83_FR_61884 83 FR 61653 - Agency Information Collection Activities; Proposed Collection; Comment Request; Food and Drug Administration Adverse Event Reports; Electronic Submissions

83 FR 61653 - Agency Information Collection Activities; Proposed Collection; Comment Request; Food and Drug Administration Adverse Event Reports; Electronic Submissions

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 231 (November 30, 2018)

Page Range61653-61657
FR Document2018-26031

The Food and Drug Administration (FDA, Agency, or we) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This notice solicits comments on the use of the FDA Electronic Submission Gateway (ESG) and the Safety Reporting Portal (SRP) to collect adverse event reports and other safety information for FDA- regulated products.

Federal Register, Volume 83 Issue 231 (Friday, November 30, 2018)
[Federal Register Volume 83, Number 231 (Friday, November 30, 2018)]
[Notices]
[Pages 61653-61657]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-26031]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-4131]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Food and Drug Administration Adverse Event Reports; 
Electronic Submissions

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA, Agency, or we) is 
announcing an opportunity for public comment on the proposed collection 
of certain information by the Agency. Under the Paperwork Reduction Act 
of 1995 (PRA), Federal Agencies are required to publish notice in the 
Federal Register concerning each proposed collection of information, 
including each proposed extension of an existing collection of 
information, and to allow 60 days for public comment in response to the 
notice. This notice solicits comments on the use of the FDA Electronic 
Submission Gateway (ESG) and the Safety Reporting Portal (SRP) to 
collect adverse event reports and other safety information for FDA-
regulated products.

DATES: Submit either electronic or written comments on the collection 
of information by January 29, 2019.

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 January 29, 2019. The https://www.regulations.gov electronic filing system will accept comments until 
11:59 p.m. Eastern Time at the end of January 29, 2019. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are postmarked or the delivery 
service acceptance receipt is on or before that date.

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2018-N-4131 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; FDA Adverse Event Reports; 
Electronic Submissions.'' Received comments, those filed in a timely 
manner (see ADDRESSES), will be placed in the docket and, except for 
those submitted as ``Confidential Submissions,'' publicly viewable at 
https://www.regulations.gov or at the Dockets Management Staff between 
9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Domini Bean, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 301-796-5733, 
[email protected].

SUPPLEMENTARY INFORMATION: 

I. Background

    Under the PRA (44 U.S.C. 3501-3520), Federal Agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. ``Collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes Agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party.

[[Page 61654]]

Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
Federal Agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, FDA is publishing notice of the proposed collection of 
information set forth in this document.
    With respect to the following collection of information, FDA 
invites comments on these topics: (1) Whether the proposed collection 
of information is necessary for the proper performance of FDA's 
functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.
FDA Adverse Event Reports; Electronic Submissions--21 CFR 310.305, 
314.80, 314.98, 314.540, 514.80, 600.80, 1271.350, and Part 803
OMB Control Number 0910-0645--Extension
    The SRP and the ESG are the Agency's electronic systems for 
collecting, submitting, and processing adverse event reports, product 
problem reports, and other safety information for FDA-regulated 
products. To ensure the safety and identify any risks, harms, or other 
dangers to health for all FDA-regulated human and animal products, the 
Agency needs to be informed whenever an adverse event, product quality 
problem, or product use error occurs. This risk identification process 
is the first necessary step that allows the Agency to gather the 
information necessary to be able to evaluate the risk associated with 
the product and take whatever action is necessary to mitigate or 
eliminate the public's exposure to the risk.
    Some adverse event reports are required to be submitted to FDA 
(mandatory reporting) and some adverse event reports are submitted 
voluntarily (voluntary reporting). Requirements regarding mandatory 
reporting of adverse events or product problems have been codified in 
21 CFR parts 310, 314, 514, 600, 803, and 1271, specifically Sec. Sec.  
[thinsp]310.305, 314.80, 314.98, 314.540, 329.100, 514.80, 600.80, 
803.30, 803.40, 803.50, 803.53, 803.56, and 1271.350(a) (21 CFR 
310.305, 314.80, 314.98, 314.540, 329.100, 514.80, 600.80, 803.30, 
803.40, 803.50, 803.53, 803.56, and 1271.350(a)). While adverse event 
reports submitted to FDA in paper format using Forms FDA 3500, 3500A, 
1932, and 1932a are approved under OMB control numbers 0910-0284 and 
0910-0291, this notice solicits comments on adverse event reports filed 
electronically via the SRP and the ESG, and currently approved under 
OMB control number 0910-0645.

II. The FDA Safety Reporting Portal Rational Questionnaires

    FDA currently has OMB approval to receive several types of adverse 
event reports electronically via the SRP using rational questionnaires. 
In this notice, FDA seeks comments on the extension of OMB approval for 
these existing rational questionnaires and the proposed revision of the 
existing rational questionnaire for tobacco products.

A. Reportable Food Registry Reports

    The Food and Drug Administration Amendments Act of 2007 (Pub. L. 
110-085) (FDAAA) amended the Federal Food, Drug, and Cosmetic Act (FD&C 
Act) by creating section 417 (21 U.S.C. 350f), Reportable Food Registry 
(RFR). Section 417 of the FD&C Act defines ``reportable food'' as an 
article of food (other than infant formula) for which there is a 
``reasonable probability that the use of, or exposure to, such article 
of food will cause serious adverse health consequences or death to 
humans or animals.'' (See section 417(a)(2) of the FD&C Act.) The 
Secretary of Health and Human Services (the Secretary) has delegated to 
the FDA Commissioner the responsibility for administering the FD&C Act, 
including section 417. The purpose of the RFR is to enable the Agency 
to track patterns of adulteration in food to support its efforts to 
target limited inspection resources to protect the public health. We 
designed the RFR report rational questionnaire to enable FDA to quickly 
identify, track, and remove from commerce an article of food (other 
than infant formula and dietary supplements) for which there is a 
reasonable probability that the use of, or exposure to, such article of 
food will cause serious adverse health consequences or death to humans 
or animals. FDA's Center for Food Safety and Applied Nutrition (CFSAN) 
uses the information collected to help ensure that such products are 
quickly and efficiently removed from the market to prevent foodborne 
illnesses. The data elements for RFR reports remain unchanged in this 
request for extension of OMB approval.

