83_FR_11808 83 FR 11756 - Agency Information Collection Activities; Proposed Collection; Comment Request; MedWatch: The Food and Drug Administration Medical Products Reporting Program

83 FR 11756 - Agency Information Collection Activities; Proposed Collection; Comment Request; MedWatch: The Food and Drug Administration Medical Products Reporting Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 52 (March 16, 2018)

Page Range11756-11759
FR Document2018-05337

The Food and Drug Administration (FDA or Agency) 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 solicits comments on revisions to Forms FDA 3500, 3500A, and 3500B used in the FDA Medical Products Reporting Program.

Federal Register, Volume 83 Issue 52 (Friday, March 16, 2018)
[Federal Register Volume 83, Number 52 (Friday, March 16, 2018)]
[Notices]
[Pages 11756-11759]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-05337]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-N-1960]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; MedWatch: The Food and Drug Administration Medical 
Products Reporting Program

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) 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 solicits comments on revisions to Forms FDA 3500, 3500A, and 
3500B used in the FDA Medical Products Reporting Program.

DATES: Submit either electronic or written comments on the collection 
of information by May 15, 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 May 15, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of May 15, 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-2014-N-1960 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; MedWatch: The FDA Medical 
Products Reporting Program.'' 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 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: Amber Sanford, Office of Operations, 
Food and Drug Administration, Three

[[Page 11757]]

White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 
20852, 301-796-8867, PRAStaff@fda.hhs.gov.

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, FDA 
invites 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.

MedWatch: The FDA Medical Products Reporting Program--OMB Control 
Number 0910-0291--Extension

    Members of the public use FDA's MedWatch system to report adverse 
events, product problems, errors with the use of a human medical 
product, or when evidence of therapeutic failure is suspected or 
identified in clinical use. To ensure the marketing of safe and 
effective products, it is critical that postmarketing adverse outcomes 
and product problems are reported for all FDA-regulated human 
healthcare products, including drugs (prescription and 
nonprescription), biologics, medical devices, dietary supplements, and 
other special nutritional products (e.g. infant formula and medical 
foods), and cosmetics. To facilitate reporting on human medical 
products (except vaccines) during their postapproval and marketed 
lifetimes, three forms (collectively known as the MedWatch forms) are 
available from the Agency. Form FDA 3500 is intended to be used for 
voluntary (i.e., not mandated by law or regulation) reporting by 
healthcare professionals. Form FDA 3500B is written in plain language 
and is intended to be used for voluntary reporting (i.e., not mandated 
by law or regulation) by consumers (i.e., patients and their 
caregivers). Form FDA 3500A is used for mandatory reporting (i.e., 
required by law or regulation). When FDA receives this information from 
healthcare professionals, patients, or consumers, the report becomes 
data that will be used to assess and evaluate the risk associated with 
the product. FDA will then take whatever action is necessary to reduce, 
mitigate, or eliminate the public's exposure to the risk through 
regulatory and public health interventions.

Authorizing Statutes and Codified Regulations

    The Federal Food, Drug, and Cosmetic Act (FD&C Act) (21 U.S.C. 
353b, 355, 360i, 360l, and 393); and the Public Health Service Act (42 
U.S.C. 262) represent the statutory authority for the FDA to collect 
mandatory adverse event reports from regulated industry on medical 
products once approved for marketing--to monitor the safety of drugs, 
biologics, medical devices, and dietary supplements. There are no laws 
or regulations mandating the post-market reporting for medical foods, 
infant formula, cosmetics, or tobacco products, and the reporting for 
these products is done voluntarily.
    Requirements regarding mandatory reporting of adverse events or 
product problems have been codified in parts 310, 314, 600, and 803 (21 
CFR 310, 314, 600, and 803), specifically Sec. Sec.  310.305, 314.80, 
314.98, 600.80, 803.30, 803.50, 803.53, 803.56, and specified in 
sections 503B, 760, and 761 of the FD&C Act (21 U.S.C. 353b, 379aa, and 
379aa-1). Mandatory reporting of adverse reactions for human cells, 
tissues, and cellular- and tissue-based products (HCT/Ps) has been 
codified in 21 CFR 1271.350.

Use of Form 3500 (Voluntary Reporting)

    This voluntary version of the form may be used by healthcare 
professionals to submit all reports not mandated by Federal law or 
regulation. Individual health professionals are not required by law or 
regulation to submit reports to the Agency or the manufacturer with the 
exception of Childhood Vaccine Injury Act of 1986 (42 U.S.C. 300aa-1). 
Reports for vaccines are not submitted via MedWatch or MedWatch forms, 
but are submitted to the Vaccines Adverse Event Reporting System (see 
https://vaers.hhs.gov), which is jointly administered by FDA and the 
Centers for Disease Control and Prevention.
    Hospitals are not required by Federal law or regulation to submit 
reports associated with drug products, biological products, or special 
nutritional products. However, hospitals and other user facilities are 
required by Federal law to report medical device-related deaths and 
serious injuries.
    Under Federal law and regulation, section 761(b)(1) of the FD&C 
Act, a dietary supplement manufacturer, packer, or distributor whose 
name appears on the label of a dietary supplement marketed in the 
United States is required to submit to FDA any serious adverse event 
report it receives regarding use of the dietary supplement in the 
United States. However, FDA bears the burden to gather and review 
evidence that a dietary supplement may be adulterated under section 402 
of the FD&C Act (21 U.S.C. 342) after that product is marketed. 
Therefore, the Agency depends on the voluntary reporting by health 
professionals, and especially by consumers, of suspected serious 
adverse events and product quality problems associated with the use of 
dietary supplements. All dietary supplement reports were previously 
received by the Agency on paper versions of Form FDA 3500 (or Form FDA 
3500B) (by mail or fax). Currently, electronic reports may be sent to 
the Agency via an online submission route called the Safety Reporting 
Portal (https://www.safetyreporting.hhs.gov/). In that case, Form FDA 
3500 (or Form FDA 3500B) is not used.
    Form FDA 3500 may be used to report to the Agency serious adverse 
events, product problems, and product use errors and therapeutic 
failures. The form is provided in both paper and electronic formats. 
Reporters may mail or fax paper forms to the Agency (a fillable PDF 
version of the form is available at https://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM163919.pdf) or reporters may 
electronically submit a report via the MedWatch Online Voluntary 
Reporting Form (https://www.accessdata.fda.gov/scripts/medwatch/). 
Reporting is supported for drugs, non-vaccine biologicals, medical 
devices, special nutritional products, cosmetics, and non-prescription 
(over the counter (OTC)) human drug products marketed without an 
approved

