83_FR_49292 83 FR 49103 - Use of the Names of Dairy Foods in the Labeling of Plant-Based Products

83 FR 49103 - Use of the Names of Dairy Foods in the Labeling of Plant-Based Products

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 189 (September 28, 2018)

Page Range49103-49107
FR Document2018-21200

The Food and Drug Administration (FDA or we) invites comments on the labeling of plant-based products with names that include the names of dairy foods such as ``milk,'' ``cultured milk,'' ``yogurt,'' and ``cheese.'' We are interested in learning how consumers use these plant-based products and how they understand terms such as, for example, ``milk'' or ``yogurt'' when included in the names of plant- based products. We also are interested in learning whether consumers are aware of and understand differences between the basic nature, characteristics, ingredients, and nutritional content of plant-based products and their dairy counterparts. We are taking this action to inform our development of an approach to the labeling of plant-based products that consumers may substitute for dairy foods.

Federal Register, Volume 83 Issue 189 (Friday, September 28, 2018)
[Federal Register Volume 83, Number 189 (Friday, September 28, 2018)]
[Notices]
[Pages 49103-49107]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-21200]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-3522]


Use of the Names of Dairy Foods in the Labeling of Plant-Based 
Products

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice; request for comments.

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SUMMARY: The Food and Drug Administration (FDA or we) invites comments 
on the labeling of plant-based products with names that include the 
names of dairy foods such as ``milk,'' ``cultured milk,'' ``yogurt,'' 
and ``cheese.'' We are interested in learning how consumers use these 
plant-based products and how they understand terms such as, for 
example, ``milk'' or ``yogurt'' when included in the names of plant-
based products. We also are interested in learning whether consumers 
are aware of and understand differences between the basic nature, 
characteristics, ingredients, and nutritional content of plant-based 
products and their dairy counterparts. We are taking this action to 
inform our development of an approach to the labeling of plant-based 
products that consumers may substitute for dairy foods.

DATES: Submit either electronic or written comments on this document by 
November 27, 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 November 27, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of November 27, 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.

[[Page 49104]]

     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2018-N-3522 for ``Use of the Names of Dairy Foods in the Labeling 
of Plant-Based Products.'' 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.'' We will review 
this copy, including the claimed confidential information, in our 
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: Mabel Lee, Center for Food Safety and 
Applied Nutrition, Food and Drug Administration, 5001 Campus Dr., 
College Park, MD 20740, 240-402-2371.

SUPPLEMENTARY INFORMATION: 

I. Background

A. Introduction

    Over the past several years, there has been an emergence and 
expansion of plant-based products labeled with names that include the 
names of dairy foods such as ``milk'' (e.g., ``soy milk,'' ``almond 
milk''), ``cultured milk'' (e.g., ``coconut kefir''), ``yogurt'' (e.g., 
``soy yogurt,'' ``almond milk yogurt''), and ``cheese'' (e.g., ``vegan 
mozzarella cheese''). These products are often packaged in the same 
kinds of cartons, tubs, or bottles as their dairy counterparts and 
sometimes are sold in or adjacent to the dairy display in stores. 
However, these plant-based products may not have the same basic nature, 
essential characteristics, and characterizing ingredients as their 
dairy counterparts and may differ in their performance characteristics 
(e.g., physical properties, flavor characteristics, functional 
properties, or shelf life) such that they are not suitable substitutes 
for certain uses. Some plant-based products also may contain less 
nutrients than their dairy counterparts and may not meet the 
recommendation for dairy food group intake in the ``2015-2020 Dietary 
Guidelines for Americans'' (Dietary Guidelines) (Ref. 1).
    We are interested in learning how consumers use these plant-based 
products and how they understand terms such as, for example, ``milk'' 
or ``yogurt'' when included in the labeling of plant-based products. We 
are interested in learning whether consumers are aware of and 
understand the basic nature, essential characteristics, characterizing 
ingredients, and nutritional differences between plant-based products 
and dairy foods.

B. Legal Authority

1. What is FDA's statutory and regulatory authority relating to the 
naming of food?
    The Federal Food, Drug, and Cosmetic Act (FD&C Act) provides for 
two general categories of food: Standardized food and nonstandardized 
food. (See sections 401 and 403(g), (h), and (i) of the FD&C Act (21 
U.S.C. 341 and 343(g), (h), and (i)).) Both standardized foods and 
nonstandardized foods are generally named by their common or usual 
names. When a food is standardized, the standard is promulgated in a 
regulation under the common or usual name of the food under section 401 
of the FD&C Act. The common or usual name of the food must be declared 
on the principal display panel of the label when the food is in package 
form. (See Sec.  101.3(b)(1) (21 CFR 101.3(b)(1).) Foods that are not 
standardized are also required to bear the common or usual name of the 
food on their labels when such a name exists (section 403(i)(1) of the 
FD&C Act and Sec.  101.3(b)(2)). The common or usual name of a food is 
the name by which it is known to the American public and is generally 
established by common usage (Sec.  102.5(d) (21 CFR 102.5(d)).
    However, in certain instances where the common or usual name of a 
nonstandardized food is found to be misleading or to cause 
confusion,\1\ we have established a new common or usual name by 
regulation (see 21 CFR part 102, subpart B). When establishing the 
name, we consider the principles set forward in Sec.  102.5(a) through 
(c), such as whether the name accurately identifies the food or 
describes its basic nature or characterizing properties or ingredients. 
We also consider whether the name is uniform among similar products and 
is not confusingly similar to the name of any other food that is not 
reasonably encompassed within the same name. The common or usual name 
established by regulation is then the name required to be declared on 
the label of the food (Sec.  101.3(b)(1)).
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    \1\ The FD&C Act prohibits labeling that is false or misleading 
(sections 403(a)(1) and 201(n) of the FD&C Act).
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2. What is FDA's statutory and regulatory authority regarding food 
standards?
    Our authority to establish food standards is set forth in section 
401 of the FD&C Act, which provides, in part, that to promote honesty 
and fair dealing in the interest of consumers we can promulgate 
regulations fixing and establishing for any food, under its common or 
usual name so far as practicable, a reasonable definition and standard 
of identity, a reasonable standard of quality, or reasonable standards 
of fill of container.
    Under section 403(g) of the FD&C Act, a food is misbranded if it 
purports to be or is represented as a food for which a definition and 
standard of identity has been prescribed by regulation, unless it 
conforms to such definition and standard. Misbranded food is prohibited 
from introduction or delivery for introduction into interstate commerce 
(section 301(a) of the FD&C Act) (21 U.S.C. 331(a))). The factors 
considered

[[Page 49105]]

