83_FR_59001 83 FR 58776 - Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; General Licensing Provisions; Requirements on Content and Format of Labeling for Human Prescription Drug and Biological Products

83 FR 58776 - Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; General Licensing Provisions; Requirements on Content and Format of Labeling for Human Prescription Drug and Biological Products

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 225 (November 21, 2018)

Page Range58776-58777
FR Document2018-25352

The Food and Drug Administration (FDA) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995.

Federal Register, Volume 83 Issue 225 (Wednesday, November 21, 2018)
[Federal Register Volume 83, Number 225 (Wednesday, November 21, 2018)]
[Notices]
[Pages 58776-58777]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-25352]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2008-N-0500]


Agency Information Collection Activities; Submission for Office 
of Management and Budget Review; Comment Request; General Licensing 
Provisions; Requirements on Content and Format of Labeling for Human 
Prescription Drug and Biological Products

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing that a 
proposed collection of information has been submitted to the Office of 
Management and Budget (OMB) for review and clearance under the 
Paperwork Reduction Act of 1995.

DATES: Fax written comments on the collection of information by 
December 21, 2018.

ADDRESSES: To ensure that comments on the information collection are 
received, OMB recommends that written comments be faxed to the Office 
of Information and Regulatory Affairs, OMB, Attn: FDA Desk Officer, 
Fax: 202-395-7285, or emailed to [email protected]. All 
comments should be identified with the OMB control number 0910-0572. 
Also include the FDA docket number found in brackets in the heading of 
this document.

FOR FURTHER INFORMATION CONTACT: JonnaLynn Capezzuto, Office of 
Operations, Food and Drug Administration, Three White Flint North, 10A-
12M, 11601 Landsdown St., North Bethesda, MD 20852, 301-796-3794, 
[email protected].

SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA has 
submitted the following proposed collection of information to OMB for 
review and clearance.

Requirements on Content and Format of Labeling for Human Prescription 
Drug and Biological Products

OMB Control Number 0910-0572--Extension

    FDA's regulations governing the content and format of labeling for 
human prescription drug and biological products were revised in the 
Federal Register of January 24, 2006 (71 FR 3922) (the 2006 labeling 
rule) to require that the labeling of new and recently approved 
products contain highlights of prescribing information, a table of 
contents for prescribing information, reordering of certain sections, 
minor content changes, and minimum graphical requirements. These 
revisions were intended to make it easier for health care practitioners 
to access, read, and use information in prescription drug labeling; to 
enhance the safe and effective use of prescription drug products; and 
to reduce the number of adverse reactions resulting from medication 
errors because of misunderstood or incorrectly applied drug 
information.
    Currently, Sec.  201.56 (21 CFR 201.56) requires that prescription 
drug labeling contain certain information in the format specified in 
either Sec.  201.57 (21 CFR 201.57) or Sec.  201.80 (21 CFR 201.80), 
depending on when the drug was approved for marketing. Section 
201.56(a) sets forth general labeling requirements applicable to all 
prescription drugs. Section 201.56(b) specifies the categories of new 
and more recently approved prescription drugs subject to the revised 
content and format requirements in Sec. Sec.  201.56(d) and 201.57. 
Section 201.56(c) sets forth the schedule for implementing these 
revised content and format requirements. Section 201.56(e) specifies 
the sections and subsections, required and optional, for the labeling 
of older prescription drugs not subject to the revised format and 
content requirements.
    Section 201.57(a) requires that prescription drug labeling for new 
and more recently approved prescription drug products include a 
``Highlights of Prescribing Information'' section. The ``Highlights'' 
section provides a concise extract of the most important information 
required under Sec.  201.57(c) (the Full Prescribing Information 
(FPI)), as well as certain additional information important to 
prescribers. Section 201.57(b) requires a table of contents to