B. Reports Concerning Experience With Approved New Animal Drugs

    Section 512(l) of the FD&C Act (21 U.S.C. 360b(l)) and Sec.  
[thinsp]514.80(b) of FDA's regulations require applicants of approved 
new animal drug applications (NADAs) and approved abbreviated new 
animal drug applications (ANADAs) to report adverse drug experiences 
and product/manufacturing defects to the Center for Veterinary Medicine 
(CVM). This continuous monitoring of approved NADAs and ANADAs affords 
the primary means by which FDA obtains information regarding potential 
problems with the safety and efficacy of marketed approved new animal 
drugs as well as potential product/manufacturing problems. Postapproval 
marketing surveillance is important because data previously submitted 
to FDA may no longer be adequate, as animal drug effects can change 
over time and less apparent effects may take years to manifest.
    If an applicant must report adverse drug experiences and product/
manufacturing defects and chooses to do so using the Agency's paper 
forms, the applicant is required to use Form FDA 1932, ``Veterinary 
Adverse Drug Reaction, Lack of Effectiveness, Product Defect Report.'' 
Periodic drug experience reports and special drug experience reports 
must be accompanied by a completed Form FDA 2301, ``Transmittal of 
Periodic Reports and Promotional Material for New Animal Drugs'' (see 
Sec.  [thinsp]514.80(d)). Form FDA 1932a, ``Veterinary Adverse Drug 
Reaction, Lack of Effectiveness or Product Defect Report'' allows for 
voluntary reporting of adverse drug experiences or product/
manufacturing defects by veterinarians and the general public. 
Collection of information using existing paper Forms FDA 2301, 1932, 
and 1932a is approved under OMB control number 0910-0284.
    Alternatively, an applicant may choose to report adverse drug 
experiences and product/manufacturing defects electronically. The 
electronic submission data elements to report adverse drug experiences 
and product/manufacturing defects electronically remain unchanged in 
this request for extension of OMB approval.

C. Animal Food Adverse Event and Product Problem Reports

    Section 1002(b) of FDAAA directed the Secretary to establish an 
early warning and surveillance system to

[[Page 61655]]

identify adulteration of the pet food supply and outbreaks of illness 
associated with pet food. As part of the effort to fulfill that 
directive, the Secretary tasked FDA with developing the instrument that 
would allow consumers to report voluntarily adverse events associated 
with pet food. We developed the Pet Food Early Warning System rational 
questionnaire as a user-friendly data collection tool, to make it easy 
for the public to report a safety problem with pet food. Subsequently, 
we developed a questionnaire for collecting voluntary adverse event 
reports associated with livestock food from interested parties such as 
livestock owners, managers, veterinary staff or other professionals, 
and concerned citizens. Information collected in these voluntary 
adverse event reports contribute to CVM's ability to identify 
adulteration of the livestock food supply and outbreaks of illness 
associated with livestock food. The Pet Food Early Warning System and 
the Livestock Food Reports are designed to identify adulteration of the 
animal food supply and outbreaks of illness associated with animal food 
to enable us to quickly identify, track, and remove from commerce such 
articles of food. We use the information collected to help ensure that 
such products are quickly and efficiently removed from the market to 
prevent foodborne illnesses. The electronic submission data elements to 
report adverse events associated with animal food remain unchanged in 
this request for extension of OMB approval.

D. Voluntary Tobacco Product Adverse Event and Product Problem Reports

    As noted, this notice seeks comments on a revision to the existing 
rational questionnaire utilized by consumers and concerned citizens to 
report tobacco product adverse event or product problems.
    FDA has broad legal authority under the FD&C Act to protect the 
public health, including protecting Americans from tobacco-related 
death and disease by regulating the manufacture, distribution, and 
marketing of tobacco products and by educating the public, especially 
young people, about tobacco products and the dangers their use poses to 
themselves and others. The Family Smoking Prevention and Tobacco 
Control Act (Pub. L. 111-31) amended the FD&C Act by creating a new 
section 909 (21 U.S.C. 387i, Records and Reports on Tobacco Products). 
Section 909(a) of the FD&C Act authorizes FDA to establish regulations 
with respect to mandatory adverse event reports associated with the use 
of a tobacco product. FDA collects voluntary adverse event reports 
associated with the use of tobacco products from interested parties 
such as healthcare providers, researchers, consumers, and other users 
of tobacco products. Information collected in voluntary adverse event 
reports contributes to the Center for Tobacco Product's (CTP's) ability 
to be informed of, and assess the real consequences of, tobacco product 
use.
    The need for this collection of information derives from our 
responsibility to obtain current, timely, and policy-relevant 
information to carry out our statutory functions. FDA's Commissioner is 
authorized to undertake this collection as specified in section 
1003(d)(2) of the FD&C Act (21 U.S.C. 393(d)(2)). FDA's CTP has been 
receiving adverse event and product problem reports through the Safety 
Reporting Portal since January 2014, when the SRP for tobacco products 
first became available to the public. CTP also receives adverse event 
and product problem reports via paper forms, as approved under OMB 
control number 0910-0291. We are revising the questionnaire with non-
substantive changes. The changes are made to make the questions more 
understandable and specific. In some instances, alterations were made 
to the list of values to choose from by the end user to include values 
more pertinent to CTP's current and future data collection needs. In 
one instance, a question was added about the event location: ``In what 
setting(s) did this problem occur?'' In still other instances, 
questions were removed altogether to streamline the questionnaire and 
make it more user-friendly. All changes were made with the goal of 
providing FDA more pertinent information while minimizing the burden on 
the respondent. Finally, we note that respondents unable to submit 
reports using the electronic system will still be able to provide their 
information by paper form (by mail or Fax) or telephone.
    CTP has two voluntary rational questionnaires on the SRP. The first 
is utilized by consumers and concerned citizens to report tobacco 
product adverse event or product problems. A second rational 
questionnaire is used by tobacco product investigators in clinical 
trials with investigational tobacco products. In addition to the 
information collected by the first rational questionnaire for tobacco 
products, the second rational questionnaire collects identifying 
information specific to the clinical trial or investigational product 
such as clinical protocol numbers or other identifying features to 
pinpoint under which test or protocol the adverse event occurred.
    Both CTP voluntary rational questionnaires capture tobacco-specific 
adverse event and product problem information from reporting entities 
such as healthcare providers, researchers, consumers, and other users 
of tobacco products. To carry out its responsibilities, FDA needs to be 
informed when an adverse event, product problem, or error with use is 
suspected or identified. FDA uses tobacco-specific adverse event and 
product problem information to assess and evaluate the risk associated 
with the product and to take whatever action is necessary to reduce, 
mitigate, or eliminate the public's exposure to the risk through 
regulatory and public health interventions. The burden for CTP remains 
unchanged. We seek approval of the revised rational questionnaire in 
this request for extension of OMB approval.

E. Dietary Supplement Adverse Event Reports

    The Dietary Supplement and Nonprescription Drug Consumer Protection 
Act (DSNDCPA) (Pub. L. 109-462, 120 Stat. 3469) amended the FD&C Act 
with respect to serious adverse event reporting and recordkeeping for 
dietary supplements and nonprescription drugs marketed without an 
approved application.
    Section 761(b)(1) of the FD&C Act (21 U.S.C. 379aa-1(b)(1)) 
requires the manufacturer, packer, or distributor whose name (under 
section 403(e)(1) of the FD&C Act (21 U.S.C. 343(e)(1)) appears on the 
label of a dietary supplement marketed in the United States to submit 
to FDA all serious adverse event reports associated with the use of a 
dietary supplement, accompanied by a copy of the product label. The 
manufacturer, packer, or distributor of a dietary supplement is 
required by the DSNDCPA to use the MedWatch form (Form FDA 3500A) when 
submitting a serious adverse event report to FDA. In addition, under 
section 761(c)(2) of the FD&C Act, the submitter of the serious adverse 
event report (referred to in the statute as the ``responsible person'') 
is required to submit to FDA a followup report of any related new 
medical information the responsible person receives within 1 year of 
the initial report.
    As required by section 3(d)(3) of the DSNDCPA, FDA issued guidance 
to describe the minimum data elements for serious adverse event reports 
for dietary supplements. The guidance document entitled ``Guidance for 
Industry: Questions and Answers Regarding