[[Page 11758]]

application. The paper form may also be used to submit reports about 
tobacco products and dietary supplements. Electronic reports for 
tobacco products and dietary supplements may be submitted to the Agency 
via an online submission route called the Safety Reporting Portal 
(https://www.safetyreporting.hhs.gov/).

Use of Form 3500B (Consumer Voluntary Reporting)

    This voluntary version of the form may be used by consumers (i.e. 
patients and their caregivers) to submit reports not mandated by 
Federal law or regulation. Individual patients or their caregivers are 
not required by law or regulation to submit reports to the Agency or 
the manufacturer.
    FDA supports and encourages direct reporting to the Agency by 
consumers of suspected serious adverse outcomes and other product 
problems associated with human medical products, (https://www.fda.gov/Safety/ReportaProblem/default.htm). Since the inception of the MedWatch 
program, launched in July 1993 by then FDA Commissioner David Kessler, 
the program has been promoting and facilitating voluntary reporting by 
both the general public and healthcare professionals. FDA has further 
encouraged voluntary reporting by requiring inclusion of the MedWatch 
toll-free phone number or the MedWatch internet address on all 
outpatient drug prescriptions dispensed, as mandated by section 17 of 
the Best Pharmaceuticals for Children Act (Pub. L. 107-109).
    On March 25, 2008, section 906 of the Food and Drug Administration 
Amendments Act of 2007 (Pub. L. 110-85) amended section 502(n) of the 
FD&C Act (21 U.S.C. 352) and mandated that published direct-to-consumer 
advertisements for prescription drugs include the following statement 
printed in conspicuous text (this includes vaccine products): ``You are 
encouraged to report negative side effects of prescription drugs to the 
FDA. Visit https://www.fda.gov/safety/medwatch, or call 1-800-FDA-
1088.''
    Most private vendors of consumer medication information, the drug 
product-specific instructions dispensed to consumers at outpatient 
pharmacies, remind patients to report ``side effects'' to FDA and 
provide contact information to permit reporting via the MedWatch 
process.
    Since 2013, FDA has made available Form FDA 3500B. It was proposed 
during the previous authorization in 2012 and is a version of Form FDA 
3500 that is tailored for consumers and written in plain language (in 
conformance with the Plain Writing Act of 2010 (Pub. L. 111-274), 
https://www.thefederalregister.org/fdsys/pkg/PLAW-111publ274/pdf/PLAW-111publ274.pdf).
    Form FDA 3500B evolved from several iterations of draft versions, 
with input from human factors experts, from other regulatory agencies, 
and with extensive input from consumer advocacy groups and the general 
public. Form FDA 3500B may be used to report to the Agency adverse 
events, product problems, and product use errors. The form is provided 
in both paper and electronic formats. Reporters may mail or fax paper 
forms to the Agency (a fillable PDF version of the form is available at 
https://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM349464.pdf) or electronically submit a report via the MedWatch 
Online Voluntary Reporting Form (https://www.accessdata.fda.gov/scripts/medwatch/). Reporting is supported for drugs, non-vaccine 
biologicals, medical devices, special nutritional products, cosmetics, 
and non-prescription OTC human drug products marketed without an 
approved application. The paper form may also be used to submit reports 
about tobacco products and dietary supplements. Electronic reports for 
tobacco products and dietary supplements may be submitted to the Agency 
via an online submission route called the Safety Reporting Portal 
(https://www.safetyreporting.hhs.gov/).

I. Use of Form FDA 3500A (Mandatory Version)

A. Drug and Biological Products

    In sections 505(b) and (j), 503B, and 704 (21 U.S.C. 355(b) and 
(j), 353B, and 374) of the FD&C Act, Congress has required that 
important safety information relating to all human drug products be 
made available to the FDA so that it can take appropriate action to 
protect the public health when necessary. Section 702 of the FD&C Act 
(21 U.S.C. 372) authorizes investigational powers to the FDA for 
enforcement of the FD&C Act. These statutory requirements regarding 
mandatory reporting have been codified by FDA under parts 310 and 314 
(drugs) and 600 (biological products). Mandatory reporting of adverse 
reactions for HCT/Ps has been codified in Sec.  1271.350.

B. OTC Monograph Drug Products and Dietary Supplements

    Section 760 of the FD&C Act provides for mandatory safety reporting 
for non-prescription human drug products marketed without an approved 
application as described in the Dietary Supplement and Nonprescription 
Drug Consumer Protection Act (Pub. L. 109-462, December 22, 2006), 
which became law on December 22, 2006. The law requires manufacturers, 
packers, and distributors of nonprescription, over-the-counter (OTC) 
human drug products marketed without an approved application (OTC 
monograph drug products) to submit reports of adverse experiences from 
domestic sources. The law also requires reports of serious adverse 
events to be submitted to FDA by manufacturers of dietary supplements.