[[Page 58777]]

prescribing information entitled ``Full Prescribing Information: 
Contents,'' consisting of a list of each heading and subheading along 
with its identifying number to facilitate health care practitioners' 
use of labeling information. Section 201.57(c) specifies the contents 
of the FPI. Section 201.57(d) mandates the minimum specifications for 
the format of prescription drug labeling and establishes minimum 
requirements for key graphic elements such as bold type, bullet points, 
type size, and spacing.
    Older drugs not subject to the revised labeling content and format 
requirements in Sec.  201.57 are subject to labeling requirements at 
Sec.  201.80. Section 201.80(f)(2) requires that, within 1 year, any 
FDA-approved patient labeling be referenced in the ``Precautions'' 
section of the labeling of older products and either accompany or be 
reprinted immediately following the labeling.
Annual Burden for Prescription Drug Labeling Design, Testing, and 
Submitting to FDA for New Drug Applications (NDAs) and Biologics 
License Applications (BLAs) (Sec. Sec.  201.56 and 201.57)
    New drug product applicants must: (1) Design and create 
prescription drug labeling containing ``Highlights,'' ``Contents,'' and 
FPI; (2) test the designed labeling (e.g., to ensure that the designed 
labeling fits into carton-enclosed products); and (3) submit it to FDA 
for approval. Based on the projected data used in the January 24, 2006, 
final rule, FDA estimates that it will take applicants approximately 
2,327 hours to design, test, and submit prescription drug labeling to 
FDA as part of a NDA or a BLA under the revised regulations. Currently, 
approximately 406 applicants submit approximately 541 new applications 
(NDAs and BLAs) to FDA annually, totaling 1,258,907 hours.
    In the Federal Register of July 20, 2018 (83 FR 34596), we 
published a 60-day notice requesting public comment on the proposed 
collection of information. We received two comments. One comment 
encouraged the use of ``provider-neutral language'' in specific 
regulations. The second comment discussed the distribution of package 
inserts for prescription drugs via paper labeling. Because these 
comments do not apply to the regulations associated with the 
information collection, we have not addressed them here.
    Our estimate of the burden for the information collection is as 
follows:

                                                     Table 1--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                         Number of
                      21 CFR part and activity                          Number of      responses per     Total annual    Average burden    Total hours
                                                                       respondents     respondent \2\     responses       per response
--------------------------------------------------------------------------------------------------------------------------------------------------------
Labeling Requirements in Sec.  Sec.   201.56 and 201.57............             406            1.332              541            2,327        1,258,907
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.
\2\ Estimates may not sum due to rounding.

    Our estimated burden for the information collection reflects an 
overall increase of 602,503 hours and a corresponding increase of 345 
records. We attribute this adjustment to an increase in the number of 
submissions we received over the last few years.

    Dated: November 14, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-25352 Filed 11-20-18; 8:45 am]
BILLING CODE 4164-01-P