[[Page 61656]]

Adverse Event Reporting and Recordkeeping for Dietary Supplements as 
Required by the Dietary Supplement and Nonprescription Drug Consumer 
Protection Act,'' discusses how, when, and where to submit serious 
adverse event reports for dietary supplements and followup reports. The 
guidance also provides FDA's recommendation on records maintenance and 
access for serious and non-serious adverse event reports and related 
documents.
    Reporting of serious adverse events for dietary supplements to FDA 
serves as an early warning sign of potential public health issues 
associated with such products. Without notification of all serious 
adverse events associated with dietary supplements, FDA would be unable 
to investigate and followup promptly, which in turn could cause delays 
in alerting the public when safety problems are found. In addition, the 
information received provides a reliable mechanism to track patterns of 
adulteration in food that supports efforts by FDA to target limited 
inspection resources to protect the public health. FDA uses the 
information collected to help ensure that such products are quickly and 
efficiently removed from the market to prevent foodborne illnesses.
    Paper mandatory dietary supplement adverse event reports are 
submitted to FDA on the MedWatch form, Form FDA 3500A, and paper 
voluntary reports are submitted on Form FDA 3500. Forms FDA 3500 and 
3500A are available as fillable PDF forms. Dietary supplement adverse 
event reports may be electronically submitted to the Agency via the 
SRP. This method of submission is voluntary. A manufacturer, packer, or 
distributor of a dietary supplement who is unable to or chooses not to 
submit reports using the electronic system will still be able to 
provide their information by paper MedWatch form, Form FDA 3500A (by 
mail or Fax). There is no change to the mandatory information 
previously required on the MedWatch form. CFSAN is making available the 
option to submit the same information via electronic means.
    The reporting and recordkeeping requirements of the FD&C Act for 
dietary supplement adverse event reports and the recommendations of the 
guidance document were first approved in 2009 under OMB control number 
0910-0635. OMB approved the extension of the 0910-0635 collection of 
information in March 2016. OMB approved the electronic submission of 
dietary supplement adverse event reports via the SRP under OMB control 
number 0910-0645 in June 2013. Burden hours are also reported under OMB 
control number 0910-0291, reflecting the submission of dietary 
supplement adverse event reports on the paper MedWatch form, Form FDA 
3500A.
    The electronic submission data elements to report adverse events 
associated with dietary supplement products remain unchanged in this 
request for extension of OMB approval.

F. Food, Infant Formula, and Cosmetic Adverse Event Reports

    We continue to work on proposed new rational questionnaire 
functionality that will be used for food, infant formula, and cosmetic 
adverse event reports over the SRP. Currently, voluntary adverse event 
reports for such products are submitted on Form FDA 3500, which is 
available as a fillable PDF form. However, we have not developed 
rational questionnaires by which these reports may be electronically 
submitted to us via the SRP. In addition, MedWatch forms, although 
recently updated with field labels and descriptions to better clarify 
for reporters the range of reportable products, do not specifically 
include questions relevant for the analysis of adverse events related 
to food, infant formula, and cosmetics. The proposed food, infant 
formula, and cosmetics rational questionnaire functionality will 
operate in a manner similar to the dietary supplement rational 
questionnaire and will include specific questions relevant for the 
analysis of adverse events related to food, infant formula, and 
cosmetics. The electronic submission data elements to report adverse 
events associated with food, infant formula, and cosmetics products 
remain unchanged in this request for extension of OMB approval.

III. Information Collection Burden Estimate

    Description of respondents: The respondents to this collection of 
information include all persons submitting mandatory or voluntary 
adverse event reports electronically to FDA via the ESG or the SRP 
regarding FDA-regulated products.
    We estimate the burden of this collection of information as 
follows:

                                                     Table 1--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Number of
                   Activity                       Number of     responses per   Total annual          Average burden per response           Total hours
                                                 respondents     respondent       responses
--------------------------------------------------------------------------------------------------------------------------------------------------------
Voluntary Adverse Event Report via the SRP              1,800               1           1,800  0.6 (36 minutes).........................           1,080
 (Other than RFR Reports).
Mandatory Adverse Event Report via the SRP              3,360               1           3,360  1........................................           3,360
 (Other than RFR Reports).
Mandatory Adverse Event Report via the ESG          3,007,000               1       3,007,000  0.6 (36 minutes).........................       1,804,200
 (Gateway-to-Gateway transmission).
Mandatory and Voluntary RFR Reports via the             1,260               1           1,260  0.6 (36 minutes).........................             756
 SRP.
                                              ----------------------------------------------------------------------------------------------------------
    Total....................................  ..............  ..............       3,013,420  .........................................       1,809,396
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.

    The Agency's estimate of the number of respondents and the total 
annual responses in table 1 is based primarily on mandatory and 
voluntary adverse event reports electronically submitted to the Agency. 
The estimated total annual responses are based on initial reports. 
Followup reports, if any, are not counted as new reports. Based on its 
experience with adverse event reporting, FDA estimates that it will 
take a respondent 0.6 hour to submit a voluntary adverse event report 
via the SRP, 1 hour to submit a mandatory adverse event report via the 
SRP, and 0.6 hour to submit a mandatory adverse event report via the 
ESG (gateway-to-gateway transmission). Both mandatory and voluntary RFR 
reports must be submitted via the SRP. FDA estimates that it will take 
a respondent 0.6 hour to submit a RFR report, whether the submission is 
mandatory or voluntary.

[[Page 61657]]

    The burden hours required to complete paper FDA reporting forms 
(Forms FDA 3500, 3500A, 1932, and 1932a) are reported under OMB control 
numbers 0910-0284 and 0910-0291. While FDA does not charge for the use 
of the ESG, the Agency requires respondents to obtain a public key 
infrastructure certificate to set up the account. This can be obtained 
in-house or outsourced by purchasing a public key certificate that is 
valid for 1 year to 3 years. The certificate typically costs from $20 
to $30.
    Our estimated burden for the information collection reflects an 
overall increase of 688,547 hours and a corresponding increase of 
1,145,763 responses. We attribute this adjustment to an increase in the 
number of submissions we received over the last few years.

