83_FR_22522 83 FR 22428 - Product Jurisdiction

83 FR 22428 - Product Jurisdiction

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 94 (May 15, 2018)

Page Range22428-22436
FR Document2018-10321

The Food and Drug Administration (FDA or Agency) is proposing to amend its regulations concerning the classification of products as biological products, devices, drugs, or combination products, and their assignment to Agency components for premarket review and regulation. This proposed rule would update the regulations to clarify the scope of the regulations, streamline and clarify the appeals process, align the regulations with more recent legislative and regulatory measures, update advisory content, and otherwise clarify the regulations, including updates to reflect Agency practices and policies. These changes are intended to enhance regulatory clarity and efficiency.

Federal Register, Volume 83 Issue 94 (Tuesday, May 15, 2018)
[Federal Register Volume 83, Number 94 (Tuesday, May 15, 2018)]
[Proposed Rules]
[Pages 22428-22436]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-10321]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 3

[Docket No. FDA-2004-N-0191]


Product Jurisdiction

AGENCY: Food and Drug Administration, HHS.

ACTION: Proposed rule.

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SUMMARY: The Food and Drug Administration (FDA or Agency) is proposing 
to amend its regulations concerning the classification of products as 
biological products, devices, drugs, or combination products, and their 
assignment to Agency components for premarket review and regulation. 
This proposed rule would update the regulations to clarify the scope of 
the regulations, streamline and clarify the appeals process, align the 
regulations with more recent legislative and regulatory measures, 
update advisory content, and otherwise clarify the regulations, 
including updates to reflect Agency practices and policies. These 
changes are intended to enhance regulatory clarity and efficiency.

DATES: Submit either electronic or written comments on the proposed 
rule by July 16, 2018.

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

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management

[[Page 22429]]

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-2004-N-0191 for ``Product Jurisdiction.'' 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: John Barlow Weiner, Associate Director 
for Policy, Office of Combination Products, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 5129, Silver 
Spring, MD 20933, 301-796-8930, [email protected].

SUPPLEMENTARY INFORMATION: 

Table of Contents

Executive Summary
I. Description of the Proposed Rule
    A. Clarify the Scope of the Regulation
    B. Streamline and Clarify the Appeals Process for Product 
Classifications and Assignments
    C. Aligning Part 3 with More Recent Legislative and Regulatory 
Measures
    D. Update Advisory Content
    E. Other Clarifications to the Rule
II. Legal Authority
III. Paperwork Reduction Act of 1995
IV. Analysis of Environmental Impact
V. Federalism
VI. Consultation and Coordination with Indian Tribal Governments
VII. Preliminary Economic Analysis of Impacts
    A. Introduction
    B. Summary of Costs and Benefits
VIII. Proposed Effective Date
IX. Reference

Executive Summary

    FDA promulgated its product jurisdiction regulations, codified at 
part 3 (21 CFR part 3), in 1991 (see 56 FR 58754, November 21, 1991). 
Although FDA amended these regulations most recently in 2005, to 
clarify the meaning of the statutory term ``primary mode of action'' 
for assignment of combination products to Agency components (see 70 FR 
49848, August 25, 2005), the regulations remain largely as published in 
1991. However, relevant statutory provisions have changed; FDA has 
published additional policies so that the advisory content included in 
the regulations requires updating; and in other respects the rule 
warrants revisions to enhance clarity and efficiency. Accordingly, FDA 
is proposing to amend part 3 to: (1) Clarify the scope of the 
regulations; (2) streamline and clarify the appeals process; (3) align 
the regulations with more recent legislative and regulatory measures; 
(4) update advisory content; and (5) otherwise clarify the rule, 
including updating it to reflect Agency policies and practices.
    The incremental quantified cost savings of the proposed rule accrue 
to both the Agency and industry from resources, such as time and paper, 
saved through eliminating the part 3 appeal to the Office of 
Combination Products (OCP). These annual social cost savings are 
estimated to be $28,000. Sponsors are expected to incur one-time costs 
to read and understand the regulation. Our primary estimate of the 
total cost to industry in the first year is approximately $131,000.
    The Agency estimates the quantifiable net social effect of the 
proposed rule to be a cost of approximately $103,000 in the first year 
and a cost savings of approximately $28,000 each year starting in the 
second year. The net present discounted value of the quantifiable net 
effect over 10 years is approximately $114,000 at a 3 percent discount 
rate and $76,000 at a 7 percent discount rate. The total annualized net 
effect of the proposed rule is estimated to produce an average net cost 
savings ranging from $13,000 at a 3 percent discount rate and $11,000 
at a 7 percent discount rate.

I. Description of the Proposed Rule

    For the reasons presented in the following subsections, FDA 
proposes to amend its regulations on Product Jurisdiction codified at 
part 3 to: (1) Clarify the scope of the regulation; (2) streamline and 
clarify the appeals process; (3) align the regulations with more recent 
legislative and regulatory measures; (4) update advisory content; and 
(5) otherwise clarify the rule, including updating it to reflect Agency 
policies and practices.

A. Clarify the Scope of the Regulation

    This proposed rule, if finalized, would amend Sec.  3.3--Scope, to 
clarify that the part 3 procedures apply to sponsors (also referred to 
as applicants, see Sec.  3.2--Definitions) for products for which the 
classification as biological products, devices, drugs, or combination 
products, or the Agency component with primary jurisdiction, is unclear 
or in dispute. It would also make conforming revisions to other 
sections in part 3, including the definitions in Sec.  3.2.
    FDA published its product jurisdiction regulations codified at part 
3 in 1991, in part to implement section 503(g) of the Federal Food, 
Drug, and Cosmetic Act (FD&C Act) (21 U.S.C. 353(g)), which calls upon 
the Agency to assign products that are comprised of any combination of 
a drug and a device, a device and a biological product, a biological 
product and a drug, or a drug, a device and a biological product 
(``combination products'') to Agency components based on the primary 
mode of action (PMOA) of the combination product. The rulemaking also 
established that the same procedures would be used to assign biological 
products, devices, and drugs to Agency components when their assignment 
was unclear or in dispute.
    Although part 3 did not expressly refer to classification of 
products as biological products, devices, drugs, or combination 
products, such

[[Page 22430]]

determinations are generally necessary to make an assignment 
determination. Non-combination products (biological products, devices, 
and drugs) are assigned to Agency components based on their 
classification. Accordingly, the Agency needs to determine, for 
example, whether a product is a biological product to be able to 
determine whether it should be assigned to a component that regulates 
biological products. Similarly, assignment of combination products is 
based on determining whether the product is a combination product and 
if so, which constituent part of the combination product (biological 
product, device, or drug) provides the PMOA (or applying the algorithm 
specified in Sec.  3.4(b) if the PMOA cannot be determined with 
reasonable certainty).
    Therefore, the Agency has been accepting under part 3 sponsor 
requests for the Agency to make product classification as well as 
assignment determinations (see, e.g., ``How to Write a Request for 
Designation (RFD)'', at https://www.fda.gov/regulatoryinformation/guidances/ucm126053.htm). FDA's longstanding acceptance and review of 
sponsors' requests for product classification under part 3 is 
consistent with the obligations to which FDA became subject in 1998 
under section 416 of the Food and Drug Administration Modernization Act 
of 1997 (FDAMA) (Pub. L. 105-115), which added section 563 to the FD&C 
Act (21 U.S.C. 360bbb-2). Section 563 of the FD&C Act requires FDA to 
classify products as biological products, devices, drugs, or 
combination products and to assign products to an Agency component for 
regulation, in response to requests for designations submitted by 
product sponsors. The procedures at part 3 are appropriate for 
implementation of section 563 as well as section 503(g) of the FD&C 
Act, and FDA has used these procedures for both purposes to date.
    This proposed rule would revise Sec.  3.3 to clarify that FDA's 
procedures in part 3 apply to classification of products as biological 
products, devices, drugs, or combination products as well as to 
assignment of these products to Agency components, and would make 
corresponding amendments to other sections in part 3, including 
Sec. Sec.  3.1, 3.7(c)(3) (see proposed 3.5(b)), 3.8(b) (see proposed 
3.6(b)), 3.9(b) (see proposed 3.7(b)), and the definitions in Sec.  3.2 
for ``letter of designation,'' ``letter of request,'' and ``product 
jurisdiction officer,'' to be consistent with this clarified statement 
of scope.
    In addition, Agency experience over the 26 years since part 3 was 
codified has shown that sponsors sometimes are confused as to whether 
they must request a classification or assignment determination under 
part 3 as a prerequisite to making a premarket submission for their 
product, regardless of whether the classification or assignment for 
their product is unclear or in dispute. In addition, some entities who 
are not the sponsor for the product have attempted to obtain a product 
classification or assignment determination. To eliminate this 
confusion, this proposed rule would also revise Sec.  3.3 to state that 
the part 3 procedures apply to sponsors if classification or assignment 
is unclear or in dispute for their product. If no such uncertainty 
exists, use of the procedures is unnecessary, and sponsors can engage 
directly with the appropriate Agency component. Further, clarifying 
that part 3 applies to sponsors is consistent with section 503(g) of 
the FD&C Act, as amended by the 21st Century Cures Act (Cures Act) 
(Pub. L. 114-255), and with section 563 of the FD&C Act.

B. Streamline and Clarify the Appeals Process for Product 
Classifications and Assignments

    Section 3.8(c)--Requests for reconsideration. The proposed rule 
would remove, as confusing and inefficient, the process codified at 
Sec.  3.8(c) for sponsors to request that the product jurisdiction 
officer reconsider determinations made under part 3.
    Currently, a sponsor may make a request for reconsideration and if 
the sponsor disagrees with the decision upon reconsideration, the 
sponsor may make an additional, supervisory appeal in accordance with 
Sec.  10.75 (21 CFR 10.75). Alternatively, the sponsor may directly 
submit such a supervisory appeal without first requesting 
reconsideration under Sec.  3.8(c).
    This current approach has proven confusing to sponsors and 
inefficient for sponsors and Agency staff. Determinations under part 3 
are made through a robust process involving OCP's review of 
information, either provided by the sponsor or otherwise available to 
the Agency, in consultation with regulatory, legal, and scientific 
staff from other Agency components, as appropriate. Consistent with 
appeals under Sec.  10.75, no new information may be presented in a 
request for reconsideration under Sec.  3.8(c). Because determinations 
under part 3 are made through a robust process, further evaluation of 
the same data and information by OCP is unlikely to result in a change 
of decision. Requests for reconsideration have been inefficient for 
sponsors who have opted to utilize this mechanism, and inclusion of the 
request for reconsideration mechanism has led to confusion, with 
sponsors sometimes believing they must make a request for 
reconsideration before they may submit a Sec.  10.75 supervisory 
appeal.
    Accordingly, FDA has determined that the request for 
reconsideration process is unhelpful to retain.

C. Aligning Part 3 With More Recent Legislative and Regulatory Measures

    In addition to the amendments made by section 416 of FDAMA 
regarding classification and assignment discussed in section I.A, two 
other statutory changes have been made relating to issues addressed in 
part 3 since FDA promulgated the part 3 regulations in 1991, and this 
rule proposes to amend part 3 to comport with these statutory changes 
as well.
    FDA amended part 3 in 2005 to clarify the meaning of PMOA for 
assignment of combination products, and to codify at Sec.  3.2 
definitions for biological product, device, and drug ``modes of 
action'' based upon the statutory definitions of biological product, 
device, and drug. The Biologics Price Competition and Innovation Act of 
2009 (Subtitle A of Title VII of the Patient Protection and Affordable 
Care Act (Pub. L. 111-148)) amended the definition for biological 
product at section 351(i) of the Public Health Service Act (PHS Act) 
(42 U.S.C. 262(i)) to address expressly and more precisely the 
classification of proteins as biological products. This proposed rule 
would amend the definition for ``biological product mode of action'' at 
Sec.  3.2 to align with the current statutory definition for biological 
product.
    In 2016, section 3038 of the Cures Act amended section 503(g) of 
the FD&C Act, to include additional provisions relating to intercenter 
consultation and coordination (see 21 U.S.C. 353(g)(8)(C)), reinforcing 
expectations that intercenter consultation and coordination occur as 
appropriate. Currently, Sec.  3.4(c) states in part that the 
designation of a center (an ``agency component'' as defined in Sec.  
3.2) as having primary jurisdiction for a combination product does not 
preclude consultations by that component with other components. In 
keeping with section 503(g) of the FD&C Act as amended and Agency 
practice, the Agency is revising Sec.  3.4(c) to make clear that 
consultations with other Agency components will occur as FDA deems 
appropriate. Agency practice is to conduct intercenter consultation and 
coordination routinely to ensure appropriate expertise is brought to 
bear

[[Page 22431]]

to enable fully informed reviews and consistent regulation of products.
    In addition, section 503(g) of the FD&C Act, as amended by section 
3038 of the Cures Act, states that combination products shall be 
reviewed under a single application whenever appropriate, and that 
sponsors may submit separate applications for the constituent parts of 
a combination product unless FDA determines a single application is 
necessary (see 21 U.S.C. 353(g)(1)(B) and (6)). Currently, Sec.  3.4(c) 
states in part that the Agency can require in appropriate cases that 
constituent parts of a combination product be reviewed under separate 
applications. Accordingly, to avoid confusion that might arise from 
maintaining this different articulation of Agency authority on this 
topic, the proposed rule would remove this language at Sec.  3.4(c). 
FDA intends to issue guidance regarding implementation of the new 
statutory provisions as needed given Agency experience with 
implementing them.\1\
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    \1\ Section 3038 of the Cures Act also amended section 503(g) of 
the FD&C Act in other respects relating to combination product 
assignment, including to: Incorporate a definition for PMOA, which 
is consistent with the regulatory definition of PMOA at Sec.  3.2, 
promulgated by FDA in its 2005 amendments to part 3 (see 21 U.S.C. 
353(g)(1)(C)); provide that drug or biological product PMOA cannot 
be based solely upon the product having any chemical action within 
or on the human body (see 21 U.S.C. 353(g)(1)(E)); provide that 
sponsors who disagree with FDA's PMOA determination may request a 
substantive rationale of the determination (see 21 U.S.C. 
353(g)(1)(F)(i)); and provide a mechanism for sponsors and FDA to 
collaborate and seek agreement on studies to establish the relevance 
of the chemical action in achieving the PMOA of their products if 
they do not agree with the Agency's PMOA determination (see 21 
U.S.C. 353(g)(1)(F)(ii)). These amendments serve to codify 
longstanding Agency regulatory interpretations and practices. 
Accordingly, FDA has determined that revision of part 3 with respect 
to these statutory amendments is not necessary.
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    The rule uses the term ``application,'' and lists types of 
applications within the definition for ``premarket review'' at Sec.  
3.2. However, the types of premarket submissions for medical products 
have changed since publication of part 3, and this listing is now 
incomplete. To enhance clarity and completeness, the proposed rule 
would add a current, complete definition for ``application,'' and 
remove the existing, related language currently included in the 
definition for ``premarket review'' in Sec.  3.2. In addition, for 
clarity and alignment with Agency practice, the proposed rule would 
revise Sec.  3.2 to define premarket review to include examination of 
data and information ``submitted by an applicant,'' rather than ``in an 
application,'' since premarket review can include Agency review of 
information provided as part of ``pre-submission'' engagement with 
applicants.
    In addition, the proposed rule would amend Sec.  3.2--Definitions 
to include a cross-reference to the definition for ``constituent 
part,'' codified at 21 CFR 4.2 in the 2013 rulemaking regarding current 
good manufacturing practices for combination products, and which has 
also been referenced at 21 CFR 4.101 as part of the 2016 rule on 
postmarketing safety reporting for combination products (81 FR 92603). 
The meaning of the term is the same for purposes of part 3 as for 
purposes of part 4. Accordingly, cross-referencing the definition into 
part 3 would serve to ensure clarity and consistency.

