDC–2016–0029). The Vaccine                    instructions for submitting comments.
                                                Statements (VIS), have been delegated                   Information Statement (VIS) is                           • Mail: National Institute for
                                                by the Secretary to the Centers for                     ‘‘Varicella (Chickenpox) Vaccine: What                Occupational Safety and Health, NIOSH
                                                Disease Control and Prevention (CDC).                   You Need to Know,’’ publication date                  Docket Office, 1090 Tusculum Avenue,
                                                Section 2126 requires that the materials                February 12, 2018.                                    MS C–34, Cincinnati, Ohio 45226–1998.
                                                be developed, or revised, after notice to                  With publication of this notice, by                   Instructions: All submissions received
                                                the public, with a 60-day comment                       June 1, 2018, all health care providers               in response to this notice must include
                                                period, and in consultation with the                    must discontinue use of the previous                  the agency name and docket number
                                                Advisory Commission on Childhood                        edition and provide copies of these                   [CDC–2018–0024; NIOSH–302]. All
                                                Vaccines, appropriate health care                       updated varicella vaccine information                 relevant comments received will be
                                                provider and parent organizations, and                  materials prior to immunization in                    posted without change to https://
                                                the Food and Drug Administration. The                   conformance with CDC’s February 23,                   www.regulations.gov, including any
                                                law also requires that the information                  2018 Instructions for the Use of Vaccine              personal information provided. For
                                                contained in the materials be based on                  Information Statements.                               access to the docket to read background
                                                available data and information, be                        Dated: March 12, 2018.                              documents or comments received, go to
                                                presented in understandable terms, and                                                                        https://www.regulations.gov. All
                                                                                                        Sandra Cashman,
                                                include:                                                                                                      information received in response to this
                                                   (1) A concise description of the                     Executive Secretary, Centers for Disease
                                                                                                        Control and Prevention.                               notice will also be available for public
                                                benefits of the vaccine,                                                                                      examination and copying at the NIOSH
                                                   (2) A concise description of the risks               [FR Doc. 2018–05298 Filed 3–14–18; 8:45 am]
                                                                                                                                                              Docket Office, 1150 Tusculum Avenue,
                                                associated with the vaccine,                            BILLING CODE 4163–18–P
                                                                                                                                                              Room 155, Cincinnati, OH 45226–1998.
                                                   (3) A statement of the availability of
                                                                                                                                                              FOR FURTHER INFORMATION CONTACT:
                                                the National Vaccine Injury
                                                                                                        DEPARTMENT OF HEALTH AND                              Emily Novicki NORACoordinator@
                                                Compensation Program, and
                                                   (4) Such other relevant information as               HUMAN SERVICES                                        cdc.gov), National Institute for
                                                may be determined by the Secretary.                                                                           Occupational Safety and Health, Centers
                                                   The vaccines initially covered under                 Centers for Disease Control and                       for Disease Control and Prevention,
                                                the National Vaccine Injury                             Prevention                                            Mailstop E–20, 1600 Clifton Road NE,
                                                Compensation Program were diphtheria,                   [Docket Number CDC–2018–0024, NIOSH–                  Atlanta, GA 30329, phone (404) 498–
                                                tetanus, pertussis, measles, mumps,                     302]                                                  2581 (not a toll free number).
                                                rubella, and poliomyelitis vaccines.                                                                          SUPPLEMENTARY INFORMATION: The
                                                Since April 15, 1992, any health care                   Draft—National Occupational Research                  National Occupational Research Agenda
                                                provider in the United States who                       Agenda for Respiratory Health                         (NORA) is a partnership program
                                                intends to administer one of these                      AGENCY:  National Institute for                       created to stimulate innovative research
                                                covered vaccines is required to provide                 Occupational Safety and Health                        and improved workplace practices. The
                                                copies of the relevant vaccine                          (NIOSH) of the Centers for Disease                    national agenda is developed and
                                                information materials prior to                          Control and Prevention (CDC),                         implemented through the NORA sector
                                                administration of any of these vaccines.                Department of Health and Human                        and cross-sector councils. Each council
                                                Since then, the following vaccines have                 Services (HHS).                                       develops and maintains an agenda for
                                                been added to the National Vaccine                                                                            its sector or cross-sector.
                                                                                                        ACTION: Request for comment.
                                                Injury Compensation Program, requiring                                                                           Background: The National
                                                use of vaccine information materials for                SUMMARY:    The National Institute for                Occupational Research Agenda for
                                                them as well: Hepatitis B, Haemophilus                  Occupational Safety and Health of the                 Respiratory Health is intended to
                                                influenzae type b (Hib), varicella                      Centers for Disease Control and                       identify the research, information, and
                                                (chickenpox), pneumococcal conjugate,                   Prevention announces the availability of              actions most urgently needed to prevent
                                                rotavirus, hepatitis A, meningococcal,                  a draft NORA Agenda entitled National                 occupational injuries. The National
                                                human papillomavirus (HPV), and                         Occupational Research Agenda for                      Occupational Research Agenda for
                                                seasonal influenza vaccines.                            Respiratory Health for public comment.                Respiratory Health provides a vehicle
                                                                                                                                                              for stakeholders to describe the most
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                                                Instructions for use of the vaccine                     To view the notice and related
                                                information materials are found on the                  materials, visit https://                             relevant issues, gaps, and safety and
                                                CDC website at: http://www.cdc.gov/                     www.regulations.gov and enter CDC–                    health needs for the sector. Each NORA
                                                vaccines/hcp/vis/index.html.                            2018–0024 in the search field and click               research agenda is meant to guide or
                                                                                                        ‘‘Search.’’                                           promote high priority research efforts on
                                                Revised Vaccine Information Materials                                                                         a national level, conducted by various
                                                  The varicella vaccine information                     Table of Contents                                     entities, including: Government, higher
                                                materials referenced in this notice were                • DATES:                                              education, and the private sector.


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Document Created: 2018-03-15 02:37:47
Document Modified: 2018-03-15 02:37:47
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesBeginning no later than June 1, 2018, each health care provider who administers varicella vaccine to any child or adult in the United States shall provide copies of the relevant vaccine information materials referenced in this notice, dated February 12, 2018, in conformance with the February 23, 2018 CDC Instructions for the Use of Vaccine Information Statements prior to providing such vaccinations.
ContactSuzanne Johnson-DeLeon ([email protected]), National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Mailstop A-19, 1600 Clifton Road NE, Atlanta, Georgia 30329.
FR Citation83 FR 11536 

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