    Dated: November 26, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-26031 Filed 11-29-18; 8:45 am]
 BILLING CODE 4164-01-P



                                                                          Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices                                          61653

                                              CONTACT) at least 7 days in advance of                  Comments received by mail/hand                           • Confidential Submissions—To
                                              the meeting.                                            delivery/courier (for written/paper                   submit a comment with confidential
                                                FDA is committed to the orderly                       submissions) will be considered timely                information that you do not wish to be
                                              conduct of its advisory committee                       if they are postmarked or the delivery                made publicly available, submit your
                                              meetings. Please visit our website at                   service acceptance receipt is on or                   comments only as a written/paper
                                              https://www.fda.gov/Advisory                            before that date.                                     submission. You should submit two
                                              Committees/AboutAdvisoryCommittees/                                                                           copies total. One copy will include the
                                              ucm111462.htm for procedures on                         Electronic Submissions
                                                                                                                                                            information you claim to be confidential
                                              public conduct during advisory                            Submit electronic comments in the                   with a heading or cover note that states
                                              committee meetings.                                     following way:                                        ‘‘THIS DOCUMENT CONTAINS
                                                Notice of this meeting is given under                   • Federal eRulemaking Portal:                       CONFIDENTIAL INFORMATION.’’ The
                                              the Federal Advisory Committee Act (5                   https://www.regulations.gov. Follow the               Agency will review this copy, including
                                              U.S.C. app. 2).                                         instructions for submitting comments.                 the claimed confidential information, in
                                                Dated: November 26, 2018.
                                                                                                      Comments submitted electronically,                    its consideration of comments. The
                                                                                                      including attachments, to https://                    second copy, which will have the
                                              Leslie Kux,
                                                                                                      www.regulations.gov will be posted to                 claimed confidential information
                                              Associate Commissioner for Policy.                      the docket unchanged. Because your                    redacted/blacked out, will be available
                                              [FR Doc. 2018–25991 Filed 11–29–18; 8:45 am]            comment will be made public, you are                  for public viewing and posted on
                                              BILLING CODE 4164–01–P                                  solely responsible for ensuring that your             https://www.regulations.gov. Submit
                                                                                                      comment does not include any                          both copies to the Dockets Management
                                                                                                      confidential information that you or a                Staff. If you do not wish your name and
                                              DEPARTMENT OF HEALTH AND                                third party may not wish to be posted,
                                              HUMAN SERVICES                                                                                                contact information to be made publicly
                                                                                                      such as medical information, your or                  available, you can provide this
                                                                                                      anyone else’s Social Security number, or              information on the cover sheet and not
                                              Food and Drug Administration
                                                                                                      confidential business information, such               in the body of your comments and you
                                              [Docket No. FDA–2018–N–4131]                            as a manufacturing process. Please note               must identify this information as
                                                                                                      that if you include your name, contact                ‘‘confidential.’’ Any information marked
                                              Agency Information Collection                           information, or other information that
                                              Activities; Proposed Collection;                                                                              as ‘‘confidential’’ will not be disclosed
                                                                                                      identifies you in the body of your                    except in accordance with 21 CFR 10.20
                                              Comment Request; Food and Drug                          comments, that information will be
                                              Administration Adverse Event Reports;                                                                         and other applicable disclosure law. For
                                                                                                      posted on https://www.regulations.gov.                more information about FDA’s posting
                                              Electronic Submissions                                    • If you want to submit a comment                   of comments to public dockets, see 80
                                              AGENCY:    Food and Drug Administration,                with confidential information that you                FR 56469, September 18, 2015, or access
                                              HHS.                                                    do not wish to be made available to the               the information at: https://www.gpo.gov/
                                              ACTION:   Notice.                                       public, submit the comment as a                       fdsys/pkg/FR-2015-09-18/pdf/2015-
                                                                                                      written/paper submission and in the                   23389.pdf.
                                              SUMMARY:   The Food and Drug                            manner detailed (see ‘‘Written/Paper                     Docket: For access to the docket to
                                              Administration (FDA, Agency, or we) is                  Submissions’’ and ‘‘Instructions’’).                  read background documents or the
                                              announcing an opportunity for public                    Written/Paper Submissions                             electronic and written/paper comments
                                              comment on the proposed collection of                                                                         received, go to https://
                                              certain information by the Agency.                         Submit written/paper submissions as
                                                                                                                                                            www.regulations.gov and insert the
                                              Under the Paperwork Reduction Act of                    follows:
                                                                                                         • Mail/Hand Delivery/Courier (for                  docket number, found in brackets in the
                                              1995 (PRA), Federal Agencies are                                                                              heading of this document, into the
                                              required to publish notice in the                       written/paper submissions): Dockets
                                                                                                      Management Staff (HFA–305), Food and                  ‘‘Search’’ box and follow the prompts
                                              Federal Register concerning each                                                                              and/or go to the Dockets Management
                                              proposed collection of information,                     Drug Administration, 5630 Fishers
                                                                                                      Lane, Rm. 1061, Rockville, MD 20852.                  Staff, 5630 Fishers Lane, Rm. 1061,
                                              including each proposed extension of an                                                                       Rockville, MD 20852.
                                                                                                         • For written/paper comments
                                              existing collection of information, and                                                                       FOR FURTHER INFORMATION CONTACT:
                                                                                                      submitted to the Dockets Management
                                              to allow 60 days for public comment in                                                                        Domini Bean, Office of Operations,
                                                                                                      Staff, FDA will post your comment, as
                                              response to the notice. This notice                                                                           Food and Drug Administration, Three
                                                                                                      well as any attachments, except for
                                              solicits comments on the use of the FDA                                                                       White Flint North, 10A–12M, 11601
                                                                                                      information submitted, marked and
                                              Electronic Submission Gateway (ESG)                                                                           Landsdown St., North Bethesda, MD
                                                                                                      identified, as confidential, if submitted
                                              and the Safety Reporting Portal (SRP) to                                                                      20852, 301–796–5733, PRAStaff@
                                                                                                      as detailed in ‘‘Instructions.’’
                                              collect adverse event reports and other                                                                       fda.hhs.gov.
                                                                                                         Instructions: All submissions received
                                              safety information for FDA-regulated
                                                                                                      must include the Docket No. FDA–                      SUPPLEMENTARY INFORMATION:
                                              products.
                                                                                                      2018–N–4131 for ‘‘Agency Information
                                              DATES: Submit either electronic or                      Collection Activities; Proposed                       I. Background
                                              written comments on the collection of                   Collection; Comment Request; FDA                         Under the PRA (44 U.S.C. 3501–
                                              information by January 29, 2019.                        Adverse Event Reports; Electronic                     3520), Federal Agencies must obtain
                                              ADDRESSES: You may submit comments                      Submissions.’’ Received comments,                     approval from the Office of Management
                                              as follows. Please note that late,                      those filed in a timely manner (see                   and Budget (OMB) for each collection of
amozie on DSK3GDR082PROD with NOTICES1




                                              untimely filed comments will not be                     ADDRESSES), will be placed in the docket              information they conduct or sponsor.
                                              considered. Electronic comments must                    and, except for those submitted as                    ‘‘Collection of information’’ is defined
                                              be submitted on or before January 29,                   ‘‘Confidential Submissions,’’ publicly                in 44 U.S.C. 3502(3) and 5 CFR
                                              2019. The https://www.regulations.gov                   viewable at https://www.regulations.gov               1320.3(c) and includes Agency requests
                                              electronic filing system will accept                    or at the Dockets Management Staff                    or requirements that members of the
                                              comments until 11:59 p.m. Eastern Time                  between 9 a.m. and 4 p.m., Monday                     public submit reports, keep records, or
                                              at the end of January 29, 2019.                         through Friday.                                       provide information to a third party.