in determining whether a food purports to be or is represented as a 
standardized food are not limited to the name or labeling of the food; 
other factors (for example, location in the grocery store or appearance 
of the package or container) may be relevant.
3. FDA's Standard of Identity Regulations for Certain Dairy Foods: 
Milk, Cultured Milk, Yogurt, and Cheese
    Standards of identity are established for milk and cream in 21 CFR 
part 131, subpart B. Each of these standards requires the use of milk 
or ingredients derived from milk (e.g., cream, nonfat milk). In this 
document, we discuss the standards of identity for milk, cultured milk, 
yogurt, lowfat yogurt, and nonfat yogurt for illustration purposes. We 
also discuss 21 CFR part 133, which sets forth definitions and 
standards of identity for cheeses and related cheese products.
    Milk is a standardized food and is described in Sec.  131.110(a) 
(21 CFR 131.110(a)), in part, as the lacteal secretion, practically 
free of colostrum, obtained by the complete milking of one or more 
healthy cows. Generally, milk serves as a dietary source of protein, 
calcium, vitamin A, and potassium. The standard of identity permits 
optional fortification with vitamins A and D to increase nutrient 
content (Sec.  131.110(b)). The common or usual name of food that 
purports to be or is represented as milk and conforms to the standard 
of identity is ``milk.''
    Cultured milk is a standardized food and is produced by culturing 
cream, milk, partially skimmed milk, and/or skim milk with 
characterizing microbial organisms (Sec.  131.112(a) and (c) (21 CFR 
131.112(a) and (c))). The standard of identity permits optional 
fortification with vitamins A and D to increase nutrient content (Sec.  
131.112(b)). The common or usual name of a food that purports to be or 
is represented as cultured milk and conforms to the standard of 
identity is ``cultured milk.'' However, the name of the food may be 
accompanied by a declaration such as the traditional name of the food 
or the generic name of the organisms used, thereby indicating the 
presence of the characterizing microbial organisms or ingredients, 
e.g., ``kefir cultured milk'' (Sec.  131.112(f)).
    Yogurt is a standardized food produced by culturing cream, milk, 
partially skimmed milk, and/or skim milk with a characterizing 
bacterial culture (Sec.  131.200(a) (21 CFR 131.200(a))). The common or 
usual name of a food that purports to be or is represented as yogurt 
and conforms to the standard of identity is ``yogurt.'' Lowfat yogurt 
and nonfat yogurt are also standardized foods produced by culturing 
cream, milk, partially skimmed milk, and/or skim milk with a 
characterizing bacterial culture (Sec.  131.203(a) and Sec.  131.206(a) 
(21 CFR 131.203(a) and 131.206(a))); their common or usual names are 
``lowfat yogurt'' and ``nonfat yogurt,'' respectively. We note that 
certain provisions of the standards of identity for yogurt, lowfat 
yogurt, and nonfat yogurt have been stayed (47 FR 41519, September 21, 
1982). We also note that, in the Federal Register of January 15, 2009 
(74 FR 2443), we issued a proposed rule that would amend the standard 
of identity for yogurt and revoke the standards of identity for lowfat 
yogurt and nonfat yogurt. Revocation of the standards of identity for 
lowfat yogurt and nonfat yogurt would result in lower fat yogurt 
products being covered under the general standard in Sec.  130.10 (21 
CFR 130.10).
    Standards of identity are established for cheeses and related 
cheese products in 21 CFR part 133, subpart B. Each of these standards 
requires the use of milk or ingredients derived from milk (e.g., cream, 
nonfat milk). Milk is defined in Sec.  133.3(a) (21 CFR 133.3(a)), in 
part, as the lacteal secretion, practically free of colostrum, obtained 
by the complete milking of one or more healthy cows. However, some 
standardized cheeses (e.g., Caciocavallo siciliano cheese (Sec.  
133.111 (21 CFR 133.111)) and mozzarella cheese (Sec.  133.155 (21 CFR 
133.155)) allow for the use of milk from other mammals like sheep, 
goat, or water buffalo. When cheese is made from sheep's milk, goat's 
milk, or water buffalo's milk, the animal source of the milk is often 
declared on the label in conjunction with the name of the cheese (e.g., 
see Sec.  133.111(e)). The common or usual name of a food that purports 
to be or is represented as a standardized cheese or cheese product and 
conforms to the standard of identity is the name specified in the 
corresponding standard (e.g., cheddar cheese, provolone cheese, and 
swiss cheese).
    Standardized foods that have been modified in accordance with a 
nutrient content claim defined by regulation (e.g., ``low fat,'' 
``skim'') and that substitute for the standardized food are subject to 
the general standard under Sec.  130.10. If the modification results in 
loss of essential nutrients, the general standard requires the 
nutrients to be restored so that the modified food is not nutritionally 
inferior to the standardized food (Sec.  130.10(b)). Both the nutrient 
content claim and the name of the standardized food are included in the 
name of the modified food (e.g., ``low fat milk,'' ``skim milk''). In 
general, a standardized food that has been modified in accordance with 
a nutrient content claim defined by regulation and that substitutes for 
the standardized food is subject to the general standard under Sec.  
130.10, unless a specific standard of identity related to the 
modification exists (e.g., lowfat yogurt, nonfat yogurt, low sodium 
cheddar cheese).
    Plant-based products that resemble dairy foods, such as milk, 
cultured milk, yogurt, and cheese do not have standards of identity, 
and therefore are nonstandardized foods. Thus, these foods are subject 
to section 403(i)(1) of the FD&C Act and their labels must bear the 
common or usual name of the food.

II. Additional Issues for Consideration and Request for Information

    We invite comment, particularly data and other evidence, about: (A) 
The current market conditions and labeling costs of plant-based 
products; (B) consumer understanding, perception, purchase, and 
consumption of plant-based products, particularly those manufactured to 
resemble dairy foods such as, for example, milk, cultured milk, yogurt, 
and cheese; (C) consumer understanding regarding the basic nature, 
characteristics, and properties of these plant-based products; (D) 
consumer understanding of the nutritional content of plant-based 
products and dairy foods and the effect, if any, on consumer purchases 
and use; and (E) the role of plant-based products and dairy foods in 
meeting the recommendations in the Dietary Guidelines (Ref. 1). 
Specifically, we are interested in responses to the following 
questions. In responding to these questions, please identify the 
question by its associated letter and number (such as ``B.1'') so that 
we can easily associate your response with a specific question.

A. The Current Market Conditions and Labeling Costs of Plant-Based 
Products

    1. How many different types of plant-based products that are 
manufactured to resemble dairy foods such as, for example, milk, 
cultured milk, yogurt, and cheese, are on the market? Please provide 
any data or evidence to support your answer.
    2. What percentage of each subclass (e.g., soy or almond) of plant-
based products is marketed as a substitute for its dairy counterpart 
(e.g., milk, cultured milk, yogurt, or cheese)? What percentages of 
each subclass of plant-based products are marketed with names that 
include the name of a dairy

[[Page 49106]]

food (e.g., ``milk'') versus names that include another term (e.g., 
``beverage'' or ``drink'')? Please provide any data or evidence to 
support your answer.
    3. What are the costs associated with label changes? How often are 
labels revised?
    4. How are plant-based products displayed in stores? For example, 
are they sold in grocery stores next to or mixed with their dairy 
counterparts or are they sold in areas of the store that are separate 
or distinct from the areas where their dairy counterparts are sold? 
Does the packaging or display of these plant-based products affect 
consumers' perception or expectation about the nutritional properties 
or performance of these products?

B. Consumer Understanding, Perception, Purchase, and Consumption of 
Plant-Based Products, Particularly Those Manufactured To Resemble Dairy 
Foods Such as, for Example, Milk, Cultured Milk, Yogurt, and Cheese

    1. Why do consumers purchase and consume these types of plant-based 
products? How do they use these products? Specifically, do consumers 
purchase these plant-based products for use as substitutes for their 
dairy counterparts, or do consumers purchase these plant-based products 
for distinct uses? If consumers use these plant-based products as 
substitutes for dairy foods (for example plant-based beverages as 
alternatives to milk), what are their reasons? Do consumers think they 
are healthier, and if so, why? Are consumers purchasing these plant-
based products because they may be allergic to dairy or are lactose-
intolerant? Are consumers purchasing these plant-based products for 
reasons related to their personal consumption habits, such as a vegan 
diet? If consumers do not use these plant-based products as substitutes 
for dairy foods, what are their reasons for choosing these products? 
(For example, do these products provide unique taste, flavor, or 
texture?) Does consumer purchasing behavior differ if the consumer is 
purchasing the product for himself/herself as opposed to purchasing the 
product for a family member? Please provide any data or evidence to 
support your answer.
    2. Do consumers perceive these plant-based products to be more 
nutritious, as nutritious, or less nutritious than their dairy 
counterparts? If consumers perceive these plant-based products to be 
more nutritious or as nutritious as their dairy counterparts, to what 
extent does this affect their decision to buy plant-based products? 
Please provide any data or evidence to support your answer.
    3. Do consumers perceive or expect these plant-based products to 
perform in the same manner as their dairy counterparts? For example, 
milk can be an ingredient in preparing other foods. Do consumers expect 
plant-based beverage products to perform in the same manner as milk 
when preparing other foods or in recipes that use milk? Please provide 
any data or evidence to support your answer.
    4. How do consumers perceive or understand labeling of these plant-
based products? For example, do consumers perceive the labeling as 
suggesting that these plant-based products are equivalent to or can be 
substituted for their dairy counterparts? Do consumers perceive the 
labeling as suggesting that plant-based products are different or 
distinct from their dairy counterparts? Please provide any data or 
evidence to support your answer.
    5. We are aware that some plant-based beverage manufacturers use 
the term ``milk'' as part of the name of these foods while other 
manufacturers use terms such as ``beverage'' or ``drink'' as part of 
the name of these foods. Do consumers perceive plant-based beverages to 
be different if the term ``milk'' is used instead of ``beverage'' or 
``drink''? For example, how do consumers perceive or understand ``soy 
milk'' in comparison to ``soy-based beverage'' or ``soy drink''? Please 
provide any data or evidence to support your answer.

