Agency Information Collection Activities; Proposed Collection; Comment Request; Examination of Online Direct-to-Consumer Prescription Drug Promotion, 23821-23823 [2011-10253]

Download as PDF Federal Register / Vol. 76, No. 82 / Thursday, April 28, 2011 / Notices The information collection provisions in §§ 314.70, 601.12, 807.81, and 814.39 have been approved under OMB control numbers 0910–0001, 0910–0338, 0910– 0120, and 0910–0231, respectively. Dated: April 22, 2011. Leslie Kux, Acting Assistant Commissioner for Policy. [FR Doc. 2011–10254 Filed 4–27–11; 8:45 am] BILLING CODE 4160–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2011–N–0230] Agency Information Collection Activities; Proposed Collection; Comment Request; Examination of Online Direct-to-Consumer Prescription Drug Promotion AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (the PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information and to allow 60 days for public comment in response to the notice. This notice solicits comments on a series of studies, Examination of Online Direct-to-Consumer Prescription Drug Promotion. These studies are designed to test different ways of presenting benefit and risk information in online direct-to-consumer (DTC) prescription drug Web sites. DATES: Submit either electronic or written comments on the collection of information by June 27, 2011. ADDRESSES: Submit electronic comments on the collection of information to https:// www.regulations.gov. Submit written comments on the collection of information to the Division of Dockets Management (HFA–305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852. All comments should be identified with the docket number found in brackets in the heading of this document. FOR FURTHER INFORMATION CONTACT: Ila S. Mizrachi, Office of Information Management, Food and Drug Administration, 1350 Piccard Dr., PI50– 400B, Rockville, MD 20850, 301–796– 7726, e-mail: Ila.Mizrachi@fda.hhs.gov. srobinson on DSKHWCL6B1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 17:01 Apr 27, 2011 Jkt 223001 Under the PRA (44 U.S.C. 3501–3520), Federal Agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. ‘‘Collection of information’’ is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes Agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires Federal Agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information 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. SUPPLEMENTARY INFORMATION: Examination of Online Direct-toConsumer Prescription Drug Promotion—(OMB Control Number 0910—New) Pharmaceutical products are launched and marketed in a number of new modalities and venues that did not exist a short time ago. Increasingly, prescription products are promoted to consumers online in such formats as banner ads, Web sites, and videos. The interactive nature of the Internet allows for features not possible with traditional media (i.e., print, radio, and television), such as scrolling information, pop up windows, linking to more information, and embedding videos. FDA regulations require that prescription drug advertisements include a ‘‘fair balance’’ of information about the benefits and risks of advertised products, both in terms of the content and presentation of the information (21 CFR 202.1(e)(5)(ii)). All prescription drug ads that make claims about a product must, therefore, also include risk information in a PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 23821 ‘‘balanced’’ manner. Currently, there are a number of questions surrounding how to achieve ‘‘fair balance’’ in online DTC promotion. A few studies have examined how well online DTC Web sites communicate benefit and risk information. Although content analyses demonstrate that most Web sites include information on side effects and contraindications (Ref. 1), risk information is often presented less prominently and in fewer locations on the Web site (Refs. 2, 3, and 4). Content analyses also suggest that risk information on DTC prescription drug Web sites is often incomplete (Ref. 5) and written at very high literacy levels (Ref. 6). One study examined how users interact with prescription drug Web sites (Ref. 7). This study found that the placement of risk and benefit information on a Web site is an important factor in whether it achieves ‘‘fair balance.’’ Specifically, participants’ ability to find and accurately recall risk information was enhanced when risk and benefit information were presented separately and when risk information was presented on a higher order page (i.e., on a second-level page clearly linked from the homepage or on the homepage). This project is designed to test different ways of presenting prescription drug risk and benefit information on branded drug Web sites. This research is relevant to current policy questions and debate and will complement qualitative research we plan to conduct on issues surrounding social media. The original regulations that presently determine FDA’s position on DTC promotion were written at a time when the available media for DTC promotion were print and broadcast, and the primary audience was health care professionals. This dynamic is shifting, and evidence is needed to support guidance development. The series of studies described in this notice will provide data that, along with other input and considerations, will inform the development of future guidance. Design Overview: This research will be conducted in three concurrent studies. The first three studies are experimental and the fourth is qualitative. The purpose of study 1 is to investigate whether the presentation of risk information on branded drug Web sites influences consumers’ perceptions and understanding of the risks and benefits of the product. In