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                                              61654                       Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices

                                              Section 3506(c)(2)(A) of the PRA (44                    specifically §§ 310.305, 314.80, 314.98,              prevent foodborne illnesses. The data
                                              U.S.C. 3506(c)(2)(A)) requires Federal                  314.540, 329.100, 514.80, 600.80,                     elements for RFR reports remain
                                              Agencies to provide a 60-day notice in                  803.30, 803.40, 803.50, 803.53, 803.56,               unchanged in this request for extension
                                              the Federal Register concerning each                    and 1271.350(a) (21 CFR 310.305,                      of OMB approval.
                                              proposed collection of information,                     314.80, 314.98, 314.540, 329.100,
                                                                                                                                                            B. Reports Concerning Experience With
                                              including each proposed extension of an                 514.80, 600.80, 803.30, 803.40, 803.50,
                                                                                                                                                            Approved New Animal Drugs
                                              existing collection of information,                     803.53, 803.56, and 1271.350(a)). While
                                              before submitting the collection to OMB                 adverse event reports submitted to FDA                   Section 512(l) of the FD&C Act (21
                                              for approval. To comply with this                       in paper format using Forms FDA 3500,                 U.S.C. 360b(l)) and § 514.80(b) of FDA’s
                                              requirement, FDA is publishing notice                   3500A, 1932, and 1932a are approved                   regulations require applicants of
                                              of the proposed collection of                           under OMB control numbers 0910–0284                   approved new animal drug applications
                                              information set forth in this document.                 and 0910–0291, this notice solicits                   (NADAs) and approved abbreviated new
                                                 With respect to the following                        comments on adverse event reports filed               animal drug applications (ANADAs) to
                                              collection of information, FDA invites                  electronically via the SRP and the ESG,               report adverse drug experiences and
                                              comments on these topics: (1) Whether                   and currently approved under OMB                      product/manufacturing defects to the
                                              the proposed collection of information                  control number 0910–0645.                             Center for Veterinary Medicine (CVM).
                                              is necessary for the proper performance                                                                       This continuous monitoring of approved
                                                                                                      II. The FDA Safety Reporting Portal                   NADAs and ANADAs affords the
                                              of FDA’s functions, including whether                   Rational Questionnaires
                                              the information will have practical                                                                           primary means by which FDA obtains
                                              utility; (2) the accuracy of FDA’s                         FDA currently has OMB approval to                  information regarding potential
                                              estimate of the burden of the proposed                  receive several types of adverse event                problems with the safety and efficacy of
                                              collection of information, including the                reports electronically via the SRP using              marketed approved new animal drugs as
                                              validity of the methodology and                         rational questionnaires. In this notice,              well as potential product/manufacturing
                                              assumptions used; (3) ways to enhance                   FDA seeks comments on the extension                   problems. Postapproval marketing
                                              the quality, utility, and clarity of the                of OMB approval for these existing                    surveillance is important because data
                                              information to be collected; and (4)                    rational questionnaires and the                       previously submitted to FDA may no
                                              ways to minimize the burden of the                      proposed revision of the existing                     longer be adequate, as animal drug
                                              collection of information on                            rational questionnaire for tobacco                    effects can change over time and less
                                              respondents, including through the use                  products.                                             apparent effects may take years to
                                              of automated collection techniques,                                                                           manifest.
                                                                                                      A. Reportable Food Registry Reports                      If an applicant must report adverse
                                              when appropriate, and other forms of                       The Food and Drug Administration                   drug experiences and product/
                                              information technology.                                 Amendments Act of 2007 (Pub. L. 110–                  manufacturing defects and chooses to
                                              FDA Adverse Event Reports; Electronic                   085) (FDAAA) amended the Federal                      do so using the Agency’s paper forms,
                                              Submissions—21 CFR 310.305, 314.80,                     Food, Drug, and Cosmetic Act (FD&C                    the applicant is required to use Form
                                              314.98, 314.540, 514.80, 600.80,                        Act) by creating section 417 (21 U.S.C.               FDA 1932, ‘‘Veterinary Adverse Drug
                                              1271.350, and Part 803                                  350f), Reportable Food Registry (RFR).                Reaction, Lack of Effectiveness, Product
                                                                                                      Section 417 of the FD&C Act defines                   Defect Report.’’ Periodic drug
                                              OMB Control Number 0910–0645—                           ‘‘reportable food’’ as an article of food
                                              Extension                                                                                                     experience reports and special drug
                                                                                                      (other than infant formula) for which                 experience reports must be
                                                 The SRP and the ESG are the                          there is a ‘‘reasonable probability that              accompanied by a completed Form FDA
                                              Agency’s electronic systems for                         the use of, or exposure to, such article              2301, ‘‘Transmittal of Periodic Reports
                                              collecting, submitting, and processing                  of food will cause serious adverse health             and Promotional Material for New
                                              adverse event reports, product problem                  consequences or death to humans or                    Animal Drugs’’ (see § 514.80(d)). Form
                                              reports, and other safety information for               animals.’’ (See section 417(a)(2) of the              FDA 1932a, ‘‘Veterinary Adverse Drug
                                              FDA-regulated products. To ensure the                   FD&C Act.) The Secretary of Health and                Reaction, Lack of Effectiveness or
                                              safety and identify any risks, harms, or                Human Services (the Secretary) has                    Product Defect Report’’ allows for
                                              other dangers to health for all FDA-                    delegated to the FDA Commissioner the                 voluntary reporting of adverse drug
                                              regulated human and animal products,                    responsibility for administering the                  experiences or product/manufacturing
                                              the Agency needs to be informed                         FD&C Act, including section 417. The                  defects by veterinarians and the general
                                              whenever an adverse event, product                      purpose of the RFR is to enable the                   public. Collection of information using
                                              quality problem, or product use error                   Agency to track patterns of adulteration              existing paper Forms FDA 2301, 1932,
                                              occurs. This risk identification process                in food to support its efforts to target              and 1932a is approved under OMB
                                              is the first necessary step that allows the             limited inspection resources to protect               control number 0910–0284.
                                              Agency to gather the information                        the public health. We designed the RFR                   Alternatively, an applicant may
                                              necessary to be able to evaluate the risk               report rational questionnaire to enable               choose to report adverse drug
                                              associated with the product and take                    FDA to quickly identify, track, and                   experiences and product/manufacturing
                                              whatever action is necessary to mitigate                remove from commerce an article of                    defects electronically. The electronic
                                              or eliminate the public’s exposure to the               food (other than infant formula and                   submission data elements to report
                                              risk.                                                   dietary supplements) for which there is               adverse drug experiences and product/
                                                 Some adverse event reports are                       a reasonable probability that the use of,             manufacturing defects electronically
                                              required to be submitted to FDA                         or exposure to, such article of food will             remain unchanged in this request for
amozie on DSK3GDR082PROD with NOTICES1




                                              (mandatory reporting) and some adverse                  cause serious adverse health                          extension of OMB approval.
                                              event reports are submitted voluntarily                 consequences or death to humans or
                                              (voluntary reporting). Requirements                     animals. FDA’s Center for Food Safety                 C. Animal Food Adverse Event and
                                              regarding mandatory reporting of                        and Applied Nutrition (CFSAN) uses                    Product Problem Reports
                                              adverse events or product problems                      the information collected to help ensure                Section 1002(b) of FDAAA directed
                                              have been codified in 21 CFR parts 310,                 that such products are quickly and                    the Secretary to establish an early
                                              314, 514, 600, 803, and 1271,                           efficiently removed from the market to                warning and surveillance system to


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                                                                          Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices                                          61655