C. Consumer Understanding Regarding the Basic Nature, Characteristics, 
and Properties of Plant-Based Products

    1. What do consumers believe to be the basic nature, 
characteristics, or properties of plant-based products manufactured to 
resemble dairy foods such as, for example, milk, cultured milk, yogurt, 
and cheese? Is consumer understanding of the basic nature of plant-
based products influenced by inclusion of terms such as milk, cultured 
milk, yogurt, and cheese in the names in the labeling of these 
products? Do consumers expect plant-based products labeled with such 
names to have physical characteristics, performance characteristics, or 
properties of their dairy counterparts? If so, in what ways? Please 
provide any data or evidence to support your answer.
    2. What do consumers believe are the main ingredients of plant-
based products? What do consumers understand/think about the different 
protein sources being used to make these plant-based products? Do they 
understand that some of these plant-based products contain proteins 
from more than one plant source (e.g., almond and pea protein)? Are 
these beliefs or understanding influenced by the inclusion of dairy 
food names, particularly ``milk,'' ``cultured milk,'' ``yogurt,'' or 
``cheese,'' in the product name? Please provide any data or evidence to 
support your answer.
    3. What is consumers' understanding of the amount or proportion of 
plant-based ingredient(s) relative to other ingredients in plant-based 
products? Are consumers aware that other ingredients (e.g., 
emulsifiers, thickeners, sweeteners, and added nutrients such as 
vitamins and minerals) are used in the manufacture of these plant-based 
products? How does the use of these ingredients impact consumer 
perception of these products? Please provide any data or evidence to 
support your answer.
    4. Do these plant-based products vary in ingredients, even when 
manufactured using the same type of plant source (e.g., soy or almond)? 
If so, how? What are consumers' expectations regarding the ingredients 
of different brands of each subclass (e.g., soy or almond) of plant-
based products? What impact, if any, does the compositional variation 
have on purchase and consumption decisions? Please provide any data or 
evidence to support your answer.

D. Consumer Understanding of the Nutritional Content of Plant-Based 
Products and Dairy Foods and the Effect, if Any, on Consumer Purchases 
and Use

    1. Dairy foods, such as milk, cultured milk, yogurt, and cheese, 
may differ in nutritional content compared to plant-based products 
manufactured to resemble these dairy foods. What nutrients, if any, do 
consumers believe to be provided from dairy foods such as milk, 
cultured milk, yogurt, and cheese? What nutrients, if any, do consumers 
believe to be in plant-based products that resemble dairy foods, such 
as milk, cultured milk, yogurt, and cheese? Do consumers expect certain 
nutrients to be present in both plant-based products and their dairy 
counterparts, and, if so, what nutrients do they expect? Do these 
expectations change depending on the terms included in the names of 
plant-based products, e.g., ``milk,'' ``beverage,'' ``drink,'' 
``yogurt,'' ``yogurt alternative,'' ``vegan cheddar cheese,'' ``cheese 
shreds''? Please provide any data or evidence to support your answer.
    2. Do parents and caregivers who purchase these plant-based 
products for young children or other family members

[[Page 49107]]

believe that these plant-based products are nutritionally equivalent to 
their dairy counterparts and can replace them as a food choice? Are 
expectations of nutritional equivalency a factor in parents' and 
caregivers' decisions to purchase these plant-based products as part of 
young children's or other family members' balanced diet? Please provide 
any data or evidence to support your answer.
    3. Do these plant-based products vary in nutrient composition, even 
when manufactured using the same type of plant ingredients (e.g., soy 
or almond)? If so, how? What are consumers' expectations regarding the 
nutrient compositions of different brands of each subclass (e.g., soy 
or almond) of plant-based products? What impact, if any, does the 
compositional variation have on purchase and consumption decisions? 
Please provide any data or evidence to support your answer.
    4. We are aware that the United States Department of Agriculture's 
National Nutrient Database for Standard Reference (USDA Nutrient 
Database) provides information about the nutritional content of dairy 
foods as well as some plant-based products that resemble dairy foods 
(Ref. 2). However, we believe the USDA Nutrient Database may not be a 
full representation of all the varieties of dairy foods, including 
milk, cultured milk, yogurt, cheese, and of the plant-based products 
manufactured to resemble these dairy foods, currently in the United 
States marketplace. We are interested in any data regarding the 
nutritional profiles of different dairy foods, such as, for example, 
milk, modified milk, cultured milk, yogurt, and cheese products, and 
any data regarding the nutritional profiles of the various plant-based 
products that resemble dairy foods, including fortified versions of 
those plant-based products. We are particularly interested in obtaining 
data that compares the amounts of protein, calcium, vitamin D, and 
potassium in these plant-based products and their dairy counterparts.
    5. How do the protein qualities of plant-based products compare to 
their dairy counterparts? How does the variation, if any, impact 
consumer perception, and purchasing and consumption decisions? Please 
provide any data or evidence to support your answer.

E. The Role of Plant-Based Products and Dairy Foods in Meeting the 
Recommendations in the Dietary Guidelines

    The Dietary Guidelines contain nutritional and dietary information 
and guidelines for the public. The Dietary Guidelines are based on the 
preponderance of current scientific and medical knowledge and are 
intended to help individuals ages 2 years and older consume a healthy, 
nutritionally adequate diet. As part of these recommendations, the 
Dietary Guidelines refer to several ``food groups,'' including a 
``dairy group,'' which includes fortified soy beverages. [Note: 
Although the Dietary Guidelines refer to a ``dairy group,'' as 
indicated in section I.A., by ``dairy foods,'' FDA is referring to 
foods such as milk, cheese, and yogurt, and not to their plant-based 
counterparts.]
    The Dietary Guidelines state that healthy eating patterns in the 
dairy group include fat-free and low-fat (1 percent) dairy, including 
milk, yogurt, cheese, or fortified soy beverages (see Ref. 1 at page 
23). The Dietary Guidelines explain that soy beverages fortified with 
calcium, vitamin A, and vitamin D, are included as part of the dairy 
group because they are similar to fortified low- and non-fat milk based 
on nutrient composition and in their use in meals. The Dietary 
Guidelines also state that other plant-based beverages sold as 
``milks'' (such as almond, rice, coconut, and hemp ``milks'') are not 
included as part of the dairy group because their overall nutritional 
content is not similar to that of milk and fortified soy beverages 
(id.).
    According to the Dietary Guidelines, the key nutrient contributions 
in the dairy group include calcium, phosphorus, vitamin A, vitamin D 
(in products fortified with vitamin D), riboflavin, vitamin B12, 
protein, potassium, zinc, choline, magnesium, and selenium (id.).
    1. Do consumers understand that certain plant-based products might 
have a nutritional content that is not adequate to place them in the 
dairy group as described in the Dietary Guidelines? How does this 
influence their purchasing behavior with respect to plant-based 
products and dairy foods? Please provide any data or evidence to 
support your answer.
    2. Do consumers who purchase or consume plant-based products 
instead of dairy foods, such as yogurt or cheese, believe that these 
plant-based products meet the dairy group recommendation described in 
the Dietary Guidelines? Please provide any data or evidence to support 
your answer.