C. Postmarketing Safety Reports--Changes in Format Starting in June 
2018

Current requirements specify that postmarketing adverse experience 
reports must be submitted on paper on Form FDA Form 3500A (or the CIOMS 
(Council for International Organizations of Medical Sciences) I form 
for serious, unexpected adverse experiences from a foreign source). For 
the last several years the Agency has accepted electronic submissions 
in lieu of the paper Form FDA 3500A on the condition they are submitted 
in a manner that the Agency can process, review, and archive. On June 
10, 2014, the Agency issued a final rule entitled ``Postmarketing 
Safety Reports for Human Drug and Biological Products; Electronic 
Submission Requirements'' (79 FR 33072) that requires electronic 
submission of all mandatory postmarketing safety reports, including 
individual case safety reports. Entities with mandatory reporting 
obligations under parts 310 and 314 (drugs) and 600 (biological 
products) and specified under section 760 of the FD&C Act must 
implement this rule within 1 year of the issuance date (by June 10, 
2015). For more information see: https://www.thefederalregister.org/fdsys/pkg/FR-2014-06-10/pdf/2014-13480.pdf.

D. Medical Device Products

    Section 519 of the FD&C Act (21 U.S.C. 360i) requires manufacturers 
and importers of devices intended for human use to establish and 
maintain records, make reports, and provide information, as the 
Secretary of Health and Human Services may, by regulation, reasonably 
be required to provide assurance that such devices are not adulterated 
or misbranded and to otherwise assure its safety and effectiveness. The 
Safe Medical Devices Act of 1990 (Pub. L. 101-629), signed into law on 
November 28, 1990, amends section 519 of the FD&C Act. The

[[Page 11759]]

amendment requires that user facilities such as hospitals, nursing 
homes, ambulatory surgical facilities, and outpatient treatment 
facilities report deaths related to medical devices to FDA and to the 
manufacturer, if known. Serious illnesses and injuries are to be 
reported to the manufacturer or to FDA if the manufacturer is not 
known. These statutory requirements regarding mandatory reporting have 
been codified by FDA under 21 CFR part 803 (part 803). Part 803 
mandates the use of Form FDA 3500A for reporting to FDA on medical 
devices. The Medical Device User Fee and Modernization Act of 2002 
(MDUFMA) (Pub. L. 107-250), signed into law October 26, 2002, amended 
section 519 of the FD&C Act. The MDUFMA amendment (section 303) 
required FDA to revise the MedWatch forms to facilitate the reporting 
of information relating to reprocessed single-use devices, including 
the name of the reprocessor and whether the device has been reused.

II. Proposed Modification to Existing Forms FDA 3500, 3500A, and 3500B

    General changes--The proposed modifications to Forms FDA 3500 and 
3500A reflect changes that will bring the form into conformance, since 
the previous authorization in 2015, with current regulations, rules, 
and guidances.
    The proposed extension to Forms FDA 3500, 3500A, and 3500B will 
only have changes in the form instructions to provide clarity of 
reporting. The proposed changes are regulatory driven, improving the 
Centers' work, and improving report processing. The Agency welcomes 
comments about translation of Form FDA 3500B (consumer) into Spanish 
and other languages.
    Formatting modifications are being proposed to several fields to 
enhance the quality, utility, and clarity of the information.
    FDA estimates the burden of this collection of information as 
follows:

                                                     Table 1--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                    Number of
       FDA Center/FDA Form/21 CFR section           Number of     responses per   Total annual         Average burden per response          Total hours
                                                   respondents     respondent       responses
--------------------------------------------------------------------------------------------------------------------------------------------------------
Center for Biologics Evaluation and Research/
 Center for Drug Evaluation and Research:
    Form 3500..................................          14,727               1          14,727  0.66 (40 min)..........................           9,720
    Form 3500A (Sec.  Sec.   310.305, 314.80,               599              98          58,702  1.21...................................          71,029
     314.98, 600.80, 1271.350).
    Form 3500A (Sec.  Sec.   310.305                         50               2             100  1.21...................................             121
     outsourcing facilities).
Center for Devices and Radiological Health:
    Form 3500..................................           5,233               1           5,233  0.66 (40 min)..........................           3,454
    Form 3500A (803)...........................           2,277             296         673,992  1.21...................................         815,530
Center for Food Safety and Applied Nutrition:
    Form 3500..................................           1,793               1           1,793  0.66 (40 min)..........................           1,183
    Form 3500A.................................           1,659               1           1,659  1.21...................................           2,007
Center for Tobacco Products:
    Form 3500..................................              39               1              39  0.66 (40 min)..........................              26
All Centers:
    Form 3500B.................................          13,750               1          13,750  0.46 (28 min)..........................           6,325
                                                --------------------------------------------------------------------------------------------------------
        Total..................................  ..............  ..............  ..............  .......................................         909,395
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.

    The burden estimates have not changed from the current approval.

    Dated: March 12, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-05337 Filed 3-15-18; 8:45 am]
 BILLING CODE 4164-01-P