                                              identify adulteration of the pet food                   collects voluntary adverse event reports              under which test or protocol the adverse
                                              supply and outbreaks of illness                         associated with the use of tobacco                    event occurred.
                                              associated with pet food. As part of the                products from interested parties such as                 Both CTP voluntary rational
                                              effort to fulfill that directive, the                   healthcare providers, researchers,                    questionnaires capture tobacco-specific
                                              Secretary tasked FDA with developing                    consumers, and other users of tobacco                 adverse event and product problem
                                              the instrument that would allow                         products. Information collected in                    information from reporting entities such
                                              consumers to report voluntarily adverse                 voluntary adverse event reports                       as healthcare providers, researchers,
                                              events associated with pet food. We                     contributes to the Center for Tobacco                 consumers, and other users of tobacco
                                              developed the Pet Food Early Warning                    Product’s (CTP’s) ability to be informed              products. To carry out its
                                              System rational questionnaire as a user-                of, and assess the real consequences of,              responsibilities, FDA needs to be
                                              friendly data collection tool, to make it               tobacco product use.                                  informed when an adverse event,
                                              easy for the public to report a safety                     The need for this collection of                    product problem, or error with use is
                                              problem with pet food. Subsequently,                    information derives from our                          suspected or identified. FDA uses
                                              we developed a questionnaire for                        responsibility to obtain current, timely,             tobacco-specific adverse event and
                                              collecting voluntary adverse event                      and policy-relevant information to carry              product problem information to assess
                                              reports associated with livestock food                  out our statutory functions. FDA’s                    and evaluate the risk associated with the
                                              from interested parties such as livestock               Commissioner is authorized to                         product and to take whatever action is
                                              owners, managers, veterinary staff or                   undertake this collection as specified in             necessary to reduce, mitigate, or
                                              other professionals, and concerned                      section 1003(d)(2) of the FD&C Act (21                eliminate the public’s exposure to the
                                              citizens. Information collected in these                U.S.C. 393(d)(2)). FDA’s CTP has been                 risk through regulatory and public
                                              voluntary adverse event reports                         receiving adverse event and product                   health interventions. The burden for
                                              contribute to CVM’s ability to identify                 problem reports through the Safety                    CTP remains unchanged. We seek
                                              adulteration of the livestock food supply               Reporting Portal since January 2014,                  approval of the revised rational
                                              and outbreaks of illness associated with                when the SRP for tobacco products first               questionnaire in this request for
                                              livestock food. The Pet Food Early                      became available to the public. CTP also              extension of OMB approval.
                                              Warning System and the Livestock Food                   receives adverse event and product                    E. Dietary Supplement Adverse Event
                                              Reports are designed to identify                        problem reports via paper forms, as                   Reports
                                              adulteration of the animal food supply                  approved under OMB control number
                                              and outbreaks of illness associated with                                                                         The Dietary Supplement and
                                                                                                      0910–0291. We are revising the                        Nonprescription Drug Consumer
                                              animal food to enable us to quickly                     questionnaire with non-substantive
                                              identify, track, and remove from                                                                              Protection Act (DSNDCPA) (Pub. L.
                                                                                                      changes. The changes are made to make                 109–462, 120 Stat. 3469) amended the
                                              commerce such articles of food. We use                  the questions more understandable and
                                              the information collected to help ensure                                                                      FD&C Act with respect to serious
                                                                                                      specific. In some instances, alterations              adverse event reporting and
                                              that such products are quickly and                      were made to the list of values to choose
                                              efficiently removed from the market to                                                                        recordkeeping for dietary supplements
                                                                                                      from by the end user to include values                and nonprescription drugs marketed
                                              prevent foodborne illnesses. The                        more pertinent to CTP’s current and
                                              electronic submission data elements to                                                                        without an approved application.
                                                                                                      future data collection needs. In one                     Section 761(b)(1) of the FD&C Act (21
                                              report adverse events associated with
                                                                                                      instance, a question was added about                  U.S.C. 379aa–1(b)(1)) requires the
                                              animal food remain unchanged in this
                                                                                                      the event location: ‘‘In what setting(s)              manufacturer, packer, or distributor
                                              request for extension of OMB approval.
                                                                                                      did this problem occur?’’ In still other              whose name (under section 403(e)(1) of
                                              D. Voluntary Tobacco Product Adverse                    instances, questions were removed                     the FD&C Act (21 U.S.C. 343(e)(1))
                                              Event and Product Problem Reports                       altogether to streamline the                          appears on the label of a dietary
                                                 As noted, this notice seeks comments                 questionnaire and make it more user-                  supplement marketed in the United
                                              on a revision to the existing rational                  friendly. All changes were made with                  States to submit to FDA all serious
                                              questionnaire utilized by consumers                     the goal of providing FDA more                        adverse event reports associated with
                                              and concerned citizens to report tobacco                pertinent information while minimizing                the use of a dietary supplement,
                                              product adverse event or product                        the burden on the respondent. Finally,                accompanied by a copy of the product
                                              problems.                                               we note that respondents unable to                    label. The manufacturer, packer, or
                                                 FDA has broad legal authority under                  submit reports using the electronic                   distributor of a dietary supplement is
                                              the FD&C Act to protect the public                      system will still be able to provide their            required by the DSNDCPA to use the
                                              health, including protecting Americans                  information by paper form (by mail or                 MedWatch form (Form FDA 3500A)
                                              from tobacco-related death and disease                  Fax) or telephone.                                    when submitting a serious adverse event
                                              by regulating the manufacture,                             CTP has two voluntary rational                     report to FDA. In addition, under
                                              distribution, and marketing of tobacco                  questionnaires on the SRP. The first is               section 761(c)(2) of the FD&C Act, the
                                              products and by educating the public,                   utilized by consumers and concerned                   submitter of the serious adverse event
                                              especially young people, about tobacco                  citizens to report tobacco product                    report (referred to in the statute as the
                                              products and the dangers their use                      adverse event or product problems. A                  ‘‘responsible person’’) is required to
                                              poses to themselves and others. The                     second rational questionnaire is used by              submit to FDA a followup report of any
                                              Family Smoking Prevention and                           tobacco product investigators in clinical             related new medical information the
                                              Tobacco Control Act (Pub. L. 111–31)                    trials with investigational tobacco                   responsible person receives within 1
                                              amended the FD&C Act by creating a                      products. In addition to the information              year of the initial report.
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                                              new section 909 (21 U.S.C. 387i,                        collected by the first rational                          As required by section 3(d)(3) of the
                                              Records and Reports on Tobacco                          questionnaire for tobacco products, the               DSNDCPA, FDA issued guidance to
                                              Products). Section 909(a) of the FD&C                   second rational questionnaire collects                describe the minimum data elements for
                                              Act authorizes FDA to establish                         identifying information specific to the               serious adverse event reports for dietary
                                              regulations with respect to mandatory                   clinical trial or investigational product             supplements. The guidance document
                                              adverse event reports associated with                   such as clinical protocol numbers or                  entitled ‘‘Guidance for Industry:
                                              the use of a tobacco product. FDA                       other identifying features to pinpoint                Questions and Answers Regarding


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                                              61656                                Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices

                                              Adverse Event Reporting and                                               via the SRP. This method of submission                                  formula, and cosmetic adverse event
                                              Recordkeeping for Dietary Supplements                                     is voluntary. A manufacturer, packer, or                                reports over the SRP. Currently,
                                              as Required by the Dietary Supplement                                     distributor of a dietary supplement who                                 voluntary adverse event reports for such
                                              and Nonprescription Drug Consumer                                         is unable to or chooses not to submit                                   products are submitted on Form FDA
                                              Protection Act,’’ discusses how, when,                                    reports using the electronic system will                                3500, which is available as a fillable
                                              and where to submit serious adverse                                       still be able to provide their information                              PDF form. However, we have not
                                              event reports for dietary supplements                                     by paper MedWatch form, Form FDA                                        developed rational questionnaires by
                                              and followup reports. The guidance also                                   3500A (by mail or Fax). There is no                                     which these reports may be
                                              provides FDA’s recommendation on                                          change to the mandatory information                                     electronically submitted to us via the
                                              records maintenance and access for                                        previously required on the MedWatch                                     SRP. In addition, MedWatch forms,
                                              serious and non-serious adverse event                                     form. CFSAN is making available the                                     although recently updated with field
                                              reports and related documents.                                            option to submit the same information                                   labels and descriptions to better clarify
                                                 Reporting of serious adverse events                                    via electronic means.                                                   for reporters the range of reportable
                                              for dietary supplements to FDA serves                                        The reporting and recordkeeping                                      products, do not specifically include
                                              as an early warning sign of potential                                     requirements of the FD&C Act for                                        questions relevant for the analysis of
                                              public health issues associated with                                      dietary supplement adverse event                                        adverse events related to food, infant
                                              such products. Without notification of                                    reports and the recommendations of the                                  formula, and cosmetics. The proposed
                                              all serious adverse events associated                                     guidance document were first approved                                   food, infant formula, and cosmetics
                                              with dietary supplements, FDA would                                       in 2009 under OMB control number                                        rational questionnaire functionality will
                                              be unable to investigate and followup                                     0910–0635. OMB approved the                                             operate in a manner similar to the
                                              promptly, which in turn could cause                                       extension of the 0910–0635 collection of                                dietary supplement rational
                                              delays in alerting the public when safety                                 information in March 2016. OMB                                          questionnaire and will include specific
                                              problems are found. In addition, the                                      approved the electronic submission of                                   questions relevant for the analysis of
                                                                                                                        dietary supplement adverse event                                        adverse events related to food, infant
                                              information received provides a reliable
                                                                                                                        reports via the SRP under OMB control                                   formula, and cosmetics. The electronic
                                              mechanism to track patterns of
                                                                                                                        number 0910–0645 in June 2013.                                          submission data elements to report
                                              adulteration in food that supports efforts
                                                                                                                        Burden hours are also reported under                                    adverse events associated with food,
                                              by FDA to target limited inspection
                                                                                                                        OMB control number 0910–0291,                                           infant formula, and cosmetics products
                                              resources to protect the public health.
                                                                                                                        reflecting the submission of dietary                                    remain unchanged in this request for
                                              FDA uses the information collected to
                                                                                                                        supplement adverse event reports on the                                 extension of OMB approval.
                                              help ensure that such products are
                                                                                                                        paper MedWatch form, Form FDA
                                              quickly and efficiently removed from                                                                                                              III. Information Collection Burden
                                                                                                                        3500A.
                                              the market to prevent foodborne                                              The electronic submission data                                       Estimate
                                              illnesses.                                                                elements to report adverse events
                                                 Paper mandatory dietary supplement                                     associated with dietary supplement                                        Description of respondents: The
                                              adverse event reports are submitted to                                    products remain unchanged in this                                       respondents to this collection of
                                              FDA on the MedWatch form, Form FDA                                        request for extension of OMB approval.                                  information include all persons
                                              3500A, and paper voluntary reports are                                                                                                            submitting mandatory or voluntary
                                              submitted on Form FDA 3500. Forms                                         F. Food, Infant Formula, and Cosmetic                                   adverse event reports electronically to
                                              FDA 3500 and 3500A are available as                                       Adverse Event Reports                                                   FDA via the ESG or the SRP regarding
                                              fillable PDF forms. Dietary supplement                                      We continue to work on proposed                                       FDA-regulated products.
                                              adverse event reports may be                                              new rational questionnaire functionality                                  We estimate the burden of this
                                              electronically submitted to the Agency                                    that will be used for food, infant                                      collection of information as follows:

                                                                                                           TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                 Number of                                         Average
                                                                                                                                      Number of                                           Total annual
                                                                                Activity                                                                       responses per                                     burden per                  Total hours
                                                                                                                                     respondents                                           responses
                                                                                                                                                                 respondent                                       response

                                              Voluntary Adverse Event Report via the SRP                             (Other                        1,800                            1            1,800    0.6 (36 minutes) .....                    1,080
                                                than RFR Reports).
                                              Mandatory Adverse Event Report via the SRP                             (Other                        3,360                            1            3,360    1 .............................           3,360
                                                than RFR Reports).
                                              Mandatory Adverse Event Report via the ESG                             (Gate-                 3,007,000                                1       3,007,000    0.6 (36 minutes) .....                1,804,200
                                                way-to-Gateway transmission).
                                              Mandatory and Voluntary RFR Reports via the                            SRP                           1,260                            1            1,260    0.6 (36 minutes) .....                      756

                                                   Total ......................................................................     ........................   ........................      3,013,420    ................................      1,809,396
                                                 1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                The Agency’s estimate of the number                                     counted as new reports. Based on its                                    event report via the ESG (gateway-to-
amozie on DSK3GDR082PROD with NOTICES1




                                              of respondents and the total annual                                       experience with adverse event                                           gateway transmission). Both mandatory
                                              responses in table 1 is based primarily                                   reporting, FDA estimates that it will                                   and voluntary RFR reports must be
                                              on mandatory and voluntary adverse                                        take a respondent 0.6 hour to submit a                                  submitted via the SRP. FDA estimates
                                              event reports electronically submitted to                                 voluntary adverse event report via the                                  that it will take a respondent 0.6 hour
                                              the Agency. The estimated total annual                                    SRP, 1 hour to submit a mandatory                                       to submit a RFR report, whether the
                                              responses are based on initial reports.                                   adverse event report via the SRP, and                                   submission is mandatory or voluntary.
                                              Followup reports, if any, are not                                         0.6 hour to submit a mandatory adverse


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                                                                          Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices                                                61657

                                                 The burden hours required to                         Participants should call and connect 15               number listed above at least 3 business
                                              complete paper FDA reporting forms                      minutes before the meeting starts for                 days before the meeting.
                                              (Forms FDA 3500, 3500A, 1932, and                       logistics to be set up. If you have never             Amy P. McNulty,
                                              1932a) are reported under OMB control                   attended an Adobe Connect meeting,
                                              numbers 0910–0284 and 0910–0291.                                                                              Acting Director, Division of the Executive
                                                                                                      please test your connection using the                 Secretariat.
                                              While FDA does not charge for the use                   following URL: https://
                                              of the ESG, the Agency requires                                                                               [FR Doc. 2018–26080 Filed 11–29–18; 8:45 am]
                                                                                                      hrsa.connectsolutions.com/common/
                                              respondents to obtain a public key                      help/en/support/meeting_test.htm Get a
                                                                                                                                                            BILLING CODE 4165–15–P