D. Update Advisory Content

    Part 3 includes advisory language and addresses associated with 
Agency guidance in various locations. As a general matter, 
recommendations from FDA are provided in guidance documents published 
in accordance with good guidance practices (see 21 CFR 10.115). This 
approach not only enables the public to comment on proposed guidance, 
but also enables FDA to update guidance in a timely manner given 
stakeholder and Agency experience with the policy topic. FDA included 
advisory content in part 3 in light of the novelty of the regulatory 
topic at the time, to facilitate stakeholder understanding and indicate 
Agency thinking. However, Agency thinking has evolved since 
promulgation of part 3 and more complete, current guidance documents 
and other policy statements are now available. Accordingly, the 
proposed rule, if finalized, would remove the advisory content and 
discussion of guidance from part 3. Specifically, this proposed rule 
would remove the provisions at Sec. Sec.  3.2, 3.5, and 3.7, as 
explained below.
    Section 3.2 includes in the definition for ``mode of action'' a 
reference to constituent parts of combination products each providing 
one type of mode of action and notes that the mode of action of each 
constituent part is typically identifiable. The proposed rule would 
replace this potentially confusing language, with a simple statement 
that each constituent part contributes one mode of action (device, 
drug, or biological product). Modes of action of a combination product 
and how to address them in requests for assignment are more fully 
addressed in Agency guidance, including in ``How to Write a Request for 
Designation (RFD).''
    Section 3.5 addresses the relationship between part 3 and 
intercenter agreements on product assignment. The proposed rule would 
remove this section. These non-binding intercenter agreements adopted 
in 1991 address the assignment of biological products, devices, and 
drugs, as well as combination products. The Medical Device User Fee and 
Modernization Act (MDUFMA) (Pub. L. 107-250) enacted in 2002 amended 
section 503(g) of the FD&C Act to require FDA to review each agreement, 
guidance, or practice addressing the assignment of combination products 
to Agency centers, for consistency with section 503(g) (see 21 U.S.C. 
353(g)(8)(F)). In accordance with this mandate, FDA conducted a review, 
including of the intercenter agreements addressed in Sec.  3.5, and 
published its assessment in 2006 (see ``Jurisdictional Update: 
Intercenter Agreements'', at https://www.fda.gov/CombinationProducts/JurisdictionalInformation/JurisdictionalUpdates/ucm106506.htm). The 
Agency concluded that: (1) The usefulness of these agreements was 
becoming increasingly limited; (2) that they should not be relied upon 
independently as the most current, accurate jurisdictional statements; 
and (3) that issuance of new guidance and other efforts should be 
pursued to enhance transparency and more clearly articulate the 
principles upon which jurisdictional determinations are based. 
Consistent with that assessment, FDA has since published various policy 
statements relating to product classification and assignment and posted 
various other relevant materials on its website (see https://www.fda.gov/CombinationProducts/default.htm), most recently, a final 
guidance on ``Classification of Products as Drugs and Devices and 
Additional Product Classification Issues'' (September 2017) (https://www.fda.gov/RegulatoryInformation/Guidances/ucm258946.htm). The Agency 
is currently reviewing these intercenter agreements to determine what 
action, if any, to take with respect to them.
    Sections 3.7(a) and (b) include recommendations regarding who 
should file an RFD and when they should file them, respectively. The 
proposed rule, if finalized, would remove these provisions. These 
questions are addressed by the proposed amendments to Sec.  3.3 
discussed in section I.A, and current Agency guidance, including in 
``How to Write a Request for Designation (RFD)'', which provides more 
clear and complete recommendations regarding timing and other process 
considerations.

[[Page 22432]]

E. Other Clarifications to the Rule

    Section 3.2 defines mode of action, and what constitutes a 
biological product, device, and drug mode of action, for purposes of 
making combination product assignment determinations. To enhance 
clarity, the proposed rule would add an express statement that the mode 
of action definitions apply for purposes of making combination product 
assignment determinations, and would simplify the definition for device 
mode of action at Sec.  3.2 by referring to the statutory definition of 
device provided in section 201(h) of the FD&C Act (21 U.S.C. 321(h)) 
and removing redundant language.
    Section 3.4(a)--Designated Agency component. The proposed rule 
would amend Sec.  3.4(a) to clarify that the Agency component to which 
a combination product is assigned based on PMOA is the component that 
regulates the constituent part providing the PMOA. For example, some 
biological products are assigned to the Center for Biologics Evaluation 
and Research (CBER) and others are assigned to the Center for Drug 
Evaluation and Research (CDER). If a combination product has a 
biological product PMOA, it is assigned to either CBER or CDER based 
upon which of these two Centers regulate that type of biological 
product. This interpretation of the statutory provisions governing PMOA 
and combination product assignments is consistent with Agency practice 
and ensures that combination products are assigned to the Agency 
component most familiar with the constituent part that provides the 
PMOA.
    Sections 3.2 and 3.6--Product jurisdiction officer. Section 3.2 
includes a definition of ``product jurisdiction officer'' and section 
3.6 specifies that OCP is the designated product jurisdiction officer. 
The proposed rule would revise the definition for ``product 
jurisdiction officer'' at Sec.  3.2 to include information currently 
provided in Sec.  3.6, and remove Sec.  3.6, simplifying the rule by 
consolidating this related information. Specifically, the definition of 
``product jurisdiction officer'' at Sec.  3.2 would be revised to refer 
to OCP as the office responsible for classification and assignment of 
medical products. MDUFMA required FDA to establish an office to perform 
various regulatory functions relating to combination products, 
including their assignment to Agency components. Consistent with that 
mandate, FDA created OCP and delegated to specified staff within OCP 
the authority to classify products as biological products, devices, 
drugs, or combination products as well as to assign these products to 
an Agency component with primary jurisdiction for their premarket 
review and regulation.
    Existing section 3.7(d) addresses where to file RFD communications 
and currently requires submission in hard copy with the option to 
submit electronically as well. FDA sees no reason to continue to 
require a hard copy submission and proposes to revise the provision 
(see proposed Sec.  3.5(b)) and make corresponding revisions to the 
content of Sec.  3.7(c) (see proposed 3.5(b)) to give sponsors the 
alternative of submitting solely electronically. In addition, to avoid 
the need to revise the rule given changes to OCP's mailing address or 
email address, this rule would amend Sec.  3.7(d) (see proposed 3.5(b)) 
to direct sponsors to submit RFDs to the current mailing address or 
email address for OCP as published by FDA, currently on the Office of 
Combination Products web page (https://www.fda.gov/CombinationProducts/default.htm).
    Section 3.9(b) addresses grounds for changing a classification or 
assignment designation, including circumstances under which the Agency 
can do so without the consent of the sponsor. It currently provides 
that sponsors shall be given 30 days written notice (which can be via 
email) of proposed changes and that such changes require the 
concurrence of the Principal Associate Commissioner. Because positions 
and titles in the Agency change from time to time, to avoid the need to 
revise part 3 when such changes occur, this rule would revise Sec.  
3.9(b) (see proposed Sec.  3.7(b)) to state that such changes of 
classification or assignment require the concurrence of the official in 
the Agency responsible for the oversight of OCP.
    Other clarifying changes to part 3 include in Sec.  3.2: In the 
definitions of ``combination product'' and ``product,'' changing 
``biologic'' to ``biological product'' to provide for consistency in 
part 3 and with the term used in section 351 of the PHS Act; and in the 
definitions of ``biological product'' and ``product,'' changing 
``351(a)'' to ``351(i)'' and ``262(a)'' to ``262(i)'' so that the 
correct provision in the PHS Act and the U.S. Code is cited (i.e., the 
provision that defines ``biological product'').

II. Legal Authority

    The Agency derives its authority to issue the regulations found in 
part 3 from 21 U.S.C. 321, 351, 352, 353, 355, 360, 360c-360f, 360h-
360j, 360gg-360ss, 360bbb-2, 371(a), 379e, 381, 394; 42 U.S.C. 216, 
262, and 264. Congress expressly directed FDA to assign combination 
products to the appropriate Agency component for regulation based on 
the Agency's assessment of PMOA as set forth in section 503(g) of the 
FD&C Act. Congress also expressly directed FDA to determine the 
classification of a product as a drug, biological product, device, or 
combination product, or the component of the Agency that will regulate 
the product, as applicable, in response to a request submitted under 
section 563 of the FD&C Act. Under section 701 of the FD&C Act (21 
U.S.C. 371) and for the efficient enforcement of the FD&C Act, FDA has 
the authority to issue and amend the regulations found in part 3.

III. Paperwork Reduction Act of 1995

    FDA tentatively concludes that this proposed rule contains no new 
collection of information. Therefore, clearance by the Office of 
Management and Budget (OMB) under the Paperwork Reduction Act of 1995 
is not required. Information collection under part 3 has already been 
approved under OMB control number 0910-0523.

IV. Analysis of Environmental Impact

    We have determined under 21 CFR 25.30(h) that this action is of a 
type that does not individually or cumulatively have a significant 
effect on the human environment. Therefore, neither an environmental 
assessment nor an environmental impact statement is required.

V. Federalism

    We have analyzed this proposed rule in accordance with the 
principles set forth in Executive Order 13132. We have determined that 
the proposed rule does not contain policies that have substantial 
direct effects on the States, on the relationship between the National 
Government and the States, or on the distribution of power and 
responsibilities among the various levels of government. Accordingly, 
we conclude that the rule does not contain policies that have 
federalism implications as defined in the Executive order and, 
consequently, a federalism summary impact statement is not required.

VI. Consultation and Coordination With Indian Tribal Governments

    We have analyzed this proposed rule in accordance with the 
principles set forth in Executive Order 13175. We have tentatively 
determined that the rule does not contain policies that would have a 
substantial direct effect on one or more Indian Tribes, on the 
relationship between the Federal Government and Indian Tribes, or on

[[Page 22433]]

the distribution of power and responsibilities between the Federal 
Government and Indian Tribes. The Agency solicits comments from tribal 
officials on any potential impact on Indian Tribes from this proposed 
action.

VII. Preliminary Economic Analysis of Impacts

A. Introduction

    We have examined the impacts of the proposed rule under Executive 
Order 12866, Executive Order 13563, Executive Order 13771, the 
Regulatory Flexibility Act (5 U.S.C. 601-612), and the Unfunded 
Mandates Reform Act of 1995 (Pub. L. 104-4). Executive Orders 12866 and 
13563 direct us to assess all costs and benefits of available 
regulatory alternatives and, when regulation is necessary, to select 
regulatory approaches that maximize net benefits (including potential 
economic, environmental, public health and safety, and other 
advantages; distributive impacts; and equity). Executive Order 13771 
requires that the costs associated with significant new regulations 
``shall, to the extent permitted by law, be offset by the elimination 
of existing costs associated with at least two prior regulations.'' We 
believe that this proposed rule is not a significant regulatory action 
as defined by Executive Order 12866.
    The Regulatory Flexibility Act requires us to analyze regulatory 
options that would minimize any significant impact of a rule on small 
entities. Because this rule imposes no new burdens, we propose to 
certify that the proposed rule will not have a significant economic 
impact on a substantial number of small entities.
    The Unfunded Mandates Reform Act of 1995 (section 202(a)) requires 
us to prepare a written statement, which includes an assessment of 
anticipated costs and benefits, before proposing ``any rule that 
includes any Federal mandate that may result in the expenditure by 
State, local, and tribal governments, in the aggregate, or by the 
private sector, of $100,000,000 or more (adjusted annually for 
inflation) in any one year.'' The current threshold after adjustment 
for inflation is $148 million, using the most current (2016) Implicit 
Price Deflator for the Gross Domestic Product. This proposed rule would 
not result in an expenditure in any year that meets or exceeds this 
amount.

B. Summary of Costs and Benefits

    The objective of this proposed rule is to amend the regulations 
concerning RFDs of the classification of products as biological 
products, devices, drugs, or combination products, or their assignment 
to Agency components for premarket review and regulation. The proposed 
rule is intended to clarify the scope of the regulations, streamline 
and clarify the appeals process, align the regulations with more recent 
legislative and regulatory measures, update advisory content, and 
otherwise to clarify part 3.
    Many provisions of this proposed rule codify current practices and 
may not result in estimated costs, benefits, or savings. However, we 
expect a few provisions to lead to changes that may generate additional 
public health benefits and cost savings to society. A summary of the 
quantified costs and cost savings of the proposed rule are presented in 
table 1. The lower and upper estimates given in table 1 are at the 5 
and 95 percent interval, respectively.