                                               11756                           Federal Register / Vol. 83, No. 52 / Friday, March 16, 2018 / Notices

                                                  FDA is revising the first paragraph of               solicits comments on revisions to Forms               identified, as confidential, if submitted
                                               the agenda for that meeting to read as                  FDA 3500, 3500A, and 3500B used in                    as detailed in ‘‘Instructions.’’
                                               follows:                                                the FDA Medical Products Reporting                       Instructions: All submissions received
                                                  On Thursday, March 22, 2018, the                     Program.                                              must include the Docket No. FDA–
                                               PAC and EMDAC will meet to discuss                      DATES:  Submit either electronic or                   2014–N–1960 for ‘‘Agency Information
                                               drug development for the treatment of                   written comments on the collection of                 Collection Activities; Proposed
                                               children with achondroplasia (ACH).                     information by May 15, 2018.                          Collection; Comment Request;
                                               The following topics should be                                                                                MedWatch: The FDA Medical Products
                                                                                                       ADDRESSES: You may submit comments
                                               considered for discussion: Evidence                                                                           Reporting Program.’’ Received
                                                                                                       as follows. Please note that late,
                                               required to establish dose-response,                                                                          comments, those filed in a timely
                                                                                                       untimely filed comments will not be
                                               study design, study duration, intended                                                                        manner (see ADDRESSES), will be placed
                                                                                                       considered. Electronic comments must
                                               population, and endpoints. In the open                                                                        in the docket and, except for those
                                                                                                       be submitted on or before May 15, 2018.
                                               session, the committee does not intend                                                                        submitted as ‘‘Confidential
                                                                                                       The https://www.regulations.gov
                                               to discuss any individual research                                                                            Submissions,’’ publicly viewable at
                                                                                                       electronic filing system will accept
                                               programs.                                                                                                     https://www.regulations.gov or at the
                                                                                                       comments until midnight Eastern Time
                                                  FDA is also changing the meeting                                                                           Dockets Management Staff between 9
                                                                                                       at the end of May 15, 2018. Comments
                                               procedure and closed committee                                                                                a.m. and 4 p.m., Monday through
                                                                                                       received by mail/hand delivery/courier
                                               deliberations as follows:                                                                                     Friday.
                                                                                                       (for written/paper submissions) will be
                                                  Procedure: On March 22, 2018, from                                                                            • Confidential Submissions—To
                                                                                                       considered timely if they are
                                               12 p.m. to 6 p.m., the meeting is open                                                                        submit a comment with confidential
                                                                                                       postmarked or the delivery service
                                               to the public.                                                                                                information that you do not wish to be
                                                                                                       acceptance receipt is on or before that
                                                  Closed Committee Deliberations: On                                                                         made publicly available, submit your
                                                                                                       date.
                                               March 22, 2018, from 8 a.m. to 11 a.m.,                                                                       comments only as a written/paper
                                               the meeting will be closed to permit                    Electronic Submissions                                submission. You should submit two
                                               committee review and discussion of                        Submit electronic comments in the                   copies total. One copy will include the
                                               trade secret and/or confidential                        following way:                                        information you claim to be confidential
                                               commercial information.                                   • Federal eRulemaking Portal:                       with a heading or cover note that states
                                                  This notice is issued under the                      https://www.regulations.gov. Follow the               ‘‘THIS DOCUMENT CONTAINS
                                               Federal Advisory Committee Act (5                       instructions for submitting comments.                 CONFIDENTIAL INFORMATION.’’ The
                                               U.S.C. app. 2) and 21 CFR part 14,                      Comments submitted electronically,                    Agency will review this copy, including
                                               relating to the advisory committees.                    including attachments, to https://                    the claimed confidential information, in
                                                 Dated: March 13, 2018.                                www.regulations.gov will be posted to                 its consideration of comments. The
                                               Leslie Kux,                                             the docket unchanged. Because your                    second copy, which will have the
                                                                                                       comment will be made public, you are                  claimed confidential information
                                               Associate Commissioner for Policy.
                                                                                                       solely responsible for ensuring that your             redacted/blacked out, will be available
                                               [FR Doc. 2018–05413 Filed 3–15–18; 8:45 am]
                                                                                                       comment does not include any                          for public viewing and posted on
                                               BILLING CODE 4164–01–P                                                                                        https://www.regulations.gov. Submit
                                                                                                       confidential information that you or a
                                                                                                       third party may not wish to be posted,                both copies to the Dockets Management
                                                                                                       such as medical information, your or                  Staff. If you do not wish your name and
                                               DEPARTMENT OF HEALTH AND
                                                                                                       anyone else’s Social Security number, or              contact information to be made publicly
                                               HUMAN SERVICES
                                                                                                       confidential business information, such               available, you can provide this
                                               Food and Drug Administration                            as a manufacturing process. Please note               information on the cover sheet and not
                                                                                                       that if you include your name, contact                in the body of your comments and you
                                               [Docket No. FDA–2014–N–1960]                                                                                  must identify this information as
                                                                                                       information, or other information that
                                                                                                       identifies you in the body of your                    ‘‘confidential.’’ Any information marked
                                               Agency Information Collection                                                                                 as ‘‘confidential’’ will not be disclosed
                                               Activities; Proposed Collection;                        comments, that information will be
                                                                                                       posted on https://www.regulations.gov.                except in accordance with 21 CFR 10.20
                                               Comment Request; MedWatch: The                                                                                and other applicable disclosure law. For
                                               Food and Drug Administration Medical                      • If you want to submit a comment
                                                                                                       with confidential information that you                more information about FDA’s posting
                                               Products Reporting Program                                                                                    of comments to public dockets, see 80
                                                                                                       do not wish to be made available to the
                                               AGENCY:    Food and Drug Administration,                public, submit the comment as a                       FR 56469, September 18, 2015, or access
                                               HHS.                                                    written/paper submission and in the                   the information at: https://www.gpo.gov/
                                                                                                       manner detailed (see ‘‘Written/Paper                  fdsys/pkg/FR-2015-09-18/pdf/2015-
                                               ACTION:   Notice.
                                                                                                       Submissions’’ and ‘‘Instructions’’).                  23389.pdf.
                                               SUMMARY:   The Food and Drug                                                                                     Docket: For access to the docket to
                                               Administration (FDA or Agency) is                       Written/Paper Submissions                             read background documents or the
                                               announcing an opportunity for public                      Submit written/paper submissions as                 electronic and written/paper comments
                                               comment on the proposed collection of                   follows:                                              received, go to https://
                                               certain information by the Agency.                        • Mail/Hand delivery/Courier (for                   www.regulations.gov and insert the
                                               Under the Paperwork Reduction Act of                    written/paper submissions): Dockets                   docket number, found in brackets in the
                                               1995 (PRA), Federal Agencies are                        Management Staff (HFA–305), Food and                  heading of this document, into the
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                                               required to publish notice in the                       Drug Administration, 5630 Fishers                     ‘‘Search’’ box and follow the prompts
                                               Federal Register concerning each                        Lane, Rm. 1061, Rockville, MD 20852.                  and/or go to the Dockets Management
                                               proposed collection of information,                       • For written/paper comments                        Staff, 5630 Fishers Lane, Rm. 1061,
                                               including each proposed extension of an                 submitted to the Dockets Management                   Rockville, MD 20852.
                                               existing collection of information, and                 Staff, FDA will post your comment, as                 FOR FURTHER INFORMATION CONTACT:
                                               to allow 60 days for public comment in                  well as any attachments, except for                   Amber Sanford, Office of Operations,
                                               response to the notice. This notice                     information submitted, marked and                     Food and Drug Administration, Three