                                              infrastructure certificate to set up the                quick overview at the following URL:
                                              account. This can be obtained in-house                  http://www.adobe.com/go/connectpro_
                                              or outsourced by purchasing a public                                                                          DEPARTMENT OF HEALTH AND
                                                                                                      overview.                                             HUMAN SERVICES
                                              key certificate that is valid for 1 year to
                                              3 years. The certificate typically costs                FOR FURTHER INFORMATION CONTACT:                      Meetings Announcement for the
                                              from $20 to $30.                                        Annie Herzog, Program Analyst,                        Physician-Focused Payment Model
                                                 Our estimated burden for the                         Division of Injury Compensation                       Technical Advisory Committee
                                              information collection reflects an                      Programs (DICP), HRSA, 5600 Fishers                   Required by the Medicare Access and
                                              overall increase of 688,547 hours and a                 Lane, 08N146B, Rockville, Maryland                    CHIP Reauthorization Act of 2015
                                              corresponding increase of 1,145,763
                                                                                                      20857; 301–443–6593; or aherzog@                      (MACRA); Correction
                                              responses. We attribute this adjustment
                                                                                                      hrsa.gov.
                                              to an increase in the number of                                                                               ACTION: Notice of public meetings;
                                              submissions we received over the last                   SUPPLEMENTARY INFORMATION:     The ACCV               correction.
                                              few years.                                              was established by section 2119 of the
                                                Dated: November 26, 2018.                             Public Health Service (PHS) Act (42                   SUMMARY:    The Department of Health and
                                              Leslie Kux,                                             U.S.C. 300aa–19), as enacted by Public                Human Services published a document
                                                                                                      Law (Pub. L.) 99–660, and as                          in the Federal Register of February 05,
                                              Associate Commissioner for Policy.
                                                                                                                                                            2018 detailing the 2018 PTAC meeting
                                              [FR Doc. 2018–26031 Filed 11–29–18; 8:45 am]            subsequently amended, and advises the
                                                                                                                                                            dates and the link that connects to the
                                              BILLING CODE 4164–01–P                                  Secretary of HHS (the Secretary) on
                                                                                                                                                            meeting registration website. The
                                                                                                      issues related to implementation of the
                                                                                                                                                            December meeting date has been
                                                                                                      National Vaccine Injury Compensation                  shortened to a one day meeting and the
                                              DEPARTMENT OF HEALTH AND                                Program (VICP). During the December 6,                registration link has been updated.
                                              HUMAN SERVICES                                          2018, meeting, agenda items will
                                                                                                                                                            FOR FURTHER INFORMATION CONTACT:
                                                                                                      include, but are not limited to, updates
                                              Health Resources and Services                                                                                 Sarah Selenich, Designated Federal
                                                                                                      from the DICP, Department of Justice                  Official, at the Office of Health Policy,
                                              Administration
                                                                                                      (DOJ), National Vaccine Program Office                Assistant Secretary for Planning and
                                              Meeting of the Advisory Commission                      (NVPO), Immunization Safety Office                    Evaluation, U.S. Department of Health
                                              on Childhood Vaccines                                   (Centers for Disease Control and                      and Human Services, 200 Independence
                                                                                                      Prevention), National Institute of                    Ave. SW, Washington, DC 20201, (202)
                                              AGENCY: Health Resources and Services                   Allergy and Infectious Diseases
                                              Administration (HRSA), Department of                                                                          690–6870.
                                                                                                      (National Institutes of Health) and                   SUPPLEMENTARY INFORMATION:
                                              Health and Human Services (HHS).
                                                                                                      Center for Biologics, Evaluation and
                                              ACTION: Notice.                                                                                               Correction
                                                                                                      Research (Food and Drug
                                              SUMMARY:  The Advisory Commission on                    Administration). Agenda items are                        In the Federal Register of February 5,
                                              Childhood Vaccines (ACCV) has                           subject to change as priorities dictate.              2018, in FR Doc. 2018–02211, on page
                                              scheduled a public meeting. Information                 Refer to the ACCV website listed above                5109, in the first column, correct the
                                              about the ACCV and the agenda for this                  for any updated information concerning                ‘‘Dates’’ caption to read:
                                              meeting can be found on the ACCV                        the meeting to include a draft agenda                 DATES: The 2018 PTAC meetings will
                                              website at: http://www.hrsa.gov/                        and additional meeting materials that                 occur on the following dates:
                                              advisorycommittees/childhoodvaccines/                   will be posted before the meeting.                    • Monday–Tuesday, March 26–27,
                                              index.html. This notice is being                           Members of the public will have the                   2018, from 9:00 a.m. to 5:00 p.m. ET
                                              published less than 15 days prior to the                opportunity to provide comments.                      • Thursday–Friday, June 14–15, 2018,
                                              meeting date due to unexpected                                                                                   from 9:00 a.m. to 5:00 p.m. ET
                                                                                                      Public participants may submit written
                                              administrative delays.                                                                                        • Thursday–Friday, September 6–7,
                                                                                                      statements in advance of the scheduled
                                              DATES: December 6, 2018, at 10:00 a.m.                                                                           2018, from 9:00 a.m. to 5:00 p.m. ET
                                                                                                      meeting. Oral comments will be
                                              ET.
                                                                                                      honored in the order they are requested               • Monday, December 10, 2018, from
                                              ADDRESSES: This meeting will be held                                                                             12:30 p.m. to 5:00 p.m. ET
                                                                                                      and may be limited as time allows.
                                              by teleconference and Adobe Connect                     Requests to submit a written statement                Please note that times are subject to
                                              webinar. The public can join the                                                                              change. If the times change, registrants
                                                                                                      or make oral comments to the ACCV
                                              meeting by:                                                                                                   will be notified directly via email.
                                                1. (Audio Portion) Calling the                        should be sent to Annie Herzog using
                                              conference phone number 800–988–                        the contact information above by                      Correction
amozie on DSK3GDR082PROD with NOTICES1




                                              0218 and providing the following                        Wednesday, December 5, 2018.                            In the Federal Register of February 5,
                                              information: Leader Name: Dr. Narayan                      Individuals who need special                       2018, in FR Doc. 2018–02211, on page
                                              Nair, Password: 9302948.                                assistance or another reasonable                      5109, in the second column, correct the
                                                2. (Visual Portion) Connect to the                    accommodation should notify Annie                     ‘‘Meeting Registration’’ caption to read:
                                              ACCV Adobe Connect Meeting using the                    Herzog at the address and phone                         Meeting Registration:
                                              following URL: https://                                                                                         The public may attend the meetings
                                              hrsa.connectsolutions.com/accv/.                                                                              in-person or participate by phone via


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Document Created: 2018-11-30 04:35:46
Document Modified: 2018-11-30 04:35:46
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit either electronic or written comments on the collection of information by January 29, 2019.
ContactDomini Bean, Office of Operations, Food and Drug Administration, Three White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 20852, 301-796-5733, [email protected]
FR Citation83 FR 61653 

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