                          Table 1--Summary of Net Cost Savings of the Proposed Rule 1 2
----------------------------------------------------------------------------------------------------------------
                  Category                          Primary estimate           Low estimate      High estimate
----------------------------------------------------------------------------------------------------------------
Costs......................................  Annualized Monetized $/year..            $17,000            $12,000
                                             Annualized Quantified........
                                             Qualitative..................
----------------------------------------------------------------------------------------------------------------
\1\ We use a 10-year time horizon for this rule with payments occurring at the end of each period.
\2\ All dollar values are rounded to the nearest $1,000.

    The estimated primary costs of the proposed rule include the 
additional one-time costs incurred by industry to read and understand 
the regulation. We expect only a subset of firms currently producing 
medical products will incur this cost. Our primary estimate of the 
total up-front cost to industry is approximately $131,000. Annualizing 
these costs over a 10-year period, we estimate total annualized costs 
to be $15,000 at a 3 percent discount rate, and $17,000 at a 7 percent 
discount rate. The present value of these costs over 10 years is 
$127,000 at a 3 percent discount rate, and $122,000 at a 7 percent 
discount rate.
    The primary public health benefit from adoption of the proposed 
rule would be the value of the illnesses and deaths avoided as a result 
of finalizing the proposed rule. Current regulatory requirements may 
cause applicants to unnecessarily submit RFDs, or to make misguided 
judgments regarding the need to confirm product classification or 
assignment. The reduction in uncertainty about the RFD process will, 
thereby, potentially allow sponsors to make more informed decisions 
regarding product development and seeking marketing authorization, and 
potentially allow sponsors and FDA personnel to divert resources used 
under current regulations to other areas, such as to product 
development and marketing applications. We are not able to quantify or 
to identify specific ways by which the proposed rule would lead to 
avoided illnesses or deaths and therefore do not include public health 
benefits in our net estimates.
    FDA is able to quantify the resource savings to both the Agency and 
industry from the proposed rule associated with streamlining and 
clarifying the appeals process for product classification and 
assignments. Our primary estimate of total cost savings to industry and 
FDA is approximately $28,000 annually. The present value of these 
savings over 10 years is $241,000 at a 3 percent discount rate, and 
$198,000 at a 7 percent discount rate. Potential resource savings to 
FDA and industry from the optional electronic submission of RFDs are 
not included in this estimate because of the uncertainty in the number 
of sponsors who would choose to submit electronically.
    Our best estimate of the quantifiable net social effect of the 
proposed rule, using a 10-year time horizon, is a cost of approximately 
$103,000 in the first year and a cost savings of approximately $28,000 
each year starting in the second year. The net present discounted value 
of the quantifiable cost savings over 10 years is approximately 
$114,000 at a 3 percent discount rate and approximately $76,000 at a 7 
percent discount rate. The total annualized net effect of the proposed 
rule is estimated to produce an average net cost savings ranging from 
$13,000 at a 3 percent discount rate and $11,000 at a 7 percent 
discount rate.
    Executive Order 13771 requires that the costs associated with 
significant

[[Page 22434]]

new regulations ``shall, to the extent permitted by law, be offset by 
the elimination of existing costs associated with at least two prior 
regulations.'' We believe that the proposed rule, if finalized, is not 
significant under Executive Order 12666 and is deregulatory under 
Executive Order 13771.
    The present value of our primary net cost savings estimate of the 
proposed rule, using an infinite time horizon, is approximately 
$281,000, discounted at 7 percent, with a lower bound of approximately 
$165,000 and an upper bound of approximately $1.2 million. The 
annualized net cost savings of the proposed rule are approximately 
$20,000, discounted at 7 percent on an infinite time horizon, with a 
lower bound of approximately $12,000 and an upper bound of 
approximately $83,000. Discounted at 3 percent, the present value of 
our primary net cost savings of the proposed rule is approximately 
$814,000, with a lower bound of approximately $634,000 and an upper 
bound of approximately $2.9 million. The annualized net cost of the 
proposed rule is approximately -$20,000, discounted at 3 percent on an 
infinite time horizon, with a lower bound of approximately -$12,000 and 
an upper bound of approximately -$83,000. The estimated net costs using 
a 7 percent discount rate under Executive Order 13771 are summarized in 
table 2.

                 Table 2--Summary of Executive Order 13771 Net Costs of the Proposed Rule 1 2 3
----------------------------------------------------------------------------------------------------------------
                                                                                    Lower bound     Upper bound
                                                                   Primary (7%)        (7%)            (7%)
----------------------------------------------------------------------------------------------------------------
Present Value of Costs..........................................        $122,000         $81,000        $192,000
Present Value of Savings........................................         403,000         357,000       1,266,000
Present Value of Net Costs......................................         281,000         165,000       1,184,000
Annualized Costs................................................           9,000           6,000          13,000
Annualized Savings..............................................          28,000          25,000          89,000
Annualized Net Costs............................................         -20,000         -12,000         -83,000
----------------------------------------------------------------------------------------------------------------
\1\ We use an infinite time horizon for this rule with payments occurring at the end of each period.
\2\ All dollar values are rounded to the nearest $1,000.
\3\ A negative net cost implies a net cost savings.

    The Regulatory Flexibility Act requires Agencies to prepare an 
initial regulatory flexibility analysis if a proposed rule would have a 
significant economic impact on a substantial number of small entities 
(including small businesses, small non-profit organizations, and small 
governmental jurisdictions). FDA has examined the economic implications 
of the proposed rule as required by the Regulatory Flexibility Act. 
This rule, if finalized, will not impose any new burdens on small 
entities, and thus will not have a significant economic impact on a 
substantial number of small entities.
    The full preliminary analysis of economic impacts is available in 
the docket for this proposed rule (Ref. 1) and at https://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/default.htm.

VIII. Proposed Effective Date

    FDA is proposing that any final rule based on this proposed rule 
become effective 30 days after the date of its publication in the 
Federal Register.

IX. Reference

    The following reference is on display in the Dockets Management 
Staff (see ADDRESSES) and is available for viewing by interested 
persons between 9 a.m. and 4 p.m., Monday through Friday; it is also 
available electronically at https://www.regulations.gov or https://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/default.htm.

1. Preliminary Regulatory Impact Analysis of the Proposed Rule, 
Amendments to 21 CFR Part 3--Product Jurisdiction, Docket No. FDA-
2004-N-0191.

List of Subjects in 21 CFR Part 3

    Administrative practice and procedure, Biological products, 
Combination products, Drugs, Medical devices, Authority delegations.

    Therefore, under the Federal Food, Drug, and Cosmetic Act, the 
Public Health Service Act, and authority delegated to the Commissioner 
of Food and Drugs, it is proposed that 21 CFR part 3 be amended as 
follows:

0
1. The authority citation for part 3 is revised to read as follows:

    Authority:  21 U.S.C. 321, 351, 352, 353, 355, 360, 360c-360f, 
360h-360j, 360gg-360ss, 360bbb-2, 371(a), 379e, 381, 394; 42 U.S.C. 
216, 262, 264.

0
2. Revise part 3 to read as follows:

PART 3--PRODUCT JURISDICTION

Subpart A--Product Classification and Assignment of Agency 
Component for Review of Premarket Applications

Sec.
3.1 Purpose.
3.2 Definitions.
3.3 Scope.
3.4 Designated agency component.
3.5 Request for designation.
3.6 Letter of designation.
3.7 Effect of letter of designation.
3.8 Stay of review time.
Subpart B [Reserved]


Sec.  3.1  Purpose.

    The purpose of this subpart is to provide procedures for 
determining whether a product is a biological product, device, drug, or 
combination product, and which component within FDA will have primary 
jurisdiction for a biological product, device, drug, or combination 
product, where product classification or assignment is unclear or in 
dispute. By doing so, this subpart implements section 503(g) of the 
Federal Food, Drug, and Cosmetic Act. Nothing in this subpart prevents 
FDA from using any agency resources it deems necessary to ensure 
adequate review of the safety and effectiveness of any product, or the 
substantial equivalence of any device to a predicate device.


Sec.  3.2  Definitions.

    For the purpose of this part:
    Agency means the Food and Drug Administration.
    Agency component means the Center for Biologics Evaluation and 
Research, the Center for Devices and Radiological Health, the Center 
for Drug Evaluation and Research, or alternative organizational 
component of the agency.
    Applicant means any person who submits or plans to submit an 
application to the Food and Drug Administration for premarket review. 
For purposes of this section, the terms ``sponsor'' and ``applicant'' 
have the same meaning.

[[Page 22435]]

    Application means any investigational new drug application, 
investigational device exemption application, new drug application, 
abbreviated new drug application, biologics license application, 
premarket notification submission, De Novo classification request, 
premarket approval application, product development protocol, or 
humanitarian device exemption application, including all amendments and 
supplements.
    Biological product has the meaning given the term in section 351(i) 
of the Public Health Service Act (42 U.S.C. 262(i)).
    Combination product includes:
    (1) A product comprised of two or more regulated components, i.e., 
drug/device, biological product/device, drug/biological product, or 
drug/device/biological product, that are physically, chemically, or 
otherwise combined or mixed and produced as a single entity;
    (2) Two or more separate products packaged together in a single 
package or as a unit and comprised of drug and device products, device 
and biological products, or biological and drug products;
    (3) A drug, device, or biological product packaged separately that 
according to its investigational plan or proposed labeling is intended 
for use only with an approved individually specified drug, device, or 
biological product where both are required to achieve the intended use, 
indication, or effect and where upon approval of the proposed product 
the labeling of the approved product would need to be changed, e.g., to 
reflect a change in intended use, dosage form, strength, route of 
administration, or significant change in dose; or
    (4) Any investigational drug, device, or biological product 
packaged separately that according to its proposed labeling is for use 
only with another individually specified investigational drug, device, 
or biological product where both are required to achieve the intended 
use, indication, or effect.
    Constituent part has the meaning given the term in Sec.  4.2 of 
this chapter.
    Device has the meaning given the term in section 201(h) of the 
Federal Food, Drug, and Cosmetic Act.
    Drug has the meaning given the term in section 201(g)(1) of the 
Federal Food, Drug, and Cosmetic Act.
    FDA means Food and Drug Administration.
    Letter of designation means the written notice issued by the 
product jurisdiction officer classifying the product, specifying the 
agency component with primary jurisdiction, or both.
    Letter of request means an applicant's written submission to the 
product jurisdiction officer seeking product classification, the 
designation of the agency component with primary jurisdiction, or both.
    Mode of action is the means by which a product achieves an intended 
therapeutic effect or action. For purposes of this definition, 
``therapeutic'' action or effect includes any effect or action of the 
combination product intended to diagnose, cure, mitigate, treat, or 
prevent disease, or affect the structure or any function of the body. 
When making assignments of combination products under this part, the 
agency will consider three types of mode of action: The actions 
provided by a biological product, a device, and a drug. Each 
constituent part of a combination product has one such type of mode of 
action. For purposes of combination product assignment:
    (1) A constituent part has a biological product mode of action if 
it acts by means of a virus, therapeutic serum, toxin, antitoxin, 
vaccine, blood, blood component or derivative, allergenic product, 
protein (except any chemically synthesized polypeptide), or analogous 
product, or arsphenamine or derivate of arsphenamine (or any other 
trivalent organic arsenic compound), applicable to the prevention, 
treatment, or cure of a disease or condition of human beings, as 
described in section 351(i) of the Public Health Service Act.
    (2) A constituent part has a device mode of action if it meets the 
definition of device contained in section 201(h) of the Federal Food, 
Drug, and Cosmetic Act, and it does not have a biological product mode 
of action.
    (3) A constituent part has a drug mode of action if it meets the 
definition of drug contained in section 201(g)(1) of the Federal Food, 
Drug, and Cosmetic Act, and it does not have a biological product or 
device mode of action.
    Premarket review includes the examination of data and information 
submitted by an applicant.
    Primary mode of action is the single mode of action of a 
combination product that provides the most important therapeutic action 
of the combination product. The most important therapeutic action is 
the mode of action expected to make the greatest contribution to the 
overall intended therapeutic effects of the combination product.
    Product means any article that contains any drug as defined in 
section 201(g)(1) of the Federal Food, Drug, and Cosmetic Act; any 
device as defined in section 201(h) of the Federal Food, Drug, and 
Cosmetic Act; or any biological product as defined in section 351(i) of 
the Public Health Service Act (42 U.S.C. 262(i)).
    Product jurisdiction officer is the person or persons in the Office 
of Combination Products responsible for classification of products as 
biological products, devices, drugs, and combination products and for 
designating the component of FDA with primary jurisdiction for the 
premarket review and regulation of such products.
    Sponsor means ``applicant'' as defined in this section.


Sec.  3.3  Scope.

    This subpart applies to sponsors for products for which 
classification as a drug, device, biological product, or combination 
product, or the agency component with primary jurisdiction, is unclear 
or in dispute.


Sec.  3.4  Designated agency component.

    (a) To designate the agency component with primary jurisdiction for 
the premarket review and regulation of a combination product, the 
agency shall determine the primary mode of action of the product. Where 
the primary mode of action is that of:
    (1) A drug (other than a biological product), the agency component 
charged with premarket review of such drugs shall have primary 
jurisdiction;
    (2) A device, the agency component charged with premarket review of 
such devices shall have primary jurisdiction;
    (3) A biological product, the agency component charged with 
premarket review of such biological products shall have primary 
jurisdiction.
    (b) In some situations, it is not possible to determine, with 
reasonable certainty, which one mode of action will provide a greater 
contribution than any other mode of action to the overall therapeutic 
effects of the combination product. In such a case, the agency will 
assign the combination product to the agency component that regulates 
other combination products that present similar questions of safety and 
effectiveness with regard to the combination product as a whole. When 
there are no other combination products that present similar questions 
of safety and effectiveness with regard to the combination product as a 
whole, the agency will assign the combination product to the agency 
component with the most expertise related to the most significant 
safety and effectiveness questions presented by the combination 
product.
    (c) The agency component with primary jurisdiction for the 
premarket review and regulation of a product will

[[Page 22436]]

consult with other agency components, as FDA deems appropriate.


Sec.  3.5  Request for designation.