study 1, we will examine the format (e.g., whether the risk information is presented in a paragraph or as a bulleted list) and E:\FR\FM\28APN1.SGM 28APN1 23822 Federal Register / Vol. 76, No. 82 / Thursday, April 28, 2011 / Notices visibility (i.e., the risk information can be seen without scrolling down versus the risk information cannot be seen without scrolling down) of risk information on the homepage of a prescription drug Web site. Participants will be randomly assigned to experimental conditions in a factorial design as follows: TABLE 1—STUDY 1 PROPOSED DESIGN (2×5) Format Visibility Paragraph Bullet list Checklist Highlighted box Animated spokesperson Scrolling Needed No Scrolling Needed The purpose of study 2 is to investigate how special features such as personal testimonial videos and interactive visuals on branded drug Web sites influence perceptions and understanding of the risks and benefits of the product. Examples of special features we may examine include personal testimonial video and interactive mechanism of action visuals. We will examine these special features in the context of the prominence of the presentation of risk information in two levels, more prominent and less prominent. An example of a more prominent display of risk information might involve including the risks as part of the spoken testimonial, whereas a less prominent display may involve a scrolling text of the risks after the animated video. We will include a control condition in which participants view a Web page with no special features. Participants will be randomly assigned to experimental conditions in a factorial design as follows: TABLE 2—STUDY 2 PROPOSED DESIGN (2×2+1) Special features Risk presentation Personal testimonial Interactive visual Control group Prominent Less Prominent The purpose of study 3 is to investigate whether links to and citations from external organizations referenced on the homepage of branded drug Web sites influence consumer perceptions and understanding of the risks and benefits of the product. We will examine two types of information: Hyperlinks to the external organization’s Web site (e.g., a link to the American Heart Association) and citations from an external organization (e.g., a citation to American Heart Association guidelines). We will also examine the type of organization (e.g., nonprofit or online health community). Participants will be randomly assigned to experimental conditions in a factorial design as follows: TABLE 3—STUDY 3 PROPOSED DESIGN (8×2+1) Information type Organization type Hyperlink to organization Web site Citation srobinson on DSKHWCL6B1PROD with NOTICES Government Nonprofit Health Care Health Professions Associations Academic Commercial Online Health Community Pharmaceutical Company-Sponsored Community Control Group In these three studies, participants will be randomly assigned to view one version of a (fictitious) prescription drug Web site. After viewing the Web site, participants will answer a series of questions about the drug. We will test how the manipulations affect outcomes such as perceived efficacy, perceived risk, behavioral intention, and accurate understanding of the benefit and risk VerDate Mar<15>2010 17:01 Apr 27, 2011 Jkt 223001 information. In each study, the fictitious prescription drug will be for the treatment of a high prevalence medical condition and modeled on an actual drug used to treat that condition. Participants will be consumers who have been diagnosed with the medical condition of interest. For instance, the medical conditions may be high cholesterol and seasonal allergies for PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 study 1, depression and acid reflux disease for study 2, and high blood pressure for study 3. For studies 1 to 3, interviews are expected to last no more than 25 minutes (the questionnaire is available upon request). This will be a one-time (rather than annual) collection of information. E:\FR\FM\28APN1.SGM 28APN1 23823 Federal Register / Vol. 76, No. 82 / Thursday, April 28, 2011 / Notices FDA estimates the burden of this collection of information as follows: TABLE 4—ESTIMATED ANNUAL REPORTING BURDEN 1 Activity Number of respondents Number of responses per respondent Total annual responses Average burden per response (in hours) 2 Screener ............................................................................... Pretests ................................................................................ Study 1 ................................................................................. Study 2 ................................................................................. Study 3 ................................................................................. Total .............................................................................. 20,000 1,200 4,000 2,000 3,600 ........................ 1 1 1 1 1 ........................ 20,000 1,200 4,000 2,000 3,600 ........................ 2/60 20/60 25/60 25/60 25/60 ........................ 1 There Total hours 667 400 1,667 834 1,500 5,068 are no capital costs or operating and maintenance costs associated with this collection of information. estimates of less than 1 hour are expressed as a fraction of an hour in the format ‘‘[number of minutes per response]/60’’. 2 Burden I. References srobinson on DSKHWCL6B1PROD with NOTICES The following references have been placed on display in the Division of Dockets Management (see ADDRESSES) and may be seen by interested persons between 9 a.m. and 4 p.m., Monday through Friday. 1. Macias, W. and L. Stavchansky Lewis, ‘‘How Well Do Direct-to-Consumer (DTC) Prescription Drug Web Sites Meet FDA Guidelines and Public Policy Concerns?’’ Health Marketing Quarterly, vol. 22, pp. 45–71, 2005. 