                                               58776                   Federal Register / Vol. 83, No. 225 / Wednesday, November 21, 2018 / Notices

                                               copies total. One copy will include the                 that appeared in the notice requesting                SUPPLEMENTARY INFORMATION:    In
                                               information you claim to be confidential                data and other evidence in support of                 compliance with 44 U.S.C. 3507, FDA
                                               with a heading or cover note that states                answers.                                              has submitted the following proposed
                                               ‘‘THIS DOCUMENT CONTAINS                                   We have considered the requests and                collection of information to OMB for
                                               CONFIDENTIAL INFORMATION.’’ We                          are extending the comment period for                  review and clearance.
                                               will review this copy, including the                    another 60 days, until January 28, 2019.
                                                                                                                                                             Requirements on Content and Format of
                                               claimed confidential information, in our                We believe that a 60-day extension
                                                                                                                                                             Labeling for Human Prescription Drug
                                               consideration of comments. The second                   allows adequate time for interested
                                                                                                                                                             and Biological Products
                                               copy, which will have the claimed                       persons to submit comments without
                                               confidential information redacted/                      significantly delaying any potential                  OMB Control Number 0910–0572—
                                               blacked out, will be available for public               further action on these important issues.             Extension
                                               viewing and posted on https://                            Dated: November 15, 2018.                              FDA’s regulations governing the
                                               www.regulations.gov. Submit both                        Leslie Kux,                                           content and format of labeling for
                                               copies to the Dockets Management Staff.                                                                       human prescription drug and biological
                                                                                                       Associate Commissioner for Policy.
                                               If you do not wish your name and                                                                              products were revised in the Federal
                                                                                                       [FR Doc. 2018–25347 Filed 11–20–18; 8:45 am]
                                               contact information to be made publicly                                                                       Register of January 24, 2006 (71 FR
                                               available, you can provide this                         BILLING CODE 4164–01–P
                                                                                                                                                             3922) (the 2006 labeling rule) to require
                                               information on the cover sheet and not                                                                        that the labeling of new and recently
                                               in the body of your comments and you                                                                          approved products contain highlights of
                                                                                                       DEPARTMENT OF HEALTH AND
                                               must identify this information as                                                                             prescribing information, a table of
                                                                                                       HUMAN SERVICES
                                               ‘‘confidential.’’ Any information marked                                                                      contents for prescribing information,
                                               as ‘‘confidential’’ will not be disclosed               Food and Drug Administration                          reordering of certain sections, minor
                                               except in accordance with 21 CFR 10.20                                                                        content changes, and minimum
                                               and other applicable disclosure law. For                [Docket No. FDA–2008–N–0500]                          graphical requirements. These revisions
                                               more information about FDA’s posting                                                                          were intended to make it easier for
                                               of comments to public dockets, see 80                   Agency Information Collection
                                                                                                                                                             health care practitioners to access, read,
                                               FR 56469, September 18, 2015, or access                 Activities; Submission for Office of
                                                                                                                                                             and use information in prescription
                                               the information at: https://www.gpo.gov/                Management and Budget Review;
                                                                                                                                                             drug labeling; to enhance the safe and
                                               fdsys/pkg/FR-2015-09-18/pdf/2015-                       Comment Request; General Licensing
                                                                                                                                                             effective use of prescription drug
                                               23389.pdf.                                              Provisions; Requirements on Content
                                                                                                                                                             products; and to reduce the number of
                                                  Docket: For access to the docket to                  and Format of Labeling for Human
                                                                                                                                                             adverse reactions resulting from
                                               read background documents or the                        Prescription Drug and Biological
                                                                                                                                                             medication errors because of
                                               electronic and written/paper comments                   Products
                                                                                                                                                             misunderstood or incorrectly applied
                                               received, go to https://                                                                                      drug information.
                                                                                                       AGENCY:    Food and Drug Administration,
                                               www.regulations.gov and insert the                                                                               Currently, § 201.56 (21 CFR 201.56)
                                                                                                       HHS.
                                               docket number, found in brackets in the                                                                       requires that prescription drug labeling
                                               heading of this document, into the                      ACTION:   Notice.
                                                                                                                                                             contain certain information in the
                                               ‘‘Search’’ box and follow the prompts                                                                         format specified in either § 201.57 (21
                                                                                                       SUMMARY:   The Food and Drug
                                               and/or go to the Dockets Management                                                                           CFR 201.57) or § 201.80 (21 CFR
                                                                                                       Administration (FDA) is announcing
                                               Staff, 5630 Fishers Lane, Rm. 1061,                                                                           201.80), depending on when the drug
                                                                                                       that a proposed collection of
                                               Rockville, MD 20852.                                                                                          was approved for marketing. Section
                                                                                                       information has been submitted to the
                                               FOR FURTHER INFORMATION CONTACT:                        Office of Management and Budget                       201.56(a) sets forth general labeling
                                               Mabel Lee, Center Food Safety and                       (OMB) for review and clearance under                  requirements applicable to all
                                               Applied Nutrition, Food and Drug                        the Paperwork Reduction Act of 1995.                  prescription drugs. Section 201.56(b)
                                               Administration, 5001 Campus Dr.,                                                                              specifies the categories of new and more
                                                                                                       DATES: Fax written comments on the
                                               College Park, MD 20740, 240–402–2371.                                                                         recently approved prescription drugs
                                                                                                       collection of information by December
                                               SUPPLEMENTARY INFORMATION: In the                       21, 2018.                                             subject to the revised content and
                                               Federal Register of September 28, 2018                                                                        format requirements in §§ 201.56(d) and
                                                                                                       ADDRESSES: To ensure that comments on
                                               (83 FR 49103), FDA published a notice                                                                         201.57. Section 201.56(c) sets forth the
                                               with a 60-day comment period inviting                   the information collection are received,
                                                                                                                                                             schedule for implementing these revised
                                               interested parties to provide information               OMB recommends that written
                                                                                                                                                             content and format requirements.
                                               on specific topics related to the labeling              comments be faxed to the Office of
                                                                                                                                                             Section 201.56(e) specifies the sections
                                               of plant-based products with names that                 Information and Regulatory Affairs,
                                                                                                                                                             and subsections, required and optional,
                                               include the names of dairy foods such                   OMB, Attn: FDA Desk Officer, Fax: 202–
                                                                                                                                                             for the labeling of older prescription
                                               as ‘‘milk,’’ ‘‘cultured milk,’’ ‘‘yogurt,’’             395–7285, or emailed to oira_
                                                                                                                                                             drugs not subject to the revised format
                                               and ‘‘cheese.’’ The information will                    submission@omb.eop.gov. All
                                                                                                                                                             and content requirements.
                                               inform our development of an approach                   comments should be identified with the                   Section 201.57(a) requires that
                                               to the labeling of plant-based products                 OMB control number 0910–0572. Also                    prescription drug labeling for new and
                                               that consumers may substitute for dairy                 include the FDA docket number found                   more recently approved prescription
                                               foods. We asked that comments be                        in brackets in the heading of this                    drug products include a ‘‘Highlights of
                                               submitted by November 27, 2018.                         document.                                             Prescribing Information’’ section. The
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                                                  We have received requests for a 120-                 FOR FURTHER INFORMATION CONTACT:                      ‘‘Highlights’’ section provides a concise
                                               day extension of the comment period for                 JonnaLynn Capezzuto, Office of                        extract of the most important
                                               the notice. The requests conveyed                       Operations, Food and Drug                             information required under § 201.57(c)
                                               concern that the current 60-day                         Administration, Three White Flint                     (the Full Prescribing Information (FPI)),
                                               comment period does not allow                           North, 10A–12M, 11601 Landsdown St.,                  as well as certain additional information
                                               sufficient time to develop meaningful or                North Bethesda, MD 20852, 301–796–                    important to prescribers. Section
                                               thoughtful responses to the questions                   3794, PRAStaff@fda.hhs.gov.                           201.57(b) requires a table of contents to