    (a) What to file: A request for designation may be submitted only 
by the sponsor and must be filed in accordance with this section. The 
request for designation must not exceed 15 pages, including 
attachments, and must set forth:
    (1) The identity of the sponsor, including company name and 
address, establishment registration number, company contact person, 
email address, and telephone number.
    (2) A description of the product, including:
    (i) Classification, name of the product and all component products, 
if applicable;
    (ii) Common, generic, or usual name of the product and all 
component products;
    (iii) Proprietary name of the product;
    (iv) Identification of any component of the product that already 
has received premarket approval, is marketed as not being subject to 
premarket approval, or has received an investigational exemption, the 
identity of the sponsors, and the status of any discussions or 
agreements between the sponsors regarding the use of this product as a 
component of a new combination product.
    (v) Chemical, physical, or biological composition;
    (vi) Status and brief reports of the results of developmental work, 
including animal testing;
    (vii) Description of the manufacturing processes, including the 
sources of all components;
    (viii) Proposed use or indications;
    (ix) Description of all known modes of action, the sponsor's 
identification of the single mode of action that provides the most 
important therapeutic action of the product, and the basis for that 
determination;
    (x) Schedule and duration of use;
    (xi) Dose and route of administration of drug or biological 
product;
    (xii) Description of related products, including the regulatory 
status of those related products; and
    (xiii) Any other relevant information.
    (3) The sponsor's recommendation as to the classification of the 
product as a drug, device, biological product, or combination product, 
or as to which agency component should have primary jurisdiction. For 
combination products, the recommendation for primary jurisdiction must 
be based on the primary mode of action unless the sponsor cannot 
determine with reasonable certainty which mode of action provides the 
most important therapeutic action of the combination product, in which 
case the sponsor's recommendation must be based on the assignment 
algorithm set forth in Sec.  3.4(b) and an assessment of the assignment 
of other combination products the sponsor wishes FDA to consider during 
the assignment of its combination product.
    (b) How and where to file: All communications pursuant to this 
subpart shall be addressed to the attention of the product jurisdiction 
officer and plainly marked ``Request for Designation.'' Such 
communications shall be submitted either in hard copy (an original and 
two copies) or in an electronic format that FDA can process, review, 
and archive, to the current mailing address or email address, 
respectively, for the Office of Combination Products as published by 
FDA.


Sec.  3.6  Letter of designation.

    (a) Each request for designation will be reviewed for completeness 
within 5 working days of receipt. Any request for designation 
determined to be incomplete will be returned to the applicant with a 
request for the missing information. The sponsor of an accepted request 
for designation will be notified of the filing date.
    (b) Within 60 days of the filing date of a request for designation, 
the product jurisdiction officer will issue a letter of designation to 
the sponsor, with copies to the agency components, specifying the 
classification of the product at issue or the agency component 
designated to have primary jurisdiction for the premarket review and 
regulation of the product at issue, and any consulting agency 
components. The product jurisdiction officer may request a meeting with 
the sponsor during the review period to discuss the request for 
designation. If the product jurisdiction officer has not issued a 
letter of designation within 60 days of the filing date of a request 
for designation, the sponsor's recommendation of the classification of 
the product or the center with primary jurisdiction, in accordance with 
Sec.  3.5(a)(3), shall become the designated product classification or 
agency component.


Sec.  3.7  Effect of letter of designation.

    (a) The letter of designation constitutes an agency determination 
that is subject to change only as provided in paragraph (b) of this 
section.
    (b) The product jurisdiction officer may change the designated 
product classification or agency component with the written consent of 
the sponsor, or without its consent to protect the public health or for 
other compelling reasons. A sponsor shall be given 30 days written 
notice of any proposed such change in designated product classification 
or agency component. The sponsor may request an additional 30 days to 
submit written objections, not to exceed 15 pages, to the proposed 
change, and shall be granted, upon request, a timely meeting with the 
product jurisdiction officer and appropriate center officials. Within 
30 days of receipt of the sponsor's written objections, the product 
jurisdiction officer shall issue to the sponsor, with copies to 
appropriate agency component officials, a written determination setting 
forth a statement of reasons for the proposed change in designated 
product classification or agency component. Such a change in the 
designated product classification or agency component requires the 
concurrence of the official in the agency responsible for overseeing 
the Office of Combination Products.


Sec.  3.8  Stay of review time.

    Any filing with or review by the product jurisdiction officer stays 
the review clock or other established time periods for agency action 
for an application during the pendency of the review by the product 
jurisdiction officer.

Subpart B [Reserved]

    Dated: May 10, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-10321 Filed 5-14-18; 8:45 am]
 BILLING CODE 4164-01-P



                                                 22428                    Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules

                                                 flight shutdown when flying at the fuel                 not identified as RC are recommended. Those           with more recent legislative and
                                                 gravity feed ceiling levels.                            procedures and tests that are not identified          regulatory measures, update advisory
                                                                                                         as RC may be deviated from using accepted             content, and otherwise clarify the
                                                 (f) Compliance                                          methods in accordance with the operator’s
                                                    Comply with this AD within the                                                                             regulations, including updates to reflect
                                                                                                         maintenance or inspection program without
                                                 compliance times specified, unless already              obtaining approval of an AMOC, provided               Agency practices and policies. These
                                                 done.                                                   the procedures and tests identified as RC can         changes are intended to enhance
                                                                                                         be done and the airplane can be put back in           regulatory clarity and efficiency.
                                                 (g) Modification
                                                                                                         an airworthy condition. Any substitutions or          DATES: Submit either electronic or
                                                    Within 24 months after the effective date            changes to procedures or tests identified as
                                                 of this AD, modify the FLSCU wiring in
                                                                                                                                                               written comments on the proposed rule
                                                                                                         RC require approval of an AMOC.                       by July 16, 2018.
                                                 accordance with the Accomplishment
                                                 Instructions of Airbus Service Bulletin A320–           (k) Related Information                               ADDRESSES: You may submit comments
                                                 28–1242, Revision 01, dated October 3, 2017.              (1) Refer to Mandatory Continuing                   as follows. Please note that late,
                                                 (h) Terminating Action for AD 2016–25–23                Airworthiness Information (MCAI) EASA AD              untimely filed comments will not be
                                                 and Amendment of the Airplane Flight                    2017–0216, dated October 30, 2017, for                considered. Electronic comments must
                                                 Manual (AFM)                                            related information. This MCAI may be                 be submitted on or before July 16, 2018.
                                                                                                         found in the AD docket on the internet at             The https://www.regulations.gov
                                                   Modification of an airplane as required by            http://www.regulations.gov by searching for
                                                 paragraph (g) of this AD terminates all of the                                                                electronic filing system will accept
                                                                                                         and locating Docket No. FAA–2018–0411.
                                                 requirements of AD 2016–25–23 for that                    (2) For more information about this AD,             comments until midnight Eastern Time
                                                 airplane. After modification of an airplane as          contact Sanjay Ralhan, Aerospace Engineer,            at the end of July 16, 2018. Comments
                                                 required by paragraph (g) of this AD, remove            International Section, Transport Standards            received by mail/hand delivery/courier
                                                 Airbus A318/A319/A320/A321 Temporary                    Branch, FAA, 2200 South 216th St., Des                (for written/paper submissions) will be
                                                 Revision TR695, Issue 1.0, dated August 1,              Moines, WA 98198; telephone and fax: 206–             considered timely if they are
                                                 2016; or Airbus A318/A319/A320/A321                     231–3223.(3) For service information
                                                 Temporary Revision TR699, Issue 1.0, dated                                                                    postmarked or the delivery service
                                                                                                         identified in this AD, contact Airbus,                acceptance receipt is on or before that
                                                 August 1, 2016; as applicable; and Airbus
                                                                                                         Airworthiness Office—EIAS, 1 Rond Point               date.
                                                 A318/A319/A320/A321 Temporary Revision
                                                                                                         Maurice Bellonte, 31707 Blagnac Cedex,
                                                 TR700, Issue 1.0, dated August 1, 2016, from
                                                 the applicable AFM of that airplane.
                                                                                                         France; telephone: +33 5 61 93 36 96; fax:            Electronic Submissions
                                                                                                         +33 5 61 93 44 51; email: account.airworth-
                                                 (i) Credit for Previous Actions                         eas@airbus.com; internet: http://                       Submit electronic comments in the
                                                                                                         www.airbus.com. You may view this service             following way:
                                                    This paragraph provides credit for actions                                                                   • Federal eRulemaking Portal:
                                                 required by paragraph (g) of this AD, if those          information at the FAA, Transport Standards
                                                 actions were performed before the effective             Branch, 2200 South 216th St., Des Moines,             https://www.regulations.gov. Follow the
                                                 date of this AD using Airbus Service Bulletin           WA. For information on the availability of            instructions for submitting comments.
                                                 A320–28–1242, dated December 21, 2016.                  this material at the FAA, call 206–231–3195.          Comments submitted electronically,
                                                                                                            Issued in Des Moines, Washington, on May           including attachments, to https://
                                                 (j) Other FAA AD Provisions
                                                                                                         8, 2018.                                              www.regulations.gov will be posted to
                                                    The following provisions also apply to this                                                                the docket unchanged. Because your
                                                                                                         Jeffrey E. Duven,
                                                 AD:                                                                                                           comment will be made public, you are
                                                    (1) Alternative Methods of Compliance                Director, System Oversight Division, Aircraft
                                                 (AMOCs): The Manager, International                     Certification Service.                                solely responsible for ensuring that your
                                                 Section, Transport Standards Branch, FAA,               [FR Doc. 2018–10298 Filed 5–14–18; 8:45 am]           comment does not include any
                                                 has the authority to approve AMOCs for this             BILLING CODE 4910–13–P
                                                                                                                                                               confidential information that you or a
                                                 AD, if requested using the procedures found                                                                   third party may not wish to be posted,
                                                 in 14 CFR 39.19. In accordance with 14 CFR                                                                    such as medical information, your or
                                                 39.19, send your request to your principal                                                                    anyone else’s Social Security number, or
                                                 inspector or local Flight Standards District            DEPARTMENT OF HEALTH AND
                                                                                                                                                               confidential business information, such
                                                 Office, as appropriate. If sending information          HUMAN SERVICES
                                                                                                                                                               as a manufacturing process. Please note
                                                 directly to the International Section, send it
                                                 to the attention of the person identified in            Food and Drug Administration                          that if you include your name, contact
                                                 paragraph (k)(2) of this AD. Information may                                                                  information, or other information that
                                                 be emailed to: 9-ANM-116-AMOC-                          21 CFR Part 3                                         identifies you in the body of your
                                                 REQUESTS@faa.gov. Before using any                                                                            comments, that information will be
                                                 approved AMOC, notify your appropriate                  [Docket No. FDA–2004–N–0191]                          posted on https://www.regulations.gov.
                                                 principal inspector, or lacking a principal                                                                     • If you want to submit a comment
                                                 inspector, the manager of the local flight              Product Jurisdiction
                                                                                                                                                               with confidential information that you
                                                 standards district office/certificate holding                                                                 do not wish to be made available to the
                                                                                                         AGENCY:    Food and Drug Administration,
                                                 district office.
                                                    (2) Contacting the Manufacturer: For any             HHS.                                                  public, submit the comment as a
                                                 requirement in this AD to obtain corrective             ACTION:   Proposed rule.                              written/paper submission and in the
                                                 actions from a manufacturer, the action must                                                                  manner detailed (see ‘‘Written/Paper
                                                 be accomplished using a method approved                 SUMMARY:   The Food and Drug                          Submissions’’ and ‘‘Instructions’’).
                                                 by the Manager, International Section,                  Administration (FDA or Agency) is
                                                 Transport Standards Branch, FAA; or the                 proposing to amend its regulations                    Written/Paper Submissions
                                                 European Aviation Safety Agency (EASA); or              concerning the classification of products               Submit written/paper submissions as
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                                                 Airbus’s EASA Design Organization                       as biological products, devices, drugs, or            follows:
                                                 Approval (DOA). If approved by the DOA,                 combination products, and their                         • Mail/Hand delivery/Courier (for
                                                 the approval must include the DOA-
                                                                                                         assignment to Agency components for                   written/paper submissions): Dockets
                                                 authorized signature.
                                                    (3) Required for Compliance (RC): If any             premarket review and regulation. This                 Management Staff (HFA–305), Food and
                                                 service information contains procedures or              proposed rule would update the                        Drug Administration, 5630 Fishers
                                                 tests that are identified as RC, those                  regulations to clarify the scope of the               Lane, Rm. 1061, Rockville, MD 20852.
                                                 procedures and tests must be done to comply             regulations, streamline and clarify the                 • For written/paper comments
                                                 with this AD; any procedures or tests that are          appeals process, align the regulations                submitted to the Dockets Management


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                                                                          Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules                                           22429