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                                                                               Federal Register / Vol. 83, No. 52 / Friday, March 16, 2018 / Notices                                          11757

                                               White Flint North, 10A–12M, 11601                       cosmetics. To facilitate reporting on                 exception of Childhood Vaccine Injury
                                               Landsdown St., North Bethesda, MD                       human medical products (except                        Act of 1986 (42 U.S.C. 300aa–1). Reports
                                               20852, 301–796–8867, PRAStaff@                          vaccines) during their postapproval and               for vaccines are not submitted via
                                               fda.hhs.gov.                                            marketed lifetimes, three forms                       MedWatch or MedWatch forms, but are
                                               SUPPLEMENTARY INFORMATION:       Under the              (collectively known as the MedWatch                   submitted to the Vaccines Adverse
                                               PRA (44 U.S.C. 3501–3520), Federal                      forms) are available from the Agency.                 Event Reporting System (see https://
                                               Agencies must obtain approval from the                  Form FDA 3500 is intended to be used                  vaers.hhs.gov), which is jointly
                                               Office of Management and Budget                         for voluntary (i.e., not mandated by law              administered by FDA and the Centers
                                               (OMB) for each collection of                            or regulation) reporting by healthcare                for Disease Control and Prevention.
                                                                                                       professionals. Form FDA 3500B is                         Hospitals are not required by Federal
                                               information they conduct or sponsor.
                                                                                                       written in plain language and is                      law or regulation to submit reports
                                               ‘‘Collection of information’’ is defined
                                                                                                       intended to be used for voluntary                     associated with drug products,
                                               in 44 U.S.C. 3502(3) and 5 CFR                                                                                biological products, or special
                                                                                                       reporting (i.e., not mandated by law or
                                               1320.3(c) and includes Agency requests                                                                        nutritional products. However, hospitals
                                                                                                       regulation) by consumers (i.e., patients
                                               or requirements that members of the                                                                           and other user facilities are required by
                                                                                                       and their caregivers). Form FDA 3500A
                                               public submit reports, keep records, or                                                                       Federal law to report medical device-
                                                                                                       is used for mandatory reporting (i.e.,
                                               provide information to a third party.                                                                         related deaths and serious injuries.
                                                                                                       required by law or regulation). When
                                               Section 3506(c)(2)(A) of the PRA (44                                                                             Under Federal law and regulation,
                                                                                                       FDA receives this information from
                                               U.S.C. 3506(c)(2)(A)) requires Federal                                                                        section 761(b)(1) of the FD&C Act, a
                                                                                                       healthcare professionals, patients, or
                                               Agencies to provide a 60-day notice in                  consumers, the report becomes data that               dietary supplement manufacturer,
                                               the Federal Register concerning each                    will be used to assess and evaluate the               packer, or distributor whose name
                                               proposed collection of information,                     risk associated with the product. FDA                 appears on the label of a dietary
                                               including each proposed extension of an                 will then take whatever action is                     supplement marketed in the United
                                               existing collection of information,                     necessary to reduce, mitigate, or                     States is required to submit to FDA any
                                               before submitting the collection to OMB                 eliminate the public’s exposure to the                serious adverse event report it receives
                                               for approval. To comply with this                       risk through regulatory and public                    regarding use of the dietary supplement
                                               requirement, FDA is publishing notice                   health interventions.                                 in the United States. However, FDA
                                               of the proposed collection of                                                                                 bears the burden to gather and review
                                               information set forth in this document.                 Authorizing Statutes and Codified                     evidence that a dietary supplement may
                                                  With respect to the following                        Regulations                                           be adulterated under section 402 of the
                                               collection of information, FDA invites                     The Federal Food, Drug, and Cosmetic               FD&C Act (21 U.S.C. 342) after that
                                               comments on these topics: (1) Whether                   Act (FD&C Act) (21 U.S.C. 353b, 355,                  product is marketed. Therefore, the
                                               the proposed collection of information                  360i, 360l, and 393); and the Public                  Agency depends on the voluntary
                                               is necessary for the proper performance                 Health Service Act (42 U.S.C. 262)                    reporting by health professionals, and
                                               of FDA’s functions, including whether                   represent the statutory authority for the             especially by consumers, of suspected
                                               the information will have practical                     FDA to collect mandatory adverse event                serious adverse events and product
                                               utility; (2) the accuracy of FDA’s                      reports from regulated industry on                    quality problems associated with the
                                               estimate of the burden of the proposed                  medical products once approved for                    use of dietary supplements. All dietary
                                               collection of information, including the                marketing—to monitor the safety of                    supplement reports were previously
                                               validity of the methodology and                         drugs, biologics, medical devices, and                received by the Agency on paper
                                               assumptions used; (3) ways to enhance                   dietary supplements. There are no laws                versions of Form FDA 3500 (or Form
                                               the quality, utility, and clarity of the                or regulations mandating the post-                    FDA 3500B) (by mail or fax). Currently,
                                               information to be collected; and (4)                    market reporting for medical foods,                   electronic reports may be sent to the
                                               ways to minimize the burden of the                      infant formula, cosmetics, or tobacco                 Agency via an online submission route
                                               collection of information on                            products, and the reporting for these                 called the Safety Reporting Portal
                                               respondents, including through the use                  products is done voluntarily.                         (https://www.safetyreporting.hhs.gov/).
                                               of automated collection techniques,                        Requirements regarding mandatory                   In that case, Form FDA 3500 (or Form
                                               when appropriate, and other forms of                    reporting of adverse events or product                FDA 3500B) is not used.
                                               information technology.                                 problems have been codified in parts                     Form FDA 3500 may be used to report
                                                                                                       310, 314, 600, and 803 (21 CFR 310,                   to the Agency serious adverse events,
                                               MedWatch: The FDA Medical Products
                                                                                                       314, 600, and 803), specifically                      product problems, and product use
                                               Reporting Program—OMB Control                                                                                 errors and therapeutic failures. The form
                                               Number 0910–0291—Extension                              §§ 310.305, 314.80, 314.98, 600.80,
                                                                                                       803.30, 803.50, 803.53, 803.56, and                   is provided in both paper and electronic
                                                  Members of the public use FDA’s                      specified in sections 503B, 760, and 761              formats. Reporters may mail or fax
                                               MedWatch system to report adverse                       of the FD&C Act (21 U.S.C. 353b, 379aa,               paper forms to the Agency (a fillable
                                               events, product problems, errors with                   and 379aa–1). Mandatory reporting of                  PDF version of the form is available at
                                               the use of a human medical product, or                  adverse reactions for human cells,                    https://www.fda.gov/downloads/
                                               when evidence of therapeutic failure is                 tissues, and cellular- and tissue-based               AboutFDA/ReportsManualsForms/
                                               suspected or identified in clinical use.                products (HCT/Ps) has been codified in                Forms/UCM163919.pdf) or reporters
                                               To ensure the marketing of safe and                     21 CFR 1271.350.                                      may electronically submit a report via
                                               effective products, it is critical that                                                                       the MedWatch Online Voluntary
                                               postmarketing adverse outcomes and                      Use of Form 3500 (Voluntary Reporting)                Reporting Form (https://
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                                               product problems are reported for all                     This voluntary version of the form                  www.accessdata.fda.gov/scripts/
                                               FDA-regulated human healthcare                          may be used by healthcare professionals               medwatch/). Reporting is supported for
                                               products, including drugs (prescription                 to submit all reports not mandated by                 drugs, non-vaccine biologicals, medical
                                               and nonprescription), biologics, medical                Federal law or regulation. Individual                 devices, special nutritional products,
                                               devices, dietary supplements, and other                 health professionals are not required by              cosmetics, and non-prescription (over
                                               special nutritional products (e.g. infant               law or regulation to submit reports to                the counter (OTC)) human drug
                                               formula and medical foods), and                         the Agency or the manufacturer with the               products marketed without an approved