2. Hicks, K. E., M. S. Wogalter, and W. J. Vigilante, Jr., ‘‘Placement of Benefits and Risks in Prescription Drug Manufacturers’ Web Sites and Information Source Expectations,’’ Drug Information Journal, vol. 39, pp. 267– 278, 2005. 3. Huh, J. and B. J. Cude, ‘‘Is the Information ‘Fair and Balanced’ in Direct-toConsumer Prescription Drug Web Sites?’’ Journal of Health Communication, vol. 9, pp. 529–540, 2004. 4. Sheehan, K. B., ‘‘Direct-to-Consumer (DTC) Branded Drug Web Sites Risk Presentation and Implications for Public Policy,’’ Journal of Advertising, vol. 36, pp. 123–135, 2007. 5. Davis, J. J., E. Cross, and J. Crowley, ‘‘Pharmaceutical Web Sites and the Communication of Risk Information,’’ Journal of Health Communication, vol. 12, pp. 29–39, 2007. 6. Naik, S. and S. P. Desselle, ‘‘An Evaluation of Cues, Inducements, and Readability of Information on Drug-Specific Web Sites,’’ Journal of Pharmaceutical Marketing and Management, vol. 17, pp. 61–81, 2007. 7. Vigilante, Jr., W. J., and M. S. Wogalter, ‘‘Assessing Risk and Benefit Communication in Direct-to-Consumer Medication Web Site Advertising,’’ Drug Information Journal, vol. 39, pp. 3–12, 2005. Dated: April 22, 2011. Leslie Kux, Acting Assistant Commissioner for Policy. [FR Doc. 2011–10253 Filed 4–27–11; 8:45 am] BILLING CODE 4160–01–P VerDate Mar<15>2010 17:01 Apr 27, 2011 Jkt 223001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2011–D–0287] Guidance for Industry on Fish and Fishery Products Hazards and Controls, Fourth Edition; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing the availability of a guidance for industry entitled ‘‘Fish and Fishery Products Hazards and Controls Guidance, Fourth Edition.’’ The updated guidance supports and complements FDA’s regulations for the safe and sanitary processing and importing of fish and fishery products using hazard analysis and critical control point (HACCP) methods. DATES: Submit either electronic or written comments on Agency guidances at any time. ADDRESSES: Contact the Florida Sea Grant, IFAS–Extension Bookstore, University of Florida, P.O. Box 110011, Gainesville, FL 32611–0011, 1–800– 226–1764, for single copies of this guidance. See the SUPPLEMENTARY INFORMATION section for electronic access to the guidance document. Submit electronic comments on the guidance to https://www.regulations.gov. Submit written comments to the Division of Dockets Management (HFA– 305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852. FOR FURTHER INFORMATION CONTACT: Bruce F. Wilson, Center for Food Safety and Applied Nutrition (HFS–325), Food and Drug Administration, 5100 Paint Branch Pkwy., College Park, MD 20740, 240–402–2300. SUMMARY: PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 SUPPLEMENTARY INFORMATION: I. Background FDA is announcing the availability of the guidance for industry entitled ‘‘Fish and Fishery Products Hazards and Controls Guidance, Fourth Edition.’’ This guidance is being issued consistent with FDA’s good guidance practices (GGP) regulation (§ 10.115 (21 CFR 10.115)). This guidance is being implemented without prior public comment because the Agency has determined that prior public participation is not feasible or appropriate (§ 10.115(g)(2)). The Agency made this determination because the updated information in this guidance will significantly enhance the seafood industry’s ability to protect the public health and will provide important recommendations for conducting a hazard analysis and implementing a HACCP plan. Although this guidance document is immediately in effect, it remains subject to comment in accordance with the Agency’s GGP regulation. This guidance provides industry with information that will assist processors of seafood products in identifying the likelihood that a food safety hazard may occur in their product and will guide them in the preparation of appropriate HACCP plans for those hazards that are reasonably likely to occur. A summary of the changes from the third edition is included in the discussion section of the guidance. Under FDA’s fish and fishery products regulations (part 123 (21 CFR part 123)), processors of fish and fishery products are required to operate preventive control systems under the principles of HACCP. Fish and fishery products are adulterated under section 402(a)(4) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 342(a)(4)) if a processor fails to have and implement a HACCP plan when one is necessary E:\FR\FM\28APN1.SGM 28APN1

Agencies

[Federal Register Volume 76, Number 82 (Thursday, April 28, 2011)]
[Notices]
[Pages 23821-23823]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-10253]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2011-N-0230]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Examination of Online Direct-to-Consumer Prescription 
Drug Promotion

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing an 
opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(the PRA), Federal Agencies are required to publish notice in the 
Federal Register concerning each proposed collection of information and 
to allow 60 days for public comment in response to the notice. This 
notice solicits comments on a series of studies, Examination of Online 
Direct-to-Consumer Prescription Drug Promotion. These studies are 
designed to test different ways of presenting benefit and risk 
information in online direct-to-consumer (DTC) prescription drug Web 
sites.

DATES: Submit either electronic or written comments on the collection 
of information by June 27, 2011.

ADDRESSES: Submit electronic comments on the collection of information 
to https://www.regulations.gov. Submit written comments on the 
collection of information to the Division of Dockets Management (HFA