                                                 Staff, FDA will post your comment, as                   New Hampshire Ave., Bldg. 32, Rm.                        The Agency estimates the quantifiable
                                                 well as any attachments, except for                     5129, Silver Spring, MD 20933, 301–                   net social effect of the proposed rule to
                                                 information submitted, marked and                       796–8930, john.weiner@fda.hhs.gov.                    be a cost of approximately $103,000 in
                                                 identified, as confidential, if submitted               SUPPLEMENTARY INFORMATION:                            the first year and a cost savings of
                                                 as detailed in ‘‘Instructions.’’                                                                              approximately $28,000 each year
                                                    Instructions: All submissions received               Table of Contents                                     starting in the second year. The net
                                                 must include the Docket No. FDA–                        Executive Summary                                     present discounted value of the
                                                 2004–N–0191 for ‘‘Product                               I. Description of the Proposed Rule                   quantifiable net effect over 10 years is
                                                 Jurisdiction.’’ Received comments, those                   A. Clarify the Scope of the Regulation             approximately $114,000 at a 3 percent
                                                 filed in a timely manner (see                              B. Streamline and Clarify the Appeals              discount rate and $76,000 at a 7 percent
                                                                                                               Process for Product Classifications and         discount rate. The total annualized net
                                                 ADDRESSES), will be placed in the docket
                                                                                                               Assignments
                                                 and, except for those submitted as                         C. Aligning Part 3 with More Recent                effect of the proposed rule is estimated
                                                 ‘‘Confidential Submissions,’’ publicly                        Legislative and Regulatory Measures             to produce an average net cost savings
                                                 viewable at https://                                       D. Update Advisory Content                         ranging from $13,000 at a 3 percent
                                                 www.regulations.gov, or at the Dockets                     E. Other Clarifications to the Rule                discount rate and $11,000 at a 7 percent
                                                 Management Staff between 9 a.m. and 4                   II. Legal Authority                                   discount rate.
                                                 p.m., Monday through Friday.                            III. Paperwork Reduction Act of 1995
                                                                                                         IV. Analysis of Environmental Impact                  I. Description of the Proposed Rule
                                                    • Confidential Submissions—To                        V. Federalism
                                                 submit a comment with confidential                                                                               For the reasons presented in the
                                                                                                         VI. Consultation and Coordination with                following subsections, FDA proposes to
                                                 information that you do not wish to be                        Indian Tribal Governments
                                                 made publicly available, submit your                    VII. Preliminary Economic Analysis of
                                                                                                                                                               amend its regulations on Product
                                                 comments only as a written/paper                              Impacts                                         Jurisdiction codified at part 3 to: (1)
                                                 submission. You should submit two                          A. Introduction                                    Clarify the scope of the regulation; (2)
                                                 copies total. One copy will include the                    B. Summary of Costs and Benefits                   streamline and clarify the appeals
                                                 information you claim to be confidential                VIII. Proposed Effective Date                         process; (3) align the regulations with
                                                                                                         IX. Reference                                         more recent legislative and regulatory
                                                 with a heading or cover note that states
                                                 ‘‘THIS DOCUMENT CONTAINS                                Executive Summary                                     measures; (4) update advisory content;
                                                 CONFIDENTIAL INFORMATION.’’ The                                                                               and (5) otherwise clarify the rule,
                                                                                                            FDA promulgated its product                        including updating it to reflect Agency
                                                 Agency will review this copy, including                 jurisdiction regulations, codified at part
                                                 the claimed confidential information, in                                                                      policies and practices.
                                                                                                         3 (21 CFR part 3), in 1991 (see 56 FR
                                                 its consideration of comments. The                      58754, November 21, 1991). Although                   A. Clarify the Scope of the Regulation
                                                 second copy, which will have the                        FDA amended these regulations most                       This proposed rule, if finalized,
                                                 claimed confidential information                        recently in 2005, to clarify the meaning              would amend § 3.3—Scope, to clarify
                                                 redacted/blacked out, will be available                 of the statutory term ‘‘primary mode of               that the part 3 procedures apply to
                                                 for public viewing and posted on                        action’’ for assignment of combination                sponsors (also referred to as applicants,
                                                 https://www.regulations.gov. Submit                     products to Agency components (see 70                 see § 3.2—Definitions) for products for
                                                 both copies to the Dockets Management                   FR 49848, August 25, 2005), the                       which the classification as biological
                                                 Staff. If you do not wish your name and                 regulations remain largely as published               products, devices, drugs, or
                                                 contact information to be made publicly                 in 1991. However, relevant statutory                  combination products, or the Agency
                                                 available, you can provide this                         provisions have changed; FDA has                      component with primary jurisdiction, is
                                                 information on the cover sheet and not                  published additional policies so that the             unclear or in dispute. It would also
                                                 in the body of your comments and you                    advisory content included in the                      make conforming revisions to other
                                                 must identify this information as                       regulations requires updating; and in                 sections in part 3, including the
                                                 ‘‘confidential.’’ Any information marked                other respects the rule warrants                      definitions in § 3.2.
                                                 as ‘‘confidential’’ will not be disclosed               revisions to enhance clarity and                         FDA published its product
                                                 except in accordance with 21 CFR 10.20                  efficiency. Accordingly, FDA is                       jurisdiction regulations codified at part
                                                 and other applicable disclosure law. For                proposing to amend part 3 to: (1) Clarify             3 in 1991, in part to implement section
                                                 more information about FDA’s posting                    the scope of the regulations; (2)                     503(g) of the Federal Food, Drug, and
                                                 of comments to public dockets, see 80                   streamline and clarify the appeals                    Cosmetic Act (FD&C Act) (21 U.S.C.
                                                 FR 56469, September 18, 2015, or access                 process; (3) align the regulations with               353(g)), which calls upon the Agency to
                                                 the information at: https://www.gpo.gov/                more recent legislative and regulatory                assign products that are comprised of
                                                 fdsys/pkg/FR-2015-09-18/pdf/2015-                       measures; (4) update advisory content;                any combination of a drug and a device,
                                                 23389.pdf.                                              and (5) otherwise clarify the rule,                   a device and a biological product, a
                                                    Docket: For access to the docket to                  including updating it to reflect Agency               biological product and a drug, or a drug,
                                                 read background documents or the                        policies and practices.                               a device and a biological product
                                                 electronic and written/paper comments                      The incremental quantified cost                    (‘‘combination products’’) to Agency
                                                 received, go to https://                                savings of the proposed rule accrue to                components based on the primary mode
                                                 www.regulations.gov and insert the                      both the Agency and industry from                     of action (PMOA) of the combination
                                                 docket number, found in brackets in the                 resources, such as time and paper, saved              product. The rulemaking also
                                                 heading of this document, into the                      through eliminating the part 3 appeal to              established that the same procedures
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                                                 ‘‘Search’’ box and follow the prompts                   the Office of Combination Products                    would be used to assign biological
                                                 and/or go to the Dockets Management                     (OCP). These annual social cost savings               products, devices, and drugs to Agency
                                                 Staff, 5630 Fishers Lane, Rm. 1061,                     are estimated to be $28,000. Sponsors                 components when their assignment was
                                                 Rockville, MD 20852.                                    are expected to incur one-time costs to               unclear or in dispute.
                                                 FOR FURTHER INFORMATION CONTACT: John                   read and understand the regulation. Our                  Although part 3 did not expressly
                                                 Barlow Weiner, Associate Director for                   primary estimate of the total cost to                 refer to classification of products as
                                                 Policy, Office of Combination Products,                 industry in the first year is                         biological products, devices, drugs, or
                                                 Food and Drug Administration, 10903                     approximately $131,000.                               combination products, such


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                                                 22430                    Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules

                                                 determinations are generally necessary                  has shown that sponsors sometimes are                 sponsors who have opted to utilize this
                                                 to make an assignment determination.                    confused as to whether they must                      mechanism, and inclusion of the request
                                                 Non-combination products (biological                    request a classification or assignment                for reconsideration mechanism has led
                                                 products, devices, and drugs) are                       determination under part 3 as a                       to confusion, with sponsors sometimes
                                                 assigned to Agency components based                     prerequisite to making a premarket                    believing they must make a request for
                                                 on their classification. Accordingly, the               submission for their product, regardless              reconsideration before they may submit
                                                 Agency needs to determine, for                          of whether the classification or                      a § 10.75 supervisory appeal.
                                                 example, whether a product is a                         assignment for their product is unclear                 Accordingly, FDA has determined
                                                 biological product to be able to                        or in dispute. In addition, some entities             that the request for reconsideration
                                                 determine whether it should be assigned                 who are not the sponsor for the product               process is unhelpful to retain.
                                                 to a component that regulates biological                have attempted to obtain a product
                                                 products. Similarly, assignment of                      classification or assignment                          C. Aligning Part 3 With More Recent
                                                 combination products is based on                        determination. To eliminate this                      Legislative and Regulatory Measures
                                                 determining whether the product is a                    confusion, this proposed rule would                      In addition to the amendments made
                                                 combination product and if so, which                    also revise § 3.3 to state that the part 3            by section 416 of FDAMA regarding
                                                 constituent part of the combination                     procedures apply to sponsors if                       classification and assignment discussed
                                                 product (biological product, device, or                 classification or assignment is unclear               in section I.A, two other statutory
                                                 drug) provides the PMOA (or applying                    or in dispute for their product. If no                changes have been made relating to
                                                 the algorithm specified in § 3.4(b) if the              such uncertainty exists, use of the                   issues addressed in part 3 since FDA
                                                 PMOA cannot be determined with                          procedures is unnecessary, and                        promulgated the part 3 regulations in
                                                 reasonable certainty).                                  sponsors can engage directly with the                 1991, and this rule proposes to amend
                                                   Therefore, the Agency has been                        appropriate Agency component.                         part 3 to comport with these statutory
                                                 accepting under part 3 sponsor requests                 Further, clarifying that part 3 applies to            changes as well.
                                                 for the Agency to make product                          sponsors is consistent with section                      FDA amended part 3 in 2005 to clarify
                                                 classification as well as assignment                    503(g) of the FD&C Act, as amended by                 the meaning of PMOA for assignment of
                                                 determinations (see, e.g., ‘‘How to Write               the 21st Century Cures Act (Cures Act)                combination products, and to codify at
                                                 a Request for Designation (RFD)’’, at                   (Pub. L. 114–255), and with section 563               § 3.2 definitions for biological product,
                                                 https://www.fda.gov/                                    of the FD&C Act.                                      device, and drug ‘‘modes of action’’
                                                 regulatoryinformation/guidances/
                                                                                                         B. Streamline and Clarify the Appeals                 based upon the statutory definitions of
                                                 ucm126053.htm). FDA’s longstanding
                                                                                                         Process for Product Classifications and               biological product, device, and drug.
                                                 acceptance and review of sponsors’
                                                                                                         Assignments                                           The Biologics Price Competition and
                                                 requests for product classification under
                                                                                                           Section 3.8(c)—Requests for                         Innovation Act of 2009 (Subtitle A of
                                                 part 3 is consistent with the obligations
                                                                                                         reconsideration. The proposed rule                    Title VII of the Patient Protection and
                                                 to which FDA became subject in 1998
                                                                                                         would remove, as confusing and                        Affordable Care Act (Pub. L. 111–148))
                                                 under section 416 of the Food and Drug
                                                                                                         inefficient, the process codified at                  amended the definition for biological
                                                 Administration Modernization Act of
                                                 1997 (FDAMA) (Pub. L. 105–115),                         § 3.8(c) for sponsors to request that the             product at section 351(i) of the Public
                                                 which added section 563 to the FD&C                     product jurisdiction officer reconsider               Health Service Act (PHS Act) (42 U.S.C.
                                                 Act (21 U.S.C. 360bbb–2). Section 563 of                determinations made under part 3.                     262(i)) to address expressly and more
                                                 the FD&C Act requires FDA to classify                     Currently, a sponsor may make a                     precisely the classification of proteins as
                                                 products as biological products, devices,               request for reconsideration and if the                biological products. This proposed rule
                                                 drugs, or combination products and to                   sponsor disagrees with the decision                   would amend the definition for
                                                 assign products to an Agency                            upon reconsideration, the sponsor may                 ‘‘biological product mode of action’’ at
                                                 component for regulation, in response to                make an additional, supervisory appeal                § 3.2 to align with the current statutory
                                                 requests for designations submitted by                  in accordance with § 10.75 (21 CFR                    definition for biological product.
                                                 product sponsors. The procedures at                     10.75). Alternatively, the sponsor may                   In 2016, section 3038 of the Cures Act
                                                 part 3 are appropriate for                              directly submit such a supervisory                    amended section 503(g) of the FD&C
                                                 implementation of section 563 as well                   appeal without first requesting                       Act, to include additional provisions
                                                 as section 503(g) of the FD&C Act, and                  reconsideration under § 3.8(c).                       relating to intercenter consultation and
                                                 FDA has used these procedures for both                    This current approach has proven                    coordination (see 21 U.S.C.
                                                 purposes to date.                                       confusing to sponsors and inefficient for             353(g)(8)(C)), reinforcing expectations
                                                   This proposed rule would revise § 3.3                 sponsors and Agency staff.                            that intercenter consultation and
                                                 to clarify that FDA’s procedures in part                Determinations under part 3 are made                  coordination occur as appropriate.
                                                 3 apply to classification of products as                through a robust process involving                    Currently, § 3.4(c) states in part that the
                                                 biological products, devices, drugs, or                 OCP’s review of information, either                   designation of a center (an ‘‘agency
                                                 combination products as well as to                      provided by the sponsor or otherwise                  component’’ as defined in § 3.2) as
                                                 assignment of these products to Agency                  available to the Agency, in consultation              having primary jurisdiction for a
                                                 components, and would make                              with regulatory, legal, and scientific                combination product does not preclude
                                                 corresponding amendments to other                       staff from other Agency components, as                consultations by that component with
                                                 sections in part 3, including §§ 3.1,                   appropriate. Consistent with appeals                  other components. In keeping with
                                                 3.7(c)(3) (see proposed 3.5(b)), 3.8(b)                 under § 10.75, no new information may                 section 503(g) of the FD&C Act as
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                                                 (see proposed 3.6(b)), 3.9(b) (see                      be presented in a request for                         amended and Agency practice, the
                                                 proposed 3.7(b)), and the definitions in                reconsideration under § 3.8(c). Because               Agency is revising § 3.4(c) to make clear
                                                 § 3.2 for ‘‘letter of designation,’’ ‘‘letter           determinations under part 3 are made                  that consultations with other Agency
                                                 of request,’’ and ‘‘product jurisdiction                through a robust process, further                     components will occur as FDA deems
                                                 officer,’’ to be consistent with this                   evaluation of the same data and                       appropriate. Agency practice is to
                                                 clarified statement of scope.                           information by OCP is unlikely to result              conduct intercenter consultation and
                                                   In addition, Agency experience over                   in a change of decision. Requests for                 coordination routinely to ensure
                                                 the 26 years since part 3 was codified                  reconsideration have been inefficient for             appropriate expertise is brought to bear


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                                                                           Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules                                          22431