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                                                                        Federal Register / Vol. 83, No. 225 / Wednesday, November 21, 2018 / Notices                                              58777

                                               prescribing information entitled ‘‘Full                  be reprinted immediately following the                 revised regulations. Currently,
                                               Prescribing Information: Contents,’’                     labeling.                                              approximately 406 applicants submit
                                               consisting of a list of each heading and                                                                        approximately 541 new applications
                                                                                                        Annual Burden for Prescription Drug
                                               subheading along with its identifying                                                                           (NDAs and BLAs) to FDA annually,
                                                                                                        Labeling Design, Testing, and
                                               number to facilitate health care                                                                                totaling 1,258,907 hours.
                                                                                                        Submitting to FDA for New Drug
                                               practitioners’ use of labeling                                                                                    In the Federal Register of July 20,
                                                                                                        Applications (NDAs) and Biologics
                                               information. Section 201.57(c) specifies                                                                        2018 (83 FR 34596), we published a 60-
                                                                                                        License Applications (BLAs) (§§ 201.56
                                               the contents of the FPI. Section                                                                                day notice requesting public comment
                                               201.57(d) mandates the minimum                           and 201.57)
                                                                                                           New drug product applicants must:                   on the proposed collection of
                                               specifications for the format of
                                                                                                        (1) Design and create prescription drug                information. We received two
                                               prescription drug labeling and
                                                                                                        labeling containing ‘‘Highlights,’’                    comments. One comment encouraged
                                               establishes minimum requirements for
                                                                                                        ‘‘Contents,’’ and FPI; (2) test the                    the use of ‘‘provider-neutral language’’
                                               key graphic elements such as bold type,
                                                                                                        designed labeling (e.g., to ensure that                in specific regulations. The second
                                               bullet points, type size, and spacing.
                                                  Older drugs not subject to the revised                the designed labeling fits into carton-                comment discussed the distribution of
                                               labeling content and format                              enclosed products); and (3) submit it to               package inserts for prescription drugs
                                               requirements in § 201.57 are subject to                  FDA for approval. Based on the                         via paper labeling. Because these
                                               labeling requirements at § 201.80.                       projected data used in the January 24,                 comments do not apply to the
                                               Section 201.80(f)(2) requires that, within               2006, final rule, FDA estimates that it                regulations associated with the
                                               1 year, any FDA-approved patient                         will take applicants approximately                     information collection, we have not
                                               labeling be referenced in the                            2,327 hours to design, test, and submit                addressed them here.
                                               ‘‘Precautions’’ section of the labeling of               prescription drug labeling to FDA as                     Our estimate of the burden for the
                                               older products and either accompany or                   part of a NDA or a BLA under the                       information collection is as follows:

                                                                                               TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                           Number of                               Average
                                                                                                                       Number of                             Total annual
                                                                   21 CFR part and activity                                              responses per                           burden per   Total hours
                                                                                                                      respondents                             responses
                                                                                                                                          respondent 2                            response

                                               Labeling Requirements in §§ 201.56 and 201.57 ................               406                  1.332            541              2,327      1,258,907
                                                  1 There   are no capital costs or operating and maintenance costs associated with this collection of information.
                                                  2 Estimates   may not sum due to rounding.