III. References

    The following references are on display at the Dockets Management 
Staff (see ADDRESSES) and are available for viewing by interested 
persons between 9 a.m. and 4 p.m., Monday through Friday; they are also 
available electronically at https://www.regulations.gov. FDA has 
verified the website addresses, as of the date this document publishes 
in the Federal Register, but websites are subject to change over time.

1. U.S. Department of Health and Human Services and U.S. Department 
of Agriculture. ``Dietary Guidelines for Americans, 2015-2020.'' 
Eighth Edition. December 2015. Accessed online at https://health.gov/dietaryguidelines/2015/guidelines/.
2. U.S. Department of Agriculture. National Nutrient Database for 
Standard Reference (Release 23), Food items with NDB Numbers: 01077, 
01079, 01082, 01085, 16222, 16229, 16230, 14091, and 14639 accessed 
online at http://www.nal.usda.gov/fnic/foodcomp/search on August 1, 
2018.

    Dated: September 25, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-21200 Filed 9-27-18; 8:45 am]
 BILLING CODE 4164-01-P



                                                                          Federal Register / Vol. 83, No. 189 / Friday, September 28, 2018 / Notices                                                       49103

                                                Application No.                                          Drug                                                                    Applicant

                                              ANDA 077312 ....      Fentanyl Citrate Troche/Lozenge, EQ 0.2 mg base, EQ 0.4                             Par Pharmaceutical, Inc., One Ram Ridge Rd., Chestnut
                                                                      mg base, EQ 0.6 mg base, EQ 0.8 mg base, EQ 1.2 mg,                                 Ridge, NY 10977.
                                                                      and EQ 1.6 mg base.
                                              ANDA 077853 ....      Metformin HCl Tablets USP, 500 mg, 850 mg, and 1 g .........                        Provident Pharmaceutical, Inc., c/o Vintage Pharmaceuticals,
                                                                                                                                                          LLC, 1400 Atwater Dr., Malvern, PA 19355.
                                              ANDA 080355 ....      Hydrocortisone Tablets USP, 20 mg .......................................           Watson Laboratories, Inc., Subsidiary of Teva Pharma-
                                                                                                                                                          ceuticals USA, Inc., Morris Corporate Center III, 400
                                                                                                                                                          Interpace Pkwy., Parsippany, NJ 07054.
                                              ANDA 080377 ....      Lidocaine HCl with Epinephrine Injection, 1%; 0.01 mg/mL                            Watson Laboratories, Inc., Subsidiary of Teva Pharma-
                                                                      and 2%; 0.01 mg/mL.                                                                 ceuticals USA, Inc., 425 Privet Rd., Horsham, PA 19044.
                                              ANDA 087100 ....      Chlorthalidone Tablets USP, 25 mg ........................................          Do.
                                              ANDA 087211 ....      Methocarbamol and Aspirin Tablets, 400 mg/325 mg .............                      Ivax Pharmaceuticals, Inc., Subsidiary of Teva Pharma-
                                                                                                                                                          ceuticals USA, Inc., 425 Privet Rd., Horsham, PA 19044.
                                              ANDA 090184 ....      Podofilox Topical Solution, 0.5% .............................................      Bausch & Lomb, Inc., Subsidiary of Valeant Pharmaceuticals
                                                                                                                                                          North America, LLC, 400 Somerset Corporate Blvd.,
                                                                                                                                                          Bridgewater, NJ 08807.
                                              ANDA 202002 ....      Imiquimod Cream, 5% .............................................................   Strides Pharma Global Pte Ltd., c/o Strides Pharma, Inc., 2
                                                                                                                                                          Tower Center Blvd., Suite 1102, East Brunswick, NJ
                                                                                                                                                          08816.
                                              ANDA 203247 ....      Sodium Fluoride F–18 Injection, 10–200 millicurie (mCi)/mL ..                       University of Texas MD Anderson Cancer Center, Cyclotron
                                                                                                                                                          Radiochemistry Facility, 1881 East Rd., Unit 1903, Hous-
                                                                                                                                                          ton, TX 77054.
                                              ANDA 203933 ....      Ammonia N–13 Injection, 3.75–37.5 mCi/mL ..........................                 Do.
                                              ANDA 205072 ....      Cefadroxil Capsules USP, EQ 500 mg base ...........................                 CSPC Ouyi Pharmaceutical Co., Ltd., c/o Megalith Pharma-
                                                                                                                                                          ceuticals, Inc., 9625 Hillside Rd., Rancho Cucamonga, CA
                                                                                                                                                          91737.



                                                 Therefore, approval of the                               names of dairy foods such as ‘‘milk,’’                      Electronic Submissions
                                              applications listed in the table, and all                   ‘‘cultured milk,’’ ‘‘yogurt,’’ and                            Submit electronic comments in the
                                              amendments and supplements thereto,                         ‘‘cheese.’’ We are interested in learning                   following way:
                                              is hereby withdrawn as of October 29,                       how consumers use these plant-based                           • Federal eRulemaking Portal:
                                              2018. Introduction or delivery for                          products and how they understand                            https://www.regulations.gov. Follow the
                                              introduction into interstate commerce of                    terms such as, for example, ‘‘milk’’ or                     instructions for submitting comments.
                                              products without approved new drug                          ‘‘yogurt’’ when included in the names of
                                              applications violates section 301(a) and                                                                                Comments submitted electronically,
                                                                                                          plant-based products. We also are                           including attachments, to https://
                                              (d) of the Federal Food, Drug, and                          interested in learning whether
                                              Cosmetic Act (21 U.S.C. 331(a) and (d)).                                                                                www.regulations.gov will be posted to
                                                                                                          consumers are aware of and understand                       the docket unchanged. Because your
                                              Drug products that are listed in the table
                                                                                                          differences between the basic nature,                       comment will be made public, you are
                                              that are in inventory on October 29,
                                              2018 may continue to be dispensed                           characteristics, ingredients, and                           solely responsible for ensuring that your
                                              until the inventories have been depleted                    nutritional content of plant-based                          comment does not include any
                                              or the drug products have reached their                     products and their dairy counterparts.                      confidential information that you or a
                                              expiration dates or otherwise become                        We are taking this action to inform our                     third party may not wish to be posted,
                                              violative, whichever occurs first.                          development of an approach to the                           such as medical information, your or
                                                                                                          labeling of plant-based products that                       anyone else’s Social Security number, or
                                                Dated: September 25, 2018.                                                                                            confidential business information, such
                                                                                                          consumers may substitute for dairy
                                              Leslie Kux,                                                                                                             as a manufacturing process. Please note
                                                                                                          foods.
                                              Associate Commissioner for Policy.                                                                                      that if you include your name, contact
                                              [FR Doc. 2018–21199 Filed 9–27–18; 8:45 am]                 DATES: Submit either electronic or                          information, or other information that
                                              BILLING CODE 4164–01–P                                      written comments on this document by                        identifies you in the body of your
                                                                                                          November 27, 2018.                                          comments, that information will be
                                                                                                                                                                      posted on https://www.regulations.gov.
                                                                                                          ADDRESSES:   You may submit comments
                                              DEPARTMENT OF HEALTH AND                                                                                                  • If you want to submit a comment
                                              HUMAN SERVICES                                              as follows. Please note that late,                          with confidential information that you
                                                                                                          untimely filed comments will not be                         do not wish to be made available to the
                                              Food and Drug Administration                                considered. Electronic comments must                        public, submit the comment as a
                                              [Docket No. FDA–2018–N–3522]                                be submitted on or before November 27,                      written/paper submission and in the
                                                                                                          2018. The https://www.regulations.gov                       manner detailed (see ‘‘Written/Paper
                                              Use of the Names of Dairy Foods in the                      electronic filing system will accept                        Submissions’’ and ‘‘Instructions’’).
                                              Labeling of Plant-Based Products                            comments until midnight Eastern Time
                                                                                                          at the end of November 27, 2018.                            Written/Paper Submissions
                                              AGENCY:    Food and Drug Administration,
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                                              HHS.                                                        Comments received by mail/hand                                Submit written/paper submissions as
                                              ACTION:   Notice; request for comments.                     delivery/courier (for written/paper                         follows:
                                                                                                          submissions) will be considered timely                        • Mail/Hand delivery/Courier (for
                                              SUMMARY: The Food and Drug                                  if they are postmarked or the delivery                      written/paper submissions): Dockets
                                              Administration (FDA or we) invites                          service acceptance receipt is on or                         Management Staff (HFA–305), Food and
                                              comments on the labeling of plant-based                     before that date.                                           Drug Administration, 5630 Fishers
                                              products with names that include the                                                                                    Lane, Rm. 1061, Rockville, MD 20852.