                                                 to enable fully informed reviews and                    review of information provided as part                agreements on product assignment. The
                                                 consistent regulation of products.                      of ‘‘pre-submission’’ engagement with                 proposed rule would remove this
                                                    In addition, section 503(g) of the                   applicants.                                           section. These non-binding intercenter
                                                 FD&C Act, as amended by section 3038                       In addition, the proposed rule would               agreements adopted in 1991 address the
                                                 of the Cures Act, states that combination               amend § 3.2—Definitions to include a                  assignment of biological products,
                                                 products shall be reviewed under a                      cross-reference to the definition for                 devices, and drugs, as well as
                                                 single application whenever                             ‘‘constituent part,’’ codified at 21 CFR              combination products. The Medical
                                                 appropriate, and that sponsors may                      4.2 in the 2013 rulemaking regarding                  Device User Fee and Modernization Act
                                                 submit separate applications for the                    current good manufacturing practices                  (MDUFMA) (Pub. L. 107–250) enacted
                                                 constituent parts of a combination                      for combination products, and which                   in 2002 amended section 503(g) of the
                                                 product unless FDA determines a single                  has also been referenced at 21 CFR
                                                                                                                                                               FD&C Act to require FDA to review each
                                                 application is necessary (see 21 U.S.C.                 4.101 as part of the 2016 rule on
                                                                                                                                                               agreement, guidance, or practice
                                                 353(g)(1)(B) and (6)). Currently, § 3.4(c)              postmarketing safety reporting for
                                                                                                         combination products (81 FR 92603).                   addressing the assignment of
                                                 states in part that the Agency can
                                                                                                         The meaning of the term is the same for               combination products to Agency
                                                 require in appropriate cases that
                                                                                                         purposes of part 3 as for purposes of                 centers, for consistency with section
                                                 constituent parts of a combination
                                                                                                         part 4. Accordingly, cross-referencing                503(g) (see 21 U.S.C. 353(g)(8)(F)). In
                                                 product be reviewed under separate
                                                                                                         the definition into part 3 would serve to             accordance with this mandate, FDA
                                                 applications. Accordingly, to avoid
                                                 confusion that might arise from                         ensure clarity and consistency.                       conducted a review, including of the
                                                 maintaining this different articulation of                                                                    intercenter agreements addressed in
                                                                                                         D. Update Advisory Content                            § 3.5, and published its assessment in
                                                 Agency authority on this topic, the
                                                 proposed rule would remove this                            Part 3 includes advisory language and              2006 (see ‘‘Jurisdictional Update:
                                                 language at § 3.4(c). FDA intends to                    addresses associated with Agency                      Intercenter Agreements’’, at https://
                                                 issue guidance regarding                                guidance in various locations. As a                   www.fda.gov/CombinationProducts/
                                                 implementation of the new statutory                     general matter, recommendations from                  JurisdictionalInformation/
                                                 provisions as needed given Agency                       FDA are provided in guidance                          JurisdictionalUpdates/ucm106506.htm).
                                                 experience with implementing them.1                     documents published in accordance                     The Agency concluded that: (1) The
                                                    The rule uses the term ‘‘application,’’              with good guidance practices (see 21                  usefulness of these agreements was
                                                 and lists types of applications within                  CFR 10.115). This approach not only                   becoming increasingly limited; (2) that
                                                 the definition for ‘‘premarket review’’ at              enables the public to comment on                      they should not be relied upon
                                                 § 3.2. However, the types of premarket                  proposed guidance, but also enables                   independently as the most current,
                                                 submissions for medical products have                   FDA to update guidance in a timely                    accurate jurisdictional statements; and
                                                 changed since publication of part 3, and                manner given stakeholder and Agency
                                                                                                                                                               (3) that issuance of new guidance and
                                                 this listing is now incomplete. To                      experience with the policy topic. FDA
                                                                                                                                                               other efforts should be pursued to
                                                 enhance clarity and completeness, the                   included advisory content in part 3 in
                                                                                                         light of the novelty of the regulatory                enhance transparency and more clearly
                                                 proposed rule would add a current,                                                                            articulate the principles upon which
                                                                                                         topic at the time, to facilitate
                                                 complete definition for ‘‘application,’’                                                                      jurisdictional determinations are based.
                                                                                                         stakeholder understanding and indicate
                                                 and remove the existing, related                                                                              Consistent with that assessment, FDA
                                                                                                         Agency thinking. However, Agency
                                                 language currently included in the                                                                            has since published various policy
                                                                                                         thinking has evolved since
                                                 definition for ‘‘premarket review’’ in                                                                        statements relating to product
                                                                                                         promulgation of part 3 and more
                                                 § 3.2. In addition, for clarity and                                                                           classification and assignment and
                                                                                                         complete, current guidance documents
                                                 alignment with Agency practice, the                                                                           posted various other relevant materials
                                                                                                         and other policy statements are now
                                                 proposed rule would revise § 3.2 to                                                                           on its website (see https://www.fda.gov/
                                                                                                         available. Accordingly, the proposed
                                                 define premarket review to include                                                                            CombinationProducts/default.htm),
                                                                                                         rule, if finalized, would remove the
                                                 examination of data and information                                                                           most recently, a final guidance on
                                                                                                         advisory content and discussion of
                                                 ‘‘submitted by an applicant,’’ rather                                                                         ‘‘Classification of Products as Drugs and
                                                                                                         guidance from part 3. Specifically, this
                                                 than ‘‘in an application,’’ since
                                                                                                         proposed rule would remove the                        Devices and Additional Product
                                                 premarket review can include Agency
                                                                                                         provisions at §§ 3.2, 3.5, and 3.7, as                Classification Issues’’ (September 2017)
                                                   1 Section 3038 of the Cures Act also amended
                                                                                                         explained below.                                      (https://www.fda.gov/
                                                 section 503(g) of the FD&C Act in other respects           Section 3.2 includes in the definition             RegulatoryInformation/Guidances/
                                                 relating to combination product assignment,             for ‘‘mode of action’’ a reference to                 ucm258946.htm). The Agency is
                                                 including to: Incorporate a definition for PMOA,        constituent parts of combination                      currently reviewing these intercenter
                                                 which is consistent with the regulatory definition      products each providing one type of
                                                 of PMOA at § 3.2, promulgated by FDA in its 2005                                                              agreements to determine what action, if
                                                 amendments to part 3 (see 21 U.S.C. 353(g)(1)(C));      mode of action and notes that the mode                any, to take with respect to them.
                                                 provide that drug or biological product PMOA            of action of each constituent part is
                                                 cannot be based solely upon the product having any      typically identifiable. The proposed rule                Sections 3.7(a) and (b) include
                                                 chemical action within or on the human body (see        would replace this potentially confusing              recommendations regarding who should
                                                 21 U.S.C. 353(g)(1)(E)); provide that sponsors who
                                                                                                         language, with a simple statement that                file an RFD and when they should file
                                                 disagree with FDA’s PMOA determination may
                                                 request a substantive rationale of the determination    each constituent part contributes one                 them, respectively. The proposed rule, if
                                                 (see 21 U.S.C. 353(g)(1)(F)(i)); and provide a          mode of action (device, drug, or                      finalized, would remove these
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                                                 mechanism for sponsors and FDA to collaborate           biological product). Modes of action of               provisions. These questions are
                                                 and seek agreement on studies to establish the                                                                addressed by the proposed amendments
                                                 relevance of the chemical action in achieving the       a combination product and how to
                                                 PMOA of their products if they do not agree with        address them in requests for assignment               to § 3.3 discussed in section I.A, and
                                                 the Agency’s PMOA determination (see 21 U.S.C.          are more fully addressed in Agency                    current Agency guidance, including in
                                                 353(g)(1)(F)(ii)). These amendments serve to codify     guidance, including in ‘‘How to Write a               ‘‘How to Write a Request for Designation
                                                 longstanding Agency regulatory interpretations and                                                            (RFD)’’, which provides more clear and
                                                 practices. Accordingly, FDA has determined that         Request for Designation (RFD).’’
                                                 revision of part 3 with respect to these statutory         Section 3.5 addresses the relationship             complete recommendations regarding
                                                 amendments is not necessary.                            between part 3 and intercenter                        timing and other process considerations.


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                                                 22432                    Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules

                                                 E. Other Clarifications to the Rule                     combination products as well as to                    combination products to the appropriate
                                                   Section 3.2 defines mode of action,                   assign these products to an Agency                    Agency component for regulation based
                                                 and what constitutes a biological                       component with primary jurisdiction for               on the Agency’s assessment of PMOA as
                                                 product, device, and drug mode of                       their premarket review and regulation.                set forth in section 503(g) of the FD&C
                                                 action, for purposes of making                             Existing section 3.7(d) addresses                  Act. Congress also expressly directed
                                                                                                         where to file RFD communications and                  FDA to determine the classification of a
                                                 combination product assignment
                                                                                                         currently requires submission in hard                 product as a drug, biological product,
                                                 determinations. To enhance clarity, the
                                                                                                         copy with the option to submit                        device, or combination product, or the
                                                 proposed rule would add an express
                                                                                                         electronically as well. FDA sees no                   component of the Agency that will
                                                 statement that the mode of action
                                                                                                         reason to continue to require a hard                  regulate the product, as applicable, in
                                                 definitions apply for purposes of
                                                                                                         copy submission and proposes to revise                response to a request submitted under
                                                 making combination product
                                                                                                         the provision (see proposed § 3.5(b)) and             section 563 of the FD&C Act. Under
                                                 assignment determinations, and would
                                                                                                         make corresponding revisions to the                   section 701 of the FD&C Act (21 U.S.C.
                                                 simplify the definition for device mode
                                                                                                         content of § 3.7(c) (see proposed 3.5(b))             371) and for the efficient enforcement of
                                                 of action at § 3.2 by referring to the
                                                                                                         to give sponsors the alternative of                   the FD&C Act, FDA has the authority to
                                                 statutory definition of device provided                 submitting solely electronically. In
                                                 in section 201(h) of the FD&C Act (21                                                                         issue and amend the regulations found
                                                                                                         addition, to avoid the need to revise the             in part 3.
                                                 U.S.C. 321(h)) and removing redundant                   rule given changes to OCP’s mailing
                                                 language.                                               address or email address, this rule                   III. Paperwork Reduction Act of 1995
                                                   Section 3.4(a)—Designated Agency
                                                                                                         would amend § 3.7(d) (see proposed                       FDA tentatively concludes that this
                                                 component. The proposed rule would
                                                                                                         3.5(b)) to direct sponsors to submit                  proposed rule contains no new
                                                 amend § 3.4(a) to clarify that the Agency
                                                                                                         RFDs to the current mailing address or                collection of information. Therefore,
                                                 component to which a combination                        email address for OCP as published by                 clearance by the Office of Management
                                                 product is assigned based on PMOA is                    FDA, currently on the Office of                       and Budget (OMB) under the Paperwork
                                                 the component that regulates the                        Combination Products web page                         Reduction Act of 1995 is not required.
                                                 constituent part providing the PMOA.                    (https://www.fda.gov/                                 Information collection under part 3 has
                                                 For example, some biological products                   CombinationProducts/default.htm).                     already been approved under OMB
                                                 are assigned to the Center for Biologics                   Section 3.9(b) addresses grounds for               control number 0910–0523.
                                                 Evaluation and Research (CBER) and                      changing a classification or assignment
                                                 others are assigned to the Center for                   designation, including circumstances                  IV. Analysis of Environmental Impact
                                                 Drug Evaluation and Research (CDER). If                 under which the Agency can do so                        We have determined under 21 CFR
                                                 a combination product has a biological                  without the consent of the sponsor. It                25.30(h) that this action is of a type that
                                                 product PMOA, it is assigned to either                  currently provides that sponsors shall                does not individually or cumulatively
                                                 CBER or CDER based upon which of                        be given 30 days written notice (which                have a significant effect on the human
                                                 these two Centers regulate that type of                 can be via email) of proposed changes                 environment. Therefore, neither an
                                                 biological product. This interpretation                 and that such changes require the                     environmental assessment nor an
                                                 of the statutory provisions governing                   concurrence of the Principal Associate                environmental impact statement is
                                                 PMOA and combination product                            Commissioner. Because positions and                   required.
                                                 assignments is consistent with Agency                   titles in the Agency change from time to
                                                 practice and ensures that combination                   time, to avoid the need to revise part 3              V. Federalism
                                                 products are assigned to the Agency                     when such changes occur, this rule                      We have analyzed this proposed rule
                                                 component most familiar with the                        would revise § 3.9(b) (see proposed                   in accordance with the principles set
                                                 constituent part that provides the                      § 3.7(b)) to state that such changes of               forth in Executive Order 13132. We
                                                 PMOA.                                                   classification or assignment require the              have determined that the proposed rule
                                                   Sections 3.2 and 3.6—Product                          concurrence of the official in the                    does not contain policies that have
                                                 jurisdiction officer. Section 3.2 includes              Agency responsible for the oversight of               substantial direct effects on the States,
                                                 a definition of ‘‘product jurisdiction                  OCP.                                                  on the relationship between the
                                                 officer’’ and section 3.6 specifies that                   Other clarifying changes to part 3                 National Government and the States, or
                                                 OCP is the designated product                           include in § 3.2: In the definitions of               on the distribution of power and
                                                 jurisdiction officer. The proposed rule                 ‘‘combination product’’ and ‘‘product,’’              responsibilities among the various
                                                 would revise the definition for ‘‘product               changing ‘‘biologic’’ to ‘‘biological                 levels of government. Accordingly, we
                                                 jurisdiction officer’’ at § 3.2 to include              product’’ to provide for consistency in               conclude that the rule does not contain
                                                 information currently provided in § 3.6,                part 3 and with the term used in section              policies that have federalism
                                                 and remove § 3.6, simplifying the rule                  351 of the PHS Act; and in the                        implications as defined in the Executive
                                                 by consolidating this related                           definitions of ‘‘biological product’’ and             order and, consequently, a federalism
                                                 information. Specifically, the definition               ‘‘product,’’ changing ‘‘351(a)’’ to                   summary impact statement is not
                                                 of ‘‘product jurisdiction officer’’ at § 3.2            ‘‘351(i)’’ and ‘‘262(a)’’ to ‘‘262(i)’’ so that       required.
                                                 would be revised to refer to OCP as the                 the correct provision in the PHS Act and
                                                 office responsible for classification and                                                                     VI. Consultation and Coordination With
                                                                                                         the U.S. Code is cited (i.e., the provision
                                                 assignment of medical products.                                                                               Indian Tribal Governments
                                                                                                         that defines ‘‘biological product’’).
                                                 MDUFMA required FDA to establish an                                                                             We have analyzed this proposed rule
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                                                 office to perform various regulatory                    II. Legal Authority                                   in accordance with the principles set
                                                 functions relating to combination                          The Agency derives its authority to                forth in Executive Order 13175. We
                                                 products, including their assignment to                 issue the regulations found in part 3                 have tentatively determined that the
                                                 Agency components. Consistent with                      from 21 U.S.C. 321, 351, 352, 353, 355,               rule does not contain policies that
                                                 that mandate, FDA created OCP and                       360, 360c–360f, 360h–360j, 360gg–                     would have a substantial direct effect on
                                                 delegated to specified staff within OCP                 360ss, 360bbb–2, 371(a), 379e, 381, 394;              one or more Indian Tribes, on the
                                                 the authority to classify products as                   42 U.S.C. 216, 262, and 264. Congress                 relationship between the Federal
                                                 biological products, devices, drugs, or                 expressly directed FDA to assign                      Government and Indian Tribes, or on