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                                               11758                           Federal Register / Vol. 83, No. 52 / Friday, March 16, 2018 / Notices

                                               application. The paper form may also be                 conformance with the Plain Writing Act                prescription human drug products
                                               used to submit reports about tobacco                    of 2010 (Pub. L. 111–274), https://                   marketed without an approved
                                               products and dietary supplements.                       www.gpo.gov/fdsys/pkg/PLAW-                           application as described in the Dietary
                                               Electronic reports for tobacco products                 111publ274/pdf/PLAW-                                  Supplement and Nonprescription Drug
                                               and dietary supplements may be                          111publ274.pdf).                                      Consumer Protection Act (Pub. L. 109–
                                               submitted to the Agency via an online                      Form FDA 3500B evolved from                        462, December 22, 2006), which became
                                               submission route called the Safety                      several iterations of draft versions, with            law on December 22, 2006. The law
                                               Reporting Portal (https://                              input from human factors experts, from                requires manufacturers, packers, and
                                               www.safetyreporting.hhs.gov/).                          other regulatory agencies, and with                   distributors of nonprescription, over-
                                                                                                       extensive input from consumer                         the-counter (OTC) human drug products
                                               Use of Form 3500B (Consumer
                                                                                                       advocacy groups and the general public.               marketed without an approved
                                               Voluntary Reporting)
                                                                                                       Form FDA 3500B may be used to report                  application (OTC monograph drug
                                                 This voluntary version of the form                    to the Agency adverse events, product                 products) to submit reports of adverse
                                               may be used by consumers (i.e. patients                 problems, and product use errors. The                 experiences from domestic sources. The
                                               and their caregivers) to submit reports                 form is provided in both paper and                    law also requires reports of serious
                                               not mandated by Federal law or                          electronic formats. Reporters may mail                adverse events to be submitted to FDA
                                               regulation. Individual patients or their                or fax paper forms to the Agency (a                   by manufacturers of dietary
                                               caregivers are not required by law or                   fillable PDF version of the form is                   supplements.
                                               regulation to submit reports to the                     available at https://www.fda.gov/
                                               Agency or the manufacturer.                                                                                   C. Postmarketing Safety Reports—
                                                                                                       downloads/AboutFDA/                                   Changes in Format Starting in June 2018
                                                 FDA supports and encourages direct                    ReportsManualsForms/Forms/
                                               reporting to the Agency by consumers of                 UCM349464.pdf) or electronically                      Current requirements specify that
                                               suspected serious adverse outcomes and                  submit a report via the MedWatch                      postmarketing adverse experience
                                               other product problems associated with                  Online Voluntary Reporting Form                       reports must be submitted on paper on
                                               human medical products, (https://                       (https://www.accessdata.fda.gov/                      Form FDA Form 3500A (or the CIOMS
                                               www.fda.gov/Safety/ReportaProblem/                      scripts/medwatch/). Reporting is                      (Council for International Organizations
                                               default.htm). Since the inception of the                                                                      of Medical Sciences) I form for serious,
                                                                                                       supported for drugs, non-vaccine
                                               MedWatch program, launched in July                                                                            unexpected adverse experiences from a
                                                                                                       biologicals, medical devices, special
                                               1993 by then FDA Commissioner David                                                                           foreign source). For the last several
                                                                                                       nutritional products, cosmetics, and
                                               Kessler, the program has been                                                                                 years the Agency has accepted
                                                                                                       non-prescription OTC human drug
                                               promoting and facilitating voluntary                                                                          electronic submissions in lieu of the
                                                                                                       products marketed without an approved
                                               reporting by both the general public and                                                                      paper Form FDA 3500A on the
                                                                                                       application. The paper form may also be
                                               healthcare professionals. FDA has                                                                             condition they are submitted in a
                                                                                                       used to submit reports about tobacco
                                               further encouraged voluntary reporting                                                                        manner that the Agency can process,
                                                                                                       products and dietary supplements.
                                               by requiring inclusion of the MedWatch                                                                        review, and archive. On June 10, 2014,
                                                                                                       Electronic reports for tobacco products
                                               toll-free phone number or the                                                                                 the Agency issued a final rule entitled
                                                                                                       and dietary supplements may be
                                               MedWatch internet address on all                                                                              ‘‘Postmarketing Safety Reports for
                                                                                                       submitted to the Agency via an online
                                               outpatient drug prescriptions dispensed,                                                                      Human Drug and Biological Products;
                                                                                                       submission route called the Safety
                                               as mandated by section 17 of the Best                                                                         Electronic Submission Requirements’’
                                                                                                       Reporting Portal (https://
                                               Pharmaceuticals for Children Act (Pub.                                                                        (79 FR 33072) that requires electronic
                                                                                                       www.safetyreporting.hhs.gov/).
                                               L. 107–109).                                                                                                  submission of all mandatory