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                                              49104                       Federal Register / Vol. 83, No. 189 / Friday, September 28, 2018 / Notices

                                                 • For written/paper comments                         FOR FURTHER INFORMATION CONTACT:                      standard is promulgated in a regulation
                                              submitted to the Dockets Management                     Mabel Lee, Center for Food Safety and                 under the common or usual name of the
                                              Staff, FDA will post your comment, as                   Applied Nutrition, Food and Drug                      food under section 401 of the FD&C Act.
                                              well as any attachments, except for                     Administration, 5001 Campus Dr.,                      The common or usual name of the food
                                              information submitted, marked and                       College Park, MD 20740, 240–402–2371.                 must be declared on the principal
                                              identified, as confidential, if submitted               SUPPLEMENTARY INFORMATION:                            display panel of the label when the food
                                              as detailed in ‘‘Instructions.’’                                                                              is in package form. (See § 101.3(b)(1) (21
                                                                                                      I. Background                                         CFR 101.3(b)(1).) Foods that are not
                                                 Instructions: All submissions received
                                              must include the Docket No. FDA–                        A. Introduction                                       standardized are also required to bear
                                              2018–N–3522 for ‘‘Use of the Names of                      Over the past several years, there has             the common or usual name of the food
                                              Dairy Foods in the Labeling of Plant-                   been an emergence and expansion of                    on their labels when such a name exists
                                              Based Products.’’ Received comments,                    plant-based products labeled with                     (section 403(i)(1) of the FD&C Act and
                                              those filed in a timely manner (see                     names that include the names of dairy                 § 101.3(b)(2)). The common or usual
                                              ADDRESSES), will be placed in the docket                foods such as ‘‘milk’’ (e.g., ‘‘soy milk,’’           name of a food is the name by which it
                                                                                                      ‘‘almond milk’’), ‘‘cultured milk’’ (e.g.,            is known to the American public and is
                                              and, except for those submitted as
                                                                                                      ‘‘coconut kefir’’), ‘‘yogurt’’ (e.g., ‘‘soy           generally established by common usage
                                              ‘‘Confidential Submissions,’’ publicly
                                                                                                      yogurt,’’ ‘‘almond milk yogurt’’), and                (§ 102.5(d) (21 CFR 102.5(d)).
                                              viewable at https://www.regulations.gov                                                                          However, in certain instances where
                                              or at the Dockets Management Staff                      ‘‘cheese’’ (e.g., ‘‘vegan mozzarella
                                                                                                      cheese’’). These products are often                   the common or usual name of a
                                              between 9 a.m. and 4 p.m., Monday                                                                             nonstandardized food is found to be
                                              through Friday.                                         packaged in the same kinds of cartons,
                                                                                                      tubs, or bottles as their dairy                       misleading or to cause confusion,1 we
                                                 • Confidential Submissions—To                        counterparts and sometimes are sold in                have established a new common or
                                              submit a comment with confidential                      or adjacent to the dairy display in                   usual name by regulation (see 21 CFR
                                              information that you do not wish to be                  stores. However, these plant-based                    part 102, subpart B). When establishing
                                              made publicly available, submit your                    products may not have the same basic                  the name, we consider the principles set
                                              comments only as a written/paper                        nature, essential characteristics, and                forward in § 102.5(a) through (c), such
                                              submission. You should submit two                       characterizing ingredients as their dairy             as whether the name accurately
                                              copies total. One copy will include the                 counterparts and may differ in their                  identifies the food or describes its basic
                                              information you claim to be confidential                performance characteristics (e.g.,                    nature or characterizing properties or
                                              with a heading or cover note that states                physical properties, flavor                           ingredients. We also consider whether
                                              ‘‘THIS DOCUMENT CONTAINS                                characteristics, functional properties, or            the name is uniform among similar
                                              CONFIDENTIAL INFORMATION.’’ We                          shelf life) such that they are not suitable           products and is not confusingly similar
                                              will review this copy, including the                    substitutes for certain uses. Some plant-             to the name of any other food that is not
                                              claimed confidential information, in our                based products also may contain less                  reasonably encompassed within the
                                              consideration of comments. The second                   nutrients than their dairy counterparts               same name. The common or usual name
                                              copy, which will have the claimed                       and may not meet the recommendation                   established by regulation is then the
                                              confidential information redacted/                      for dairy food group intake in the                    name required to be declared on the
                                              blacked out, will be available for public               ‘‘2015–2020 Dietary Guidelines for                    label of the food (§ 101.3(b)(1)).
                                              viewing and posted on https://                          Americans’’ (Dietary Guidelines) (Ref.                2. What is FDA’s statutory and
                                              www.regulations.gov. Submit both                        1).                                                   regulatory authority regarding food
                                              copies to the Dockets Management Staff.                    We are interested in learning how                  standards?
                                              If you do not wish your name and                        consumers use these plant-based
                                              contact information to be made publicly                 products and how they understand                         Our authority to establish food
                                              available, you can provide this                         terms such as, for example, ‘‘milk’’ or               standards is set forth in section 401 of
                                              information on the cover sheet and not                  ‘‘yogurt’’ when included in the labeling              the FD&C Act, which provides, in part,
                                              in the body of your comments and you                    of plant-based products. We are                       that to promote honesty and fair dealing
                                              must identify this information as                       interested in learning whether                        in the interest of consumers we can
                                              ‘‘confidential.’’ Any information marked                consumers are aware of and understand                 promulgate regulations fixing and
                                              as ‘‘confidential’’ will not be disclosed               the basic nature, essential                           establishing for any food, under its
                                              except in accordance with 21 CFR 10.20                  characteristics, characterizing                       common or usual name so far as
                                              and other applicable disclosure law. For                ingredients, and nutritional differences              practicable, a reasonable definition and
                                              more information about FDA’s posting                    between plant-based products and dairy                standard of identity, a reasonable
                                              of comments to public dockets, see 80                   foods.                                                standard of quality, or reasonable
                                              FR 56469, September 18, 2015, or access                                                                       standards of fill of container.
                                                                                                      B. Legal Authority                                       Under section 403(g) of the FD&C Act,
                                              the information at: https://www.gpo.gov/
                                              fdsys/pkg/FR-2015-09-18/pdf/2015-                       1. What is FDA’s statutory and                        a food is misbranded if it purports to be
                                              23389.pdf.                                              regulatory authority relating to the                  or is represented as a food for which a
                                                                                                      naming of food?                                       definition and standard of identity has
                                                 Docket: For access to the docket to
                                                                                                                                                            been prescribed by regulation, unless it
                                              read background documents or the                           The Federal Food, Drug, and Cosmetic               conforms to such definition and
                                              electronic and written/paper comments                   Act (FD&C Act) provides for two general               standard. Misbranded food is prohibited
                                              received, go to https://                                categories of food: Standardized food
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                                                                                                                                                            from introduction or delivery for
                                              www.regulations.gov and insert the                      and nonstandardized food. (See sections               introduction into interstate commerce
                                              docket number, found in brackets in the                 401 and 403(g), (h), and (i) of the FD&C              (section 301(a) of the FD&C Act) (21
                                              heading of this document, into the                      Act (21 U.S.C. 341 and 343(g), (h), and               U.S.C. 331(a))). The factors considered
                                              ‘‘Search’’ box and follow the prompts                   (i)).) Both standardized foods and
                                              and/or go to the Dockets Management                     nonstandardized foods are generally                     1 The FD&C Act prohibits labeling that is false or
                                              Staff, 5630 Fishers Lane, Rm. 1061,                     named by their common or usual                        misleading (sections 403(a)(1) and 201(n) of the
                                              Rockville, MD 20852.                                    names. When a food is standardized, the               FD&C Act).