                                                 Our estimated burden for the                           FOR FURTHER INFORMATION CONTACT:    Mr.                infectious disease complications of
                                               information collection reflects an                       James Berger, Designated Federal Officer               transplantation.
                                               overall increase of 602,503 hours and a                  for the ACBTSA, Senior Advisor for                        To carry out its mission, the ACBTSA
                                               corresponding increase of 345 records.                   Blood and Tissue Policy, Office of the                 provides advice to the Secretary through
                                               We attribute this adjustment to an                       Assistant Secretary for Health,                        the Assistant Secretary for Health on a
                                               increase in the number of submissions                    Department of Health and Human                         range of policy issues to include: (1)
                                               we received over the last few years.                     Services, Mary E. Switzer Building, 330                Identification of public health issues
                                                 Dated: November 14, 2018.                              C Street SW, Suite L100, Washington,                   through surveillance of blood and tissue
                                               Leslie Kux,                                              DC 20024. Phone: (202) 795–7697; Fax:                  safety issues with national biovigilance
                                               Associate Commissioner for Policy.                       (202) 691–2102; Email: ACBTSA@                         data tools; (2) identification of public
                                                                                                        hhs.gov.                                               health issues that affect availability of
                                               [FR Doc. 2018–25352 Filed 11–20–18; 8:45 am]
                                                                                                                                                               blood, blood products, and tissues; (3)
                                               BILLING CODE 4164–01–P                                   SUPPLEMENTARY INFORMATION:      ACBTSA                 broad public health, ethical, and legal
                                                                                                        is a non-discretionary Federal advisory                issues related to the safety of blood,
                                                                                                        committee. ACBTSA is authorized                        blood products, and tissues; (4) the
                                               DEPARTMENT OF HEALTH AND                                 under 42 U.S.C. 217a, Section 222 of the
                                               HUMAN SERVICES                                                                                                  impact of various economic factors (e.g.,
                                                                                                        Public Health Service (PHS) Act, as                    product cost and supply) on safety and
                                               Charter Renewal of the Advisory                          amended. The Committee is governed                     availability of blood, blood products,
                                               Committee on Blood and Tissue Safety                     by the provisions of the Federal                       and tissues; (5) risk communications
                                               and Availability                                         Advisory Committee Act (FACA), Public                  related to blood transfusion and tissue
                                                                                                        Law 92–463, as amended (5 U.S.C.                       transplantation; and (6) identification of
                                               AGENCY:  Office of HIV/AIDS and                          App), which sets forth standards for the               infectious disease transmission issues
                                               Infectious Disease Policy, Office of the                 formation and use of advisory                          for blood, organs, blood stem cells and
                                               Assistant Secretary for Health, Office of                committees.                                            tissues.
                                               the Secretary, Department of Health and                     The ACBTSA advises, assists,                           On September 25, 2018, the Secretary
                                               Human Services.                                          consults with, and makes policy                        approved for the ACBTSA charter to be
                                                                                                        recommendations to the Secretary,                      renewed. The new charter was effected
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                                               ACTION:   Notice.
                                                                                                        through the Assistant Secretary for                    and filed with the appropriate
                                               SUMMARY:   The Department of Health and                  Health, regarding these broad                          Congressional committees and the
                                               Human Services is hereby giving notice                   responsibilities related to the safety of              Library of Congress on October 9, 2018.
                                               that the charter for the Advisory                        blood, blood products, tissues, and                    Renewal of the Committee’s charter
                                               Committee on Blood and Tissue Safety                     organs. For solid organs and blood stem                gives authorization for the Committee to
                                               and Availability (ACBTSA) has been                       cells, the Committee’s work is limited to              continue to operate until October 9,
                                               renewed.                                                 policy issues related to donor derived                 2020.


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Document Created: 2018-11-21 03:11:56
Document Modified: 2018-11-21 03:11:56
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.
DatesFax written comments on the collection of information by December 21, 2018.
ContactJonnaLynn Capezzuto, Office of Operations, Food and Drug Administration, Three White Flint North, 10A- 12M, 11601 Landsdown St., North Bethesda, MD 20852, 301-796-3794, [email protected]
FR Citation83 FR 58776 

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