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                                                                                    Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules                                                            22433

                                                 the distribution of power and                                             associated with at least two prior                           result in an expenditure in any year that
                                                 responsibilities between the Federal                                      regulations.’’ We believe that this                          meets or exceeds this amount.
                                                 Government and Indian Tribes. The                                         proposed rule is not a significant
                                                                                                                                                                                        B. Summary of Costs and Benefits
                                                 Agency solicits comments from tribal                                      regulatory action as defined by
                                                 officials on any potential impact on                                      Executive Order 12866.                                         The objective of this proposed rule is
                                                 Indian Tribes from this proposed action.                                                                                               to amend the regulations concerning
                                                                                                                              The Regulatory Flexibility Act
                                                                                                                                                                                        RFDs of the classification of products as
                                                 VII. Preliminary Economic Analysis of                                     requires us to analyze regulatory options
                                                                                                                                                                                        biological products, devices, drugs, or
                                                 Impacts                                                                   that would minimize any significant
                                                                                                                                                                                        combination products, or their
                                                                                                                           impact of a rule on small entities.
                                                 A. Introduction                                                                                                                        assignment to Agency components for
                                                                                                                           Because this rule imposes no new
                                                                                                                                                                                        premarket review and regulation. The
                                                                                                                           burdens, we propose to certify that the
                                                    We have examined the impacts of the                                                                                                 proposed rule is intended to clarify the
                                                                                                                           proposed rule will not have a significant
                                                 proposed rule under Executive Order                                                                                                    scope of the regulations, streamline and
                                                                                                                           economic impact on a substantial
                                                 12866, Executive Order 13563,                                                                                                          clarify the appeals process, align the
                                                                                                                           number of small entities.
                                                 Executive Order 13771, the Regulatory                                                                                                  regulations with more recent legislative
                                                 Flexibility Act (5 U.S.C. 601–612), and                                      The Unfunded Mandates Reform Act                          and regulatory measures, update
                                                 the Unfunded Mandates Reform Act of                                       of 1995 (section 202(a)) requires us to                      advisory content, and otherwise to
                                                 1995 (Pub. L. 104–4). Executive Orders                                    prepare a written statement, which                           clarify part 3.
                                                 12866 and 13563 direct us to assess all                                   includes an assessment of anticipated                          Many provisions of this proposed rule
                                                 costs and benefits of available regulatory                                costs and benefits, before proposing                         codify current practices and may not
                                                 alternatives and, when regulation is                                      ‘‘any rule that includes any Federal                         result in estimated costs, benefits, or
                                                 necessary, to select regulatory                                           mandate that may result in the                               savings. However, we expect a few
                                                 approaches that maximize net benefits                                     expenditure by State, local, and tribal                      provisions to lead to changes that may
                                                 (including potential economic,                                            governments, in the aggregate, or by the                     generate additional public health
                                                 environmental, public health and safety,                                  private sector, of $100,000,000 or more                      benefits and cost savings to society. A
                                                 and other advantages; distributive                                        (adjusted annually for inflation) in any                     summary of the quantified costs and
                                                 impacts; and equity). Executive Order                                     one year.’’ The current threshold after                      cost savings of the proposed rule are
                                                 13771 requires that the costs associated                                  adjustment for inflation is $148 million,                    presented in table 1. The lower and
                                                 with significant new regulations ‘‘shall,                                 using the most current (2016) Implicit                       upper estimates given in table 1 are at
                                                 to the extent permitted by law, be offset                                 Price Deflator for the Gross Domestic                        the 5 and 95 percent interval,
                                                 by the elimination of existing costs                                      Product. This proposed rule would not                        respectively.

                                                                                             TABLE 1—SUMMARY OF NET COST SAVINGS OF THE PROPOSED RULE 1 2
                                                                                Category                                                             Primary estimate                             Low estimate      High estimate

                                                 Costs .......................................................................   Annualized Monetized $/year .................................            $17,000          $12,000
                                                                                                                                 Annualized Quantified.
                                                                                                                                 Qualitative.
                                                    1 We     use a 10-year time horizon for this rule with payments occurring at the end of each period.
                                                    2 All   dollar values are rounded to the nearest $1,000.


                                                    The estimated primary costs of the                                     or assignment. The reduction in                              rate, and $198,000 at a 7 percent
                                                 proposed rule include the additional                                      uncertainty about the RFD process will,                      discount rate. Potential resource savings
                                                 one-time costs incurred by industry to                                    thereby, potentially allow sponsors to                       to FDA and industry from the optional
                                                 read and understand the regulation. We                                    make more informed decisions                                 electronic submission of RFDs are not
                                                 expect only a subset of firms currently                                   regarding product development and                            included in this estimate because of the
                                                 producing medical products will incur                                     seeking marketing authorization, and                         uncertainty in the number of sponsors
                                                 this cost. Our primary estimate of the                                    potentially allow sponsors and FDA                           who would choose to submit
                                                 total up-front cost to industry is                                        personnel to divert resources used                           electronically.
                                                 approximately $131,000. Annualizing                                       under current regulations to other areas,                      Our best estimate of the quantifiable
                                                 these costs over a 10-year period, we                                     such as to product development and                           net social effect of the proposed rule,
                                                 estimate total annualized costs to be                                     marketing applications. We are not able                      using a 10-year time horizon, is a cost
                                                 $15,000 at a 3 percent discount rate, and                                 to quantify or to identify specific ways                     of approximately $103,000 in the first
                                                 $17,000 at a 7 percent discount rate. The                                 by which the proposed rule would lead                        year and a cost savings of approximately
                                                 present value of these costs over 10                                      to avoided illnesses or deaths and                           $28,000 each year starting in the second
                                                 years is $127,000 at a 3 percent discount                                 therefore do not include public health                       year. The net present discounted value
                                                 rate, and $122,000 at a 7 percent                                         benefits in our net estimates.                               of the quantifiable cost savings over 10
                                                 discount rate.                                                               FDA is able to quantify the resource                      years is approximately $114,000 at a 3
                                                    The primary public health benefit                                      savings to both the Agency and industry                      percent discount rate and approximately
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                                                 from adoption of the proposed rule                                        from the proposed rule associated with                       $76,000 at a 7 percent discount rate. The
                                                 would be the value of the illnesses and                                   streamlining and clarifying the appeals                      total annualized net effect of the
                                                 deaths avoided as a result of finalizing                                  process for product classification and                       proposed rule is estimated to produce
                                                 the proposed rule. Current regulatory                                     assignments. Our primary estimate of                         an average net cost savings ranging from
                                                 requirements may cause applicants to                                      total cost savings to industry and FDA                       $13,000 at a 3 percent discount rate and
                                                 unnecessarily submit RFDs, or to make                                     is approximately $28,000 annually. The                       $11,000 at a 7 percent discount rate.
                                                 misguided judgments regarding the                                         present value of these savings over 10                         Executive Order 13771 requires that
                                                 need to confirm product classification                                    years is $241,000 at a 3 percent discount                    the costs associated with significant


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                                                 22434                             Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules

                                                 new regulations ‘‘shall, to the extent                                  7 percent, with a lower bound of                                     approximately $634,000 and an upper
                                                 permitted by law, be offset by the                                      approximately $165,000 and an upper                                  bound of approximately $2.9 million.
                                                 elimination of existing costs associated                                bound of approximately $1.2 million.                                 The annualized net cost of the proposed
                                                 with at least two prior regulations.’’ We                               The annualized net cost savings of the                               rule is approximately ¥$20,000,
                                                 believe that the proposed rule, if                                      proposed rule are approximately                                      discounted at 3 percent on an infinite
                                                 finalized, is not significant under                                     $20,000, discounted at 7 percent on an                               time horizon, with a lower bound of
                                                 Executive Order 12666 and is                                            infinite time horizon, with a lower                                  approximately ¥$12,000 and an upper
                                                 deregulatory under Executive Order                                      bound of approximately $12,000 and an                                bound of approximately ¥$83,000. The
                                                 13771.                                                                  upper bound of approximately $83,000.                                estimated net costs using a 7 percent
                                                    The present value of our primary net                                 Discounted at 3 percent, the present
                                                                                                                                                                                              discount rate under Executive Order
                                                 cost savings estimate of the proposed                                   value of our primary net cost savings of
                                                                                                                                                                                              13771 are summarized in table 2.
                                                 rule, using an infinite time horizon, is                                the proposed rule is approximately
                                                 approximately $281,000, discounted at                                   $814,000, with a lower bound of

                                                                          TABLE 2—SUMMARY OF EXECUTIVE ORDER 13771 NET COSTS OF THE PROPOSED RULE 1 2 3
                                                                                                                                                                                              Primary          Lower bound     Upper bound
                                                                                                                                                                                               (7%)               (7%)            (7%)

                                                 Present Value of Costs ................................................................................................................         $122,000            $81,000       $192,000
                                                 Present Value of Savings ............................................................................................................            403,000            357,000      1,266,000
                                                 Present Value of Net Costs .........................................................................................................             281,000            165,000      1,184,000
                                                 Annualized Costs .........................................................................................................................         9,000              6,000         13,000
                                                 Annualized Savings .....................................................................................................................          28,000             25,000         89,000
                                                 Annualized Net Costs ..................................................................................................................         ¥20,000             ¥12,000       ¥83,000
                                                    1 We  use an infinite time horizon for this rule with payments occurring at the end of each period.
                                                    2 Alldollar values are rounded to the nearest $1,000.
                                                    3 A negative net cost implies a net cost savings.




                                                   The Regulatory Flexibility Act                                        1. Preliminary Regulatory Impact Analysis of                         Subpart B [Reserved]
                                                 requires Agencies to prepare an initial                                      the Proposed Rule, Amendments to 21
                                                                                                                              CFR Part 3—Product Jurisdiction, Docket                         § 3.1   Purpose.
                                                 regulatory flexibility analysis if a
                                                 proposed rule would have a significant                                       No. FDA–2004–N–0191.                                               The purpose of this subpart is to
                                                 economic impact on a substantial                                                                                                             provide procedures for determining
                                                                                                                         List of Subjects in 21 CFR Part 3                                    whether a product is a biological
                                                 number of small entities (including
                                                 small businesses, small non-profit                                        Administrative practice and                                        product, device, drug, or combination
                                                 organizations, and small governmental                                   procedure, Biological products,                                      product, and which component within
                                                 jurisdictions). FDA has examined the                                    Combination products, Drugs, Medical                                 FDA will have primary jurisdiction for
                                                 economic implications of the proposed                                   devices, Authority delegations.                                      a biological product, device, drug, or
                                                 rule as required by the Regulatory                                                                                                           combination product, where product
                                                 Flexibility Act. This rule, if finalized,                                 Therefore, under the Federal Food,                                 classification or assignment is unclear
                                                 will not impose any new burdens on                                      Drug, and Cosmetic Act, the Public                                   or in dispute. By doing so, this subpart
                                                 small entities, and thus will not have a                                Health Service Act, and authority                                    implements section 503(g) of the
                                                 significant economic impact on a                                        delegated to the Commissioner of Food                                Federal Food, Drug, and Cosmetic Act.
                                                 substantial number of small entities.                                   and Drugs, it is proposed that 21 CFR                                Nothing in this subpart prevents FDA
                                                   The full preliminary analysis of                                      part 3 be amended as follows:                                        from using any agency resources it
                                                 economic impacts is available in the                                    ■ 1. The authority citation for part 3 is                            deems necessary to ensure adequate
                                                 docket for this proposed rule (Ref. 1)                                  revised to read as follows:                                          review of the safety and effectiveness of
                                                 and at https://www.fda.gov/AboutFDA/                                                                                                         any product, or the substantial
                                                                                                                           Authority: 21 U.S.C. 321, 351, 352, 353,                           equivalence of any device to a predicate
                                                 ReportsManualsForms/Reports/                                            355, 360, 360c–360f, 360h–360j, 360gg–
                                                 EconomicAnalyses/default.htm.                                                                                                                device.
                                                                                                                         360ss, 360bbb–2, 371(a), 379e, 381, 394; 42
                                                 VIII. Proposed Effective Date                                           U.S.C. 216, 262, 264.                                                § 3.2   Definitions.
                                                    FDA is proposing that any final rule                                 ■   2. Revise part 3 to read as follows:                                For the purpose of this part:
                                                 based on this proposed rule become                                                                                                              Agency means the Food and Drug
                                                 effective 30 days after the date of its                                 PART 3—PRODUCT JURISDICTION                                          Administration.
                                                 publication in the Federal Register.                                                                                                            Agency component means the Center
                                                                                                                         Subpart A—Product Classification and                                 for Biologics Evaluation and Research,
                                                 IX. Reference                                                           Assignment of Agency Component for                                   the Center for Devices and Radiological
                                                    The following reference is on display                                Review of Premarket Applications                                     Health, the Center for Drug Evaluation
                                                 in the Dockets Management Staff (see                                    Sec.
                                                                                                                                                                                              and Research, or alternative
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                                                 ADDRESSES) and is available for viewing                                 3.1     Purpose.                                                     organizational component of the agency.
                                                 by interested persons between 9 a.m.                                    3.2     Definitions.                                                    Applicant means any person who
                                                 and 4 p.m., Monday through Friday; it                                   3.3     Scope.                                                       submits or plans to submit an
                                                 is also available electronically at https://                            3.4     Designated agency component.                                 application to the Food and Drug
                                                 www.regulations.gov or https://                                         3.5     Request for designation.                                     Administration for premarket review.
                                                 www.fda.gov/AboutFDA/                                                   3.6     Letter of designation.                                       For purposes of this section, the terms
                                                 ReportsManualsForms/Reports/                                            3.7     Effect of letter of designation.                             ‘‘sponsor’’ and ‘‘applicant’’ have the
                                                 EconomicAnalyses/default.htm.                                           3.8     Stay of review time.                                         same meaning.