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                                                                          Federal Register / Vol. 83, No. 189 / Friday, September 28, 2018 / Notices                                           49105

                                              in determining whether a food purports                  Lowfat yogurt and nonfat yogurt are also              name of the modified food (e.g., ‘‘low fat
                                              to be or is represented as a standardized               standardized foods produced by                        milk,’’ ‘‘skim milk’’). In general, a
                                              food are not limited to the name or                     culturing cream, milk, partially                      standardized food that has been
                                              labeling of the food; other factors (for                skimmed milk, and/or skim milk with a                 modified in accordance with a nutrient
                                              example, location in the grocery store or               characterizing bacterial culture                      content claim defined by regulation and
                                              appearance of the package or container)                 (§ 131.203(a) and § 131.206(a) (21 CFR                that substitutes for the standardized
                                              may be relevant.                                        131.203(a) and 131.206(a))); their                    food is subject to the general standard
                                                                                                      common or usual names are ‘‘lowfat                    under § 130.10, unless a specific
                                              3. FDA’s Standard of Identity
                                                                                                      yogurt’’ and ‘‘nonfat yogurt,’’                       standard of identity related to the
                                              Regulations for Certain Dairy Foods:
                                                                                                      respectively. We note that certain                    modification exists (e.g., lowfat yogurt,
                                              Milk, Cultured Milk, Yogurt, and Cheese
                                                                                                      provisions of the standards of identity               nonfat yogurt, low sodium cheddar
                                                 Standards of identity are established                for yogurt, lowfat yogurt, and nonfat                 cheese).
                                              for milk and cream in 21 CFR part 131,                  yogurt have been stayed (47 FR 41519,                   Plant-based products that resemble
                                              subpart B. Each of these standards                      September 21, 1982). We also note that,               dairy foods, such as milk, cultured milk,
                                              requires the use of milk or ingredients                 in the Federal Register of January 15,                yogurt, and cheese do not have
                                              derived from milk (e.g., cream, nonfat                  2009 (74 FR 2443), we issued a                        standards of identity, and therefore are
                                              milk). In this document, we discuss the                 proposed rule that would amend the                    nonstandardized foods. Thus, these
                                              standards of identity for milk, cultured                standard of identity for yogurt and                   foods are subject to section 403(i)(1) of
                                              milk, yogurt, lowfat yogurt, and nonfat                 revoke the standards of identity for                  the FD&C Act and their labels must bear
                                              yogurt for illustration purposes. We also               lowfat yogurt and nonfat yogurt.                      the common or usual name of the food.
                                              discuss 21 CFR part 133, which sets                     Revocation of the standards of identity
                                              forth definitions and standards of                                                                            II. Additional Issues for Consideration
                                                                                                      for lowfat yogurt and nonfat yogurt                   and Request for Information
                                              identity for cheeses and related cheese                 would result in lower fat yogurt
                                              products.                                               products being covered under the                         We invite comment, particularly data
                                                 Milk is a standardized food and is                   general standard in § 130.10 (21 CFR                  and other evidence, about: (A) The
                                              described in § 131.110(a) (21 CFR                       130.10).                                              current market conditions and labeling
                                              131.110(a)), in part, as the lacteal                       Standards of identity are established              costs of plant-based products; (B)
                                              secretion, practically free of colostrum,               for cheeses and related cheese products               consumer understanding, perception,
                                              obtained by the complete milking of one                 in 21 CFR part 133, subpart B. Each of                purchase, and consumption of plant-
                                              or more healthy cows. Generally, milk                   these standards requires the use of milk              based products, particularly those
                                              serves as a dietary source of protein,                  or ingredients derived from milk (e.g.,               manufactured to resemble dairy foods
                                              calcium, vitamin A, and potassium. The                  cream, nonfat milk). Milk is defined in               such as, for example, milk, cultured
                                              standard of identity permits optional                   § 133.3(a) (21 CFR 133.3(a)), in part, as             milk, yogurt, and cheese; (C) consumer
                                              fortification with vitamins A and D to                  the lacteal secretion, practically free of            understanding regarding the basic
                                              increase nutrient content (§ 131.110(b)).               colostrum, obtained by the complete                   nature, characteristics, and properties of
                                              The common or usual name of food that                   milking of one or more healthy cows.                  these plant-based products; (D)
                                              purports to be or is represented as milk                However, some standardized cheeses                    consumer understanding of the
                                              and conforms to the standard of identity                (e.g., Caciocavallo siciliano cheese                  nutritional content of plant-based
                                              is ‘‘milk.’’                                            (§ 133.111 (21 CFR 133.111)) and                      products and dairy foods and the effect,
                                                 Cultured milk is a standardized food                 mozzarella cheese (§ 133.155 (21 CFR                  if any, on consumer purchases and use;
                                              and is produced by culturing cream,                     133.155)) allow for the use of milk from              and (E) the role of plant-based products
                                              milk, partially skimmed milk, and/or                    other mammals like sheep, goat, or                    and dairy foods in meeting the
                                              skim milk with characterizing microbial                 water buffalo. When cheese is made                    recommendations in the Dietary
                                              organisms (§ 131.112(a) and (c) (21 CFR                 from sheep’s milk, goat’s milk, or water              Guidelines (Ref. 1). Specifically, we are
                                              131.112(a) and (c))). The standard of                   buffalo’s milk, the animal source of the              interested in responses to the following
                                              identity permits optional fortification                 milk is often declared on the label in                questions. In responding to these
                                              with vitamins A and D to increase                       conjunction with the name of the cheese               questions, please identify the question
                                              nutrient content (§ 131.112(b)). The                    (e.g., see § 133.111(e)). The common or               by its associated letter and number
                                              common or usual name of a food that                     usual name of a food that purports to be              (such as ‘‘B.1’’) so that we can easily
                                              purports to be or is represented as                     or is represented as a standardized                   associate your response with a specific
                                              cultured milk and conforms to the                       cheese or cheese product and conforms                 question.
                                              standard of identity is ‘‘cultured milk.’’              to the standard of identity is the name
                                              However, the name of the food may be                                                                          A. The Current Market Conditions and
                                                                                                      specified in the corresponding standard
                                              accompanied by a declaration such as                    (e.g., cheddar cheese, provolone cheese,              Labeling Costs of Plant-Based Products
                                              the traditional name of the food or the                 and swiss cheese).                                       1. How many different types of plant-
                                              generic name of the organisms used,                        Standardized foods that have been                  based products that are manufactured to
                                              thereby indicating the presence of the                  modified in accordance with a nutrient                resemble dairy foods such as, for
                                              characterizing microbial organisms or                   content claim defined by regulation                   example, milk, cultured milk, yogurt,
                                              ingredients, e.g., ‘‘kefir cultured milk’’              (e.g., ‘‘low fat,’’ ‘‘skim’’) and that                and cheese, are on the market? Please
                                              (§ 131.112(f)).                                         substitute for the standardized food are              provide any data or evidence to support
                                                 Yogurt is a standardized food                        subject to the general standard under                 your answer.
                                              produced by culturing cream, milk,                      § 130.10. If the modification results in                 2. What percentage of each subclass
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                                              partially skimmed milk, and/or skim                     loss of essential nutrients, the general              (e.g., soy or almond) of plant-based
                                              milk with a characterizing bacterial                    standard requires the nutrients to be                 products is marketed as a substitute for
                                              culture (§ 131.200(a) (21 CFR                           restored so that the modified food is not             its dairy counterpart (e.g., milk, cultured
                                              131.200(a))). The common or usual                       nutritionally inferior to the standardized            milk, yogurt, or cheese)? What
                                              name of a food that purports to be or is                food (§ 130.10(b)). Both the nutrient                 percentages of each subclass of plant-
                                              represented as yogurt and conforms to                   content claim and the name of the                     based products are marketed with
                                              the standard of identity is ‘‘yogurt.’’                 standardized food are included in the                 names that include the name of a dairy