                                                 On March 25, 2008, section 906 of the                 I. Use of Form FDA 3500A (Mandatory                   postmarketing safety reports, including
                                               Food and Drug Administration                            Version)                                              individual case safety reports. Entities
                                               Amendments Act of 2007 (Pub. L. 110–                                                                          with mandatory reporting obligations
                                               85) amended section 502(n) of the FD&C                  A. Drug and Biological Products
                                                                                                                                                             under parts 310 and 314 (drugs) and
                                               Act (21 U.S.C. 352) and mandated that                     In sections 505(b) and (j), 503B, and               600 (biological products) and specified
                                               published direct-to-consumer                            704 (21 U.S.C. 355(b) and (j), 353B, and              under section 760 of the FD&C Act must
                                               advertisements for prescription drugs                   374) of the FD&C Act, Congress has                    implement this rule within 1 year of the
                                               include the following statement printed                 required that important safety                        issuance date (by June 10, 2015). For
                                               in conspicuous text (this includes                      information relating to all human drug                more information see: https://
                                               vaccine products): ‘‘You are encouraged                 products be made available to the FDA                 www.gpo.gov/fdsys/pkg/FR-2014-06-10/
                                               to report negative side effects of                      so that it can take appropriate action to             pdf/2014-13480.pdf.
                                               prescription drugs to the FDA. Visit                    protect the public health when
                                                                                                                                                             D. Medical Device Products
                                               https://www.fda.gov/safety/medwatch,                    necessary. Section 702 of the FD&C Act
                                               or call 1–800–FDA–1088.’’                               (21 U.S.C. 372) authorizes                               Section 519 of the FD&C Act (21
                                                 Most private vendors of consumer                      investigational powers to the FDA for                 U.S.C. 360i) requires manufacturers and
                                               medication information, the drug                        enforcement of the FD&C Act. These                    importers of devices intended for
                                               product-specific instructions dispensed                 statutory requirements regarding                      human use to establish and maintain
                                               to consumers at outpatient pharmacies,                  mandatory reporting have been codified                records, make reports, and provide
                                               remind patients to report ‘‘side effects’’              by FDA under parts 310 and 314 (drugs)                information, as the Secretary of Health
                                               to FDA and provide contact information                  and 600 (biological products).                        and Human Services may, by regulation,
                                               to permit reporting via the MedWatch                    Mandatory reporting of adverse                        reasonably be required to provide
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                                               process.                                                reactions for HCT/Ps has been codified                assurance that such devices are not
                                                 Since 2013, FDA has made available                    in § 1271.350.                                        adulterated or misbranded and to
                                               Form FDA 3500B. It was proposed                                                                               otherwise assure its safety and
                                               during the previous authorization in                    B. OTC Monograph Drug Products and                    effectiveness. The Safe Medical Devices
                                               2012 and is a version of Form FDA 3500                  Dietary Supplements                                   Act of 1990 (Pub. L. 101–629), signed
                                               that is tailored for consumers and                        Section 760 of the FD&C Act provides                into law on November 28, 1990, amends
                                               written in plain language (in                           for mandatory safety reporting for non-               section 519 of the FD&C Act. The


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                                                                                         Federal Register / Vol. 83, No. 52 / Friday, March 16, 2018 / Notices                                                                                             11759

                                               amendment requires that user facilities                                   section 519 of the FD&C Act. The                                               The proposed extension to Forms
                                               such as hospitals, nursing homes,                                         MDUFMA amendment (section 303)                                              FDA 3500, 3500A, and 3500B will only
                                               ambulatory surgical facilities, and                                       required FDA to revise the MedWatch                                         have changes in the form instructions to
                                               outpatient treatment facilities report                                    forms to facilitate the reporting of                                        provide clarity of reporting. The
                                               deaths related to medical devices to                                      information relating to reprocessed                                         proposed changes are regulatory driven,
                                               FDA and to the manufacturer, if known.                                    single-use devices, including the name                                      improving the Centers’ work, and
                                               Serious illnesses and injuries are to be                                  of the reprocessor and whether the                                          improving report processing. The
                                               reported to the manufacturer or to FDA                                    device has been reused.                                                     Agency welcomes comments about
                                               if the manufacturer is not known. These                                                                                                               translation of Form FDA 3500B
                                               statutory requirements regarding                                          II. Proposed Modification to Existing
                                                                                                                         Forms FDA 3500, 3500A, and 3500B                                            (consumer) into Spanish and other
                                               mandatory reporting have been codified                                                                                                                languages.
                                               by FDA under 21 CFR part 803 (part                                          General changes—The proposed
                                               803). Part 803 mandates the use of Form                                   modifications to Forms FDA 3500 and                                            Formatting modifications are being
                                               FDA 3500A for reporting to FDA on                                         3500A reflect changes that will bring the                                   proposed to several fields to enhance
                                               medical devices. The Medical Device                                       form into conformance, since the                                            the quality, utility, and clarity of the
                                               User Fee and Modernization Act of 2002                                    previous authorization in 2015, with                                        information.
                                               (MDUFMA) (Pub. L. 107–250), signed                                        current regulations, rules, and                                                FDA estimates the burden of this
                                               into law October 26, 2002, amended                                        guidances.                                                                  collection of information as follows:

                                                                                                            TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                     Number of
                                                                                                                                          Number of                                            Total annual              Average burden
                                                           FDA Center/FDA Form/21 CFR section                                                                      responses per                                                                       Total hours
                                                                                                                                         respondents                                            responses                 per response
                                                                                                                                                                     respondent

                                               Center for Biologics Evaluation and Research/Center for
                                                  Drug Evaluation and Research:
                                                    Form 3500 .................................................................                      14,727                             1                  14,727        0.66 (40 min) ....                   9,720
                                                    Form 3500A (§§ 310.305, 314.80, 314.98, 600.80,                                                     599                            98                  58,702        1.21 ..................             71,029
                                                      1271.350).
                                                    Form 3500A (§§ 310.305 outsourcing facilities) ........                                                 50                           2                      100      1.21 ..................                121
                                               Center for Devices and Radiological Health:
                                                    Form 3500 .................................................................                        5,233                           1                  5,233          0.66 (40 min) ....                  3,454
                                                    Form 3500A (803) .....................................................                             2,277                         296                673,992          1.21 ..................           815,530
                                               Center for Food Safety and Applied Nutrition:
                                                    Form 3500 .................................................................                        1,793                            1                    1,793       0.66 (40 min) ....                   1,183
                                                    Form 3500A ...............................................................                         1,659                            1                    1,659       1.21 ..................              2,007
                                               Center for Tobacco Products:
                                                    Form 3500 .................................................................                             39                          1                         39     0.66 (40 min) ....                      26
                                               All Centers:
                                                    Form 3500B ...............................................................                      13,750                               1                 13,750        0.46 (28 min) ....                   6,325

                                                           Total ....................................................................   ........................   ........................   ........................   ...........................       909,395
                                                  1   There are no capital costs or operating and maintenance costs associated with this collection of information.


                                                 The burden estimates have not                                           SUMMARY:  The Food and Drug                                                    FDA is establishing a docket for
                                               changed from the current approval.                                        Administration (FDA) announces a                                            public comment on this meeting. The
                                                 Dated: March 12, 2018.                                                  forthcoming public advisory committee                                       docket number is FDA–2018–N–0976.
                                               Leslie Kux,
                                                                                                                         meeting of the Arthritis Advisory                                           The docket will close on April 20, 2018.
                                                                                                                         Committee. The general function of the                                      Submit either electronic or written
                                               Associate Commissioner for Policy.
                                                                                                                         committee is to provide advice and                                          comments on this public meeting by
                                               [FR Doc. 2018–05337 Filed 3–15–18; 8:45 am]                                                                                                           April 20, 2018. Please note that late,
                                                                                                                         recommendations to FDA on regulatory
                                               BILLING CODE 4164–01–P                                                    issues. The meeting will be open to the                                     untimely filed comments will not be
                                                                                                                         public. FDA is establishing a docket for                                    considered. Electronic comments must
                                                                                                                         public comment on this document.                                            be submitted on or before April 20,
                                               DEPARTMENT OF HEALTH AND                                                                                                                              2018. The https://www.regulations.gov
                                               HUMAN SERVICES                                                            DATES: The meeting will be held on
                                                                                                                                                                                                     electronic filing system will accept
                                                                                                                         April 23, 2018, from 8 a.m. to 5 p.m.
                                               Food and Drug Administration                                                                                                                          comments until midnight Eastern Time
                                                                                                                         ADDRESSES:    FDA White Oak Campus,                                         at the end of April 20, 2018. Comments
                                                                                                                         10903 New Hampshire Ave., Building                                          received by mail/hand delivery/courier
                                               [Docket No. FDA–2018–N–0976]                                              31 Conference Center, the Great Room                                        (for written/paper submissions) will be
                                                                                                                         (Rm. 1503), Silver Spring, MD 20993–                                        considered timely if they are
                                               Arthritis Advisory Committee; Notice                                      0002. Answers to commonly asked                                             postmarked or the delivery service
daltland on DSKBBV9HB2PROD with NOTICES




                                               of Meeting; Establishment of a Public                                     questions including information                                             acceptance receipt is on or before that
                                               Docket; Request for Comments                                              regarding special accommodations due                                        date.
                                               AGENCY:       Food and Drug Administration,                               to a disability, visitor parking, and                                          Comments received on or before April
                                               HHS.                                                                      transportation may be accessed at:                                          9, 2018, will be provided to the
                                                                                                                         https://www.fda.gov/                                                        committee. Comments received after
                                               ACTION: Notice, establishment of a
                                                                                                                         AdvisoryCommittees/AboutAdvisory                                            that date will be taken into
                                               public docket; request for comments.
                                                                                                                         Committees/ucm408555.htm.                                                   consideration by FDA.


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Document Created: 2018-03-16 01:12:03
Document Modified: 2018-03-16 01:12:03
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit either electronic or written comments on the collection of information by May 15, 2018.
ContactAmber Sanford, Office of Operations, Food and Drug Administration, Three White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 20852, 301-796-8867, [email protected]
FR Citation83 FR 11756 

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