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                                                                          Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules                                             22435

                                                    Application means any                                   Letter of request means an applicant’s             biological product as defined in section
                                                 investigational new drug application,                   written submission to the product                     351(i) of the Public Health Service Act
                                                 investigational device exemption                        jurisdiction officer seeking product                  (42 U.S.C. 262(i)).
                                                 application, new drug application,                      classification, the designation of the                  Product jurisdiction officer is the
                                                 abbreviated new drug application,                       agency component with primary                         person or persons in the Office of
                                                 biologics license application, premarket                jurisdiction, or both.                                Combination Products responsible for
                                                 notification submission, De Novo                           Mode of action is the means by which               classification of products as biological
                                                 classification request, premarket                       a product achieves an intended                        products, devices, drugs, and
                                                 approval application, product                           therapeutic effect or action. For                     combination products and for
                                                 development protocol, or humanitarian                   purposes of this definition,                          designating the component of FDA with
                                                 device exemption application, including                 ‘‘therapeutic’’ action or effect includes             primary jurisdiction for the premarket
                                                 all amendments and supplements.                         any effect or action of the combination               review and regulation of such products.
                                                    Biological product has the meaning                   product intended to diagnose, cure,                     Sponsor means ‘‘applicant’’ as
                                                 given the term in section 351(i) of the                 mitigate, treat, or prevent disease, or               defined in this section.
                                                 Public Health Service Act (42 U.S.C.                    affect the structure or any function of
                                                 262(i)).                                                the body. When making assignments of                  § 3.3    Scope.
                                                    Combination product includes:                        combination products under this part,                   This subpart applies to sponsors for
                                                    (1) A product comprised of two or                    the agency will consider three types of               products for which classification as a
                                                 more regulated components, i.e., drug/                  mode of action: The actions provided by               drug, device, biological product, or
                                                 device, biological product/device, drug/                a biological product, a device, and a                 combination product, or the agency
                                                 biological product, or drug/device/                     drug. Each constituent part of a                      component with primary jurisdiction, is
                                                 biological product, that are physically,                combination product has one such type                 unclear or in dispute.
                                                 chemically, or otherwise combined or                    of mode of action. For purposes of
                                                 mixed and produced as a single entity;                  combination product assignment:                       § 3.4    Designated agency component.
                                                    (2) Two or more separate products                       (1) A constituent part has a biological               (a) To designate the agency
                                                 packaged together in a single package or                product mode of action if it acts by                  component with primary jurisdiction for
                                                 as a unit and comprised of drug and                     means of a virus, therapeutic serum,                  the premarket review and regulation of
                                                 device products, device and biological                  toxin, antitoxin, vaccine, blood, blood               a combination product, the agency shall
                                                 products, or biological and drug                        component or derivative, allergenic                   determine the primary mode of action of
                                                 products;                                               product, protein (except any chemically               the product. Where the primary mode of
                                                    (3) A drug, device, or biological                    synthesized polypeptide), or analogous                action is that of:
                                                 product packaged separately that                        product, or arsphenamine or derivate of                  (1) A drug (other than a biological
                                                 according to its investigational plan or                arsphenamine (or any other trivalent                  product), the agency component
                                                 proposed labeling is intended for use                   organic arsenic compound), applicable                 charged with premarket review of such
                                                 only with an approved individually                      to the prevention, treatment, or cure of              drugs shall have primary jurisdiction;
                                                 specified drug, device, or biological                   a disease or condition of human beings,                  (2) A device, the agency component
                                                 product where both are required to                      as described in section 351(i) of the                 charged with premarket review of such
                                                 achieve the intended use, indication, or                Public Health Service Act.                            devices shall have primary jurisdiction;
                                                 effect and where upon approval of the                      (2) A constituent part has a device
                                                                                                         mode of action if it meets the definition                (3) A biological product, the agency
                                                 proposed product the labeling of the
                                                                                                         of device contained in section 201(h) of              component charged with premarket
                                                 approved product would need to be
                                                                                                         the Federal Food, Drug, and Cosmetic                  review of such biological products shall
                                                 changed, e.g., to reflect a change in
                                                                                                         Act, and it does not have a biological                have primary jurisdiction.
                                                 intended use, dosage form, strength,
                                                                                                         product mode of action.                                  (b) In some situations, it is not
                                                 route of administration, or significant
                                                                                                            (3) A constituent part has a drug mode             possible to determine, with reasonable
                                                 change in dose; or
                                                    (4) Any investigational drug, device,                of action if it meets the definition of               certainty, which one mode of action will
                                                 or biological product packaged                          drug contained in section 201(g)(1) of                provide a greater contribution than any
                                                 separately that according to its proposed               the Federal Food, Drug, and Cosmetic                  other mode of action to the overall
                                                 labeling is for use only with another                   Act, and it does not have a biological                therapeutic effects of the combination
                                                 individually specified investigational                  product or device mode of action.                     product. In such a case, the agency will
                                                 drug, device, or biological product                        Premarket review includes the                      assign the combination product to the
                                                 where both are required to achieve the                  examination of data and information                   agency component that regulates other
                                                 intended use, indication, or effect.                    submitted by an applicant.                            combination products that present
                                                    Constituent part has the meaning                        Primary mode of action is the single               similar questions of safety and
                                                 given the term in § 4.2 of this chapter.                mode of action of a combination                       effectiveness with regard to the
                                                    Device has the meaning given the                     product that provides the most                        combination product as a whole. When
                                                 term in section 201(h) of the Federal                   important therapeutic action of the                   there are no other combination products
                                                 Food, Drug, and Cosmetic Act.                           combination product. The most                         that present similar questions of safety
                                                    Drug has the meaning given the term                  important therapeutic action is the                   and effectiveness with regard to the
                                                 in section 201(g)(1) of the Federal Food,               mode of action expected to make the                   combination product as a whole, the
                                                 Drug, and Cosmetic Act.                                 greatest contribution to the overall                  agency will assign the combination
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                                                    FDA means Food and Drug                              intended therapeutic effects of the                   product to the agency component with
                                                 Administration.                                         combination product.                                  the most expertise related to the most
                                                    Letter of designation means the                         Product means any article that                     significant safety and effectiveness
                                                 written notice issued by the product                    contains any drug as defined in section               questions presented by the combination
                                                 jurisdiction officer classifying the                    201(g)(1) of the Federal Food, Drug, and              product.
                                                 product, specifying the agency                          Cosmetic Act; any device as defined in                   (c) The agency component with
                                                 component with primary jurisdiction, or                 section 201(h) of the Federal Food,                   primary jurisdiction for the premarket
                                                 both.                                                   Drug, and Cosmetic Act; or any                        review and regulation of a product will


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                                                 22436                    Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Proposed Rules

                                                 consult with other agency components,                   action provides the most important                      without its consent to protect the public
                                                 as FDA deems appropriate.                               therapeutic action of the combination                   health or for other compelling reasons.
                                                                                                         product, in which case the sponsor’s                    A sponsor shall be given 30 days written
                                                 § 3.5   Request for designation.                        recommendation must be based on the                     notice of any proposed such change in
                                                   (a) What to file: A request for                       assignment algorithm set forth in                       designated product classification or
                                                 designation may be submitted only by                    § 3.4(b) and an assessment of the                       agency component. The sponsor may
                                                 the sponsor and must be filed in                        assignment of other combination                         request an additional 30 days to submit
                                                 accordance with this section. The                       products the sponsor wishes FDA to                      written objections, not to exceed 15
                                                 request for designation must not exceed                 consider during the assignment of its                   pages, to the proposed change, and shall
                                                 15 pages, including attachments, and                    combination product.                                    be granted, upon request, a timely
                                                 must set forth:                                            (b) How and where to file: All                       meeting with the product jurisdiction
                                                   (1) The identity of the sponsor,                      communications pursuant to this                         officer and appropriate center officials.
                                                 including company name and address,                     subpart shall be addressed to the                       Within 30 days of receipt of the
                                                 establishment registration number,                      attention of the product jurisdiction                   sponsor’s written objections, the
                                                 company contact person, email address,                  officer and plainly marked ‘‘Request for                product jurisdiction officer shall issue
                                                 and telephone number.                                   Designation.’’ Such communications                      to the sponsor, with copies to
                                                   (2) A description of the product,                     shall be submitted either in hard copy                  appropriate agency component officials,
                                                 including:                                              (an original and two copies) or in an                   a written determination setting forth a
                                                   (i) Classification, name of the product               electronic format that FDA can process,                 statement of reasons for the proposed
                                                 and all component products, if                          review, and archive, to the current                     change in designated product
                                                 applicable;                                             mailing address or email address,                       classification or agency component.
                                                   (ii) Common, generic, or usual name                   respectively, for the Office of                         Such a change in the designated product
                                                 of the product and all component                        Combination Products as published by                    classification or agency component
                                                 products;                                               FDA.                                                    requires the concurrence of the official
                                                   (iii) Proprietary name of the product;                                                                        in the agency responsible for overseeing
                                                   (iv) Identification of any component                  § 3.6     Letter of designation.
                                                                                                                                                                 the Office of Combination Products.
                                                 of the product that already has received                  (a) Each request for designation will
                                                 premarket approval, is marketed as not                  be reviewed for completeness within 5                   § 3.8    Stay of review time.
                                                 being subject to premarket approval, or                 working days of receipt. Any request for                  Any filing with or review by the
                                                 has received an investigational                         designation determined to be                            product jurisdiction officer stays the
                                                 exemption, the identity of the sponsors,                incomplete will be returned to the                      review clock or other established time
                                                 and the status of any discussions or                    applicant with a request for the missing                periods for agency action for an
                                                 agreements between the sponsors                         information. The sponsor of an accepted                 application during the pendency of the
                                                 regarding the use of this product as a                  request for designation will be notified                review by the product jurisdiction
                                                 component of a new combination                          of the filing date.                                     officer.
                                                 product.                                                  (b) Within 60 days of the filing date
                                                   (v) Chemical, physical, or biological                 of a request for designation, the product               Subpart B [Reserved]
                                                 composition;                                            jurisdiction officer will issue a letter of
                                                   (vi) Status and brief reports of the                  designation to the sponsor, with copies                   Dated: May 10, 2018.
                                                 results of developmental work,                          to the agency components, specifying                    Leslie Kux,
                                                 including animal testing;                               the classification of the product at issue              Associate Commissioner for Policy.
                                                   (vii) Description of the manufacturing                or the agency component designated to                   [FR Doc. 2018–10321 Filed 5–14–18; 8:45 am]
                                                 processes, including the sources of all                 have primary jurisdiction for the                       BILLING CODE 4164–01–P
                                                 components;                                             premarket review and regulation of the
                                                   (viii) Proposed use or indications;                   product at issue, and any consulting
                                                   (ix) Description of all known modes of                agency components. The product
                                                 action, the sponsor’s identification of                                                                         ENVIRONMENTAL PROTECTION
                                                                                                         jurisdiction officer may request a                      AGENCY
                                                 the single mode of action that provides                 meeting with the sponsor during the
                                                 the most important therapeutic action of                review period to discuss the request for                40 CFR Part 52
                                                 the product, and the basis for that                     designation. If the product jurisdiction
                                                 determination;                                          officer has not issued a letter of                      [EPA–R03–OAR–2017–0152; FRL–9978–09–
                                                   (x) Schedule and duration of use;                                                                             Region 3]
                                                                                                         designation within 60 days of the filing
                                                   (xi) Dose and route of administration                 date of a request for designation, the
                                                 of drug or biological product;                                                                                  Approval and Promulgation of Air
                                                                                                         sponsor’s recommendation of the                         Quality Implementation Plans;
                                                   (xii) Description of related products,                classification of the product or the
                                                 including the regulatory status of those                                                                        Delaware; Interstate Transport
                                                                                                         center with primary jurisdiction, in                    Requirements for the 2012 Fine
                                                 related products; and                                   accordance with § 3.5(a)(3), shall
                                                   (xiii) Any other relevant information.                                                                        Particulate Matter Standard
                                                                                                         become the designated product
                                                   (3) The sponsor’s recommendation as                   classification or agency component.                     AGENCY:  Environmental Protection
                                                 to the classification of the product as a                                                                       Agency (EPA).
                                                 drug, device, biological product, or                    § 3.7     Effect of letter of designation.              ACTION: Proposed rule.
daltland on DSKBBV9HB2PROD with PROPOSALS




                                                 combination product, or as to which                        (a) The letter of designation
                                                 agency component should have primary                    constitutes an agency determination that                SUMMARY:  The Environmental Protection
                                                 jurisdiction. For combination products,                 is subject to change only as provided in                Agency (EPA) is proposing to approve a
                                                 the recommendation for primary                          paragraph (b) of this section.                          state implementation plan (SIP) revision
                                                 jurisdiction must be based on the                          (b) The product jurisdiction officer                 submitted by the State of Delaware. This
                                                 primary mode of action unless the                       may change the designated product                       revision pertains to the infrastructure
                                                 sponsor cannot determine with                           classification or agency component with                 requirement for interstate transport of
                                                 reasonable certainty which mode of                      the written consent of the sponsor, or                  pollution with respect to the 2012 fine


                                            VerDate Sep<11>2014   16:36 May 14, 2018   Jkt 244001   PO 00000     Frm 00024   Fmt 4702   Sfmt 4702   E:\FR\FM\15MYP1.SGM   15MYP1



Document Created: 2018-05-15 00:34:26
Document Modified: 2018-05-15 00:34:26
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionProposed rule.
DatesSubmit either electronic or written comments on the proposed rule by July 16, 2018.
ContactJohn Barlow Weiner, Associate Director for Policy, Office of Combination Products, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 5129, Silver Spring, MD 20933, 301-796-8930, [email protected]
FR Citation83 FR 22428 
CFR AssociatedAdministrative Practice and Procedure; Biological Products; Combination Products; Drugs; Medical Devices and Authority Delegations

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