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                                              49106                       Federal Register / Vol. 83, No. 189 / Friday, September 28, 2018 / Notices

                                              food (e.g., ‘‘milk’’) versus names that                 any data or evidence to support your                  understand that some of these plant-
                                              include another term (e.g., ‘‘beverage’’                answer.                                               based products contain proteins from
                                              or ‘‘drink’’)? Please provide any data or                  3. Do consumers perceive or expect                 more than one plant source (e.g.,
                                              evidence to support your answer.                        these plant-based products to perform in              almond and pea protein)? Are these
                                                3. What are the costs associated with                 the same manner as their dairy                        beliefs or understanding influenced by
                                              label changes? How often are labels                     counterparts? For example, milk can be                the inclusion of dairy food names,
                                              revised?                                                an ingredient in preparing other foods.               particularly ‘‘milk,’’ ‘‘cultured milk,’’
                                                4. How are plant-based products                       Do consumers expect plant-based                       ‘‘yogurt,’’ or ‘‘cheese,’’ in the product
                                              displayed in stores? For example, are                   beverage products to perform in the                   name? Please provide any data or
                                              they sold in grocery stores next to or                  same manner as milk when preparing                    evidence to support your answer.
                                              mixed with their dairy counterparts or                  other foods or in recipes that use milk?                 3. What is consumers’ understanding
                                              are they sold in areas of the store that                Please provide any data or evidence to                of the amount or proportion of plant-
                                              are separate or distinct from the areas                 support your answer.                                  based ingredient(s) relative to other
                                              where their dairy counterparts are sold?                   4. How do consumers perceive or                    ingredients in plant-based products?
                                              Does the packaging or display of these                  understand labeling of these plant-based              Are consumers aware that other
                                                                                                      products? For example, do consumers                   ingredients (e.g., emulsifiers, thickeners,
                                              plant-based products affect consumers’
                                                                                                      perceive the labeling as suggesting that              sweeteners, and added nutrients such as
                                              perception or expectation about the
                                                                                                      these plant-based products are                        vitamins and minerals) are used in the
                                              nutritional properties or performance of
                                                                                                      equivalent to or can be substituted for               manufacture of these plant-based
                                              these products?
                                                                                                      their dairy counterparts? Do consumers                products? How does the use of these
                                              B. Consumer Understanding,                              perceive the labeling as suggesting that              ingredients impact consumer perception
                                              Perception, Purchase, and Consumption                   plant-based products are different or                 of these products? Please provide any
                                              of Plant-Based Products, Particularly                   distinct from their dairy counterparts?               data or evidence to support your
                                              Those Manufactured To Resemble Dairy                    Please provide any data or evidence to                answer.
                                              Foods Such as, for Example, Milk,                       support your answer.                                     4. Do these plant-based products vary
                                              Cultured Milk, Yogurt, and Cheese                          5. We are aware that some plant-based              in ingredients, even when manufactured
                                                                                                      beverage manufacturers use the term                   using the same type of plant source (e.g.,
                                                1. Why do consumers purchase and                      ‘‘milk’’ as part of the name of these                 soy or almond)? If so, how? What are
                                              consume these types of plant-based                      foods while other manufacturers use                   consumers’ expectations regarding the
                                              products? How do they use these                         terms such as ‘‘beverage’’ or ‘‘drink’’ as            ingredients of different brands of each
                                              products? Specifically, do consumers                    part of the name of these foods. Do                   subclass (e.g., soy or almond) of plant-
                                              purchase these plant-based products for                 consumers perceive plant-based                        based products? What impact, if any,
                                              use as substitutes for their dairy                      beverages to be different if the term                 does the compositional variation have
                                              counterparts, or do consumers purchase                  ‘‘milk’’ is used instead of ‘‘beverage’’ or           on purchase and consumption
                                              these plant-based products for distinct                 ‘‘drink’’? For example, how do                        decisions? Please provide any data or
                                              uses? If consumers use these plant-                     consumers perceive or understand ‘‘soy                evidence to support your answer.
                                              based products as substitutes for dairy                 milk’’ in comparison to ‘‘soy-based
                                              foods (for example plant-based                                                                                D. Consumer Understanding of the
                                                                                                      beverage’’ or ‘‘soy drink’’? Please
                                              beverages as alternatives to milk), what                                                                      Nutritional Content of Plant-Based
                                                                                                      provide any data or evidence to support
                                              are their reasons? Do consumers think                                                                         Products and Dairy Foods and the
                                                                                                      your answer.
                                              they are healthier, and if so, why? Are                                                                       Effect, if Any, on Consumer Purchases
                                              consumers purchasing these plant-based                  C. Consumer Understanding Regarding                   and Use
                                              products because they may be allergic to                the Basic Nature, Characteristics, and                   1. Dairy foods, such as milk, cultured
                                              dairy or are lactose-intolerant? Are                    Properties of Plant-Based Products                    milk, yogurt, and cheese, may differ in
                                              consumers purchasing these plant-based                    1. What do consumers believe to be                  nutritional content compared to plant-
                                              products for reasons related to their                   the basic nature, characteristics, or                 based products manufactured to
                                              personal consumption habits, such as a                  properties of plant-based products                    resemble these dairy foods. What
                                              vegan diet? If consumers do not use                     manufactured to resemble dairy foods                  nutrients, if any, do consumers believe
                                              these plant-based products as                           such as, for example, milk, cultured                  to be provided from dairy foods such as
                                              substitutes for dairy foods, what are                   milk, yogurt, and cheese? Is consumer                 milk, cultured milk, yogurt, and cheese?
                                              their reasons for choosing these                        understanding of the basic nature of                  What nutrients, if any, do consumers
                                              products? (For example, do these                        plant-based products influenced by                    believe to be in plant-based products
                                              products provide unique taste, flavor, or               inclusion of terms such as milk,                      that resemble dairy foods, such as milk,
                                              texture?) Does consumer purchasing                      cultured milk, yogurt, and cheese in the              cultured milk, yogurt, and cheese? Do
                                              behavior differ if the consumer is                      names in the labeling of these products?              consumers expect certain nutrients to be
                                              purchasing the product for himself/                     Do consumers expect plant-based                       present in both plant-based products
                                              herself as opposed to purchasing the                    products labeled with such names to                   and their dairy counterparts, and, if so,
                                              product for a family member? Please                     have physical characteristics,                        what nutrients do they expect? Do these
                                              provide any data or evidence to support                 performance characteristics, or                       expectations change depending on the
                                              your answer.                                            properties of their dairy counterparts? If            terms included in the names of plant-
                                                2. Do consumers perceive these plant-                 so, in what ways? Please provide any                  based products, e.g., ‘‘milk,’’
                                              based products to be more nutritious, as                data or evidence to support your                      ‘‘beverage,’’ ‘‘drink,’’ ‘‘yogurt,’’ ‘‘yogurt
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                                              nutritious, or less nutritious than their               answer.                                               alternative,’’ ‘‘vegan cheddar cheese,’’
                                              dairy counterparts? If consumers                          2. What do consumers believe are the                ‘‘cheese shreds’’? Please provide any
                                              perceive these plant-based products to                  main ingredients of plant-based                       data or evidence to support your
                                              be more nutritious or as nutritious as                  products? What do consumers                           answer.
                                              their dairy counterparts, to what extent                understand/think about the different                     2. Do parents and caregivers who
                                              does this affect their decision to buy                  protein sources being used to make                    purchase these plant-based products for
                                              plant-based products? Please provide                    these plant-based products? Do they                   young children or other family members


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                                                                          Federal Register / Vol. 83, No. 189 / Friday, September 28, 2018 / Notices                                                49107

                                              believe that these plant-based products                 guidelines for the public. The Dietary                9 a.m. and 4 p.m., Monday through
                                              are nutritionally equivalent to their                   Guidelines are based on the                           Friday; they are also available
                                              dairy counterparts and can replace them                 preponderance of current scientific and               electronically at https://
                                              as a food choice? Are expectations of                   medical knowledge and are intended to                 www.regulations.gov. FDA has verified
                                              nutritional equivalency a factor in                     help individuals ages 2 years and older               the website addresses, as of the date this
                                              parents’ and caregivers’ decisions to                   consume a healthy, nutritionally                      document publishes in the Federal
                                              purchase these plant-based products as                  adequate diet. As part of these                       Register, but websites are subject to
                                              part of young children’s or other family                recommendations, the Dietary                          change over time.
                                              members’ balanced diet? Please provide                  Guidelines refer to several ‘‘food                    1. U.S. Department of Health and Human
                                              any data or evidence to support your                    groups,’’ including a ‘‘dairy group,’’                    Services and U.S. Department of
                                              answer.                                                 which includes fortified soy beverages.                   Agriculture. ‘‘Dietary Guidelines for
                                                 3. Do these plant-based products vary                [Note: Although the Dietary Guidelines                    Americans, 2015–2020.’’ Eighth Edition.
                                              in nutrient composition, even when                      refer to a ‘‘dairy group,’’ as indicated in               December 2015. Accessed online at
                                              manufactured using the same type of                     section I.A., by ‘‘dairy foods,’’ FDA is                  https://health.gov/dietaryguidelines/
                                              plant ingredients (e.g., soy or almond)?                referring to foods such as milk, cheese,                  2015/guidelines/.
                                              If so, how? What are consumers’                         and yogurt, and not to their plant-based              2. U.S. Department of Agriculture. National
                                              expectations regarding the nutrient                     counterparts.]                                            Nutrient Database for Standard Reference
                                              compositions of different brands of each                  The Dietary Guidelines state that                       (Release 23), Food items with NDB
                                                                                                                                                                Numbers: 01077, 01079, 01082, 01085,
                                              subclass (e.g., soy or almond) of plant-                healthy eating patterns in the dairy
                                                                                                                                                                16222, 16229, 16230, 14091, and 14639
                                              based products? What impact, if any,                    group include fat-free and low-fat (1                     accessed online at http://www.nal.usda.
                                              does the compositional variation have                   percent) dairy, including milk, yogurt,                   gov/fnic/foodcomp/search on August 1,
                                              on purchase and consumption                             cheese, or fortified soy beverages (see                   2018.
                                              decisions? Please provide any data or                   Ref. 1 at page 23). The Dietary
                                                                                                                                                              Dated: September 25, 2018.
                                              evidence to support your answer.                        Guidelines explain that soy beverages
                                                 4. We are aware that the United States               fortified with calcium, vitamin A, and                Leslie Kux,
                                              Department of Agriculture’s National                    vitamin D, are included as part of the                Associate Commissioner for Policy.
                                              Nutrient Database for Standard                          dairy group because they are similar to               [FR Doc. 2018–21200 Filed 9–27–18; 8:45 am]
                                              Reference (USDA Nutrient Database)                      fortified low- and non-fat milk based on              BILLING CODE 4164–01–P
                                              provides information about the                          nutrient composition and in their use in
                                              nutritional content of dairy foods as                   meals. The Dietary Guidelines also state
                                              well as some plant-based products that                  that other plant-based beverages sold as              DEPARTMENT OF HEALTH AND
                                              resemble dairy foods (Ref. 2). However,                 ‘‘milks’’ (such as almond, rice, coconut,             HUMAN SERVICES
                                              we believe the USDA Nutrient Database                   and hemp ‘‘milks’’) are not included as
                                              may not be a full representation of all                 part of the dairy group because their                 Food and Drug Administration
                                              the varieties of dairy foods, including                 overall nutritional content is not similar            [Docket Nos. FDA–2018–N–0073; FDA–
                                              milk, cultured milk, yogurt, cheese, and                to that of milk and fortified soy                     2018–N–0074; FDA–2010–N–0155; FDA–
                                              of the plant-based products                             beverages (id.).                                      2014–N–0987; FDA–2016–D–1164; FDA–
                                              manufactured to resemble these dairy                      According to the Dietary Guidelines,                2014–N–2029; FDA–2012–N–0369; FDA–
                                              foods, currently in the United States                   the key nutrient contributions in the                 2017–N–6730; FDA–2009–N–0025; FDA–
                                              marketplace. We are interested in any                   dairy group include calcium,                          2014–N–2294; and FDA–2018–N–1129]
                                              data regarding the nutritional profiles of              phosphorus, vitamin A, vitamin D (in
                                              different dairy foods, such as, for                                                                           Agency Information Collection
                                                                                                      products fortified with vitamin D),
                                              example, milk, modified milk, cultured                                                                        Activities; Announcement of Office of
                                                                                                      riboflavin, vitamin B12, protein,
                                              milk, yogurt, and cheese products, and                                                                        Management and Budget Approvals
                                                                                                      potassium, zinc, choline, magnesium,
                                              any data regarding the nutritional                      and selenium (id.).                                   AGENCY:    Food and Drug Administration,
                                              profiles of the various plant-based                       1. Do consumers understand that                     HHS.
                                              products that resemble dairy foods,                     certain plant-based products might have               ACTION:   Notice.
                                              including fortified versions of those                   a nutritional content that is not
                                              plant-based products. We are                            adequate to place them in the dairy                   SUMMARY:    The Food and Drug
                                              particularly interested in obtaining data               group as described in the Dietary                     Administration (FDA) is publishing a
                                              that compares the amounts of protein,                   Guidelines? How does this influence                   list of information collections that have
                                              calcium, vitamin D, and potassium in                    their purchasing behavior with respect                been approved by the Office of
                                              these plant-based products and their                    to plant-based products and dairy                     Management and Budget (OMB) under
                                              dairy counterparts.                                     foods? Please provide any data or                     the Paperwork Reduction Act of 1995.
                                                 5. How do the protein qualities of                   evidence to support your answer.                      FOR FURTHER INFORMATION CONTACT: Ila
                                              plant-based products compare to their                     2. Do consumers who purchase or                     S. Mizrachi, Office of Operations, Food
                                              dairy counterparts? How does the                        consume plant-based products instead                  and Drug Administration, Three White
                                              variation, if any, impact consumer                      of dairy foods, such as yogurt or cheese,             Flint North, 10A–12M, 11601
                                              perception, and purchasing and                          believe that these plant-based products               Landsdown St., North Bethesda, MD
                                              consumption decisions? Please provide                   meet the dairy group recommendation                   20852, 301–796–7726, PRAStaff@
                                              any data or evidence to support your                    described in the Dietary Guidelines?                  fda.hhs.gov.
                                              answer.                                                 Please provide any data or evidence to
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                                                                                                      support your answer.                                  SUPPLEMENTARY INFORMATION:     The
                                              E. The Role of Plant-Based Products and                                                                       following is a list of FDA information
                                              Dairy Foods in Meeting the                              III. References                                       collections recently approved by OMB
                                              Recommendations in the Dietary                             The following references are on                    under section 3507 of the Paperwork
                                              Guidelines                                              display at the Dockets Management Staff               Reduction Act of 1995 (44 U.S.C. 3507).
                                                The Dietary Guidelines contain                        (see ADDRESSES) and are available for                 The OMB control number and
                                              nutritional and dietary information and                 viewing by interested persons between                 expiration date of OMB approval for


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Document Created: 2018-09-28 01:22:58
Document Modified: 2018-09-28 01:22:58
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice; request for comments.
DatesSubmit either electronic or written comments on this document by November 27, 2018.
ContactMabel Lee, Center for Food Safety and Applied Nutrition, Food and Drug Administration, 5001 Campus Dr., College Park, MD 20740, 240-402-2371.
FR Citation83 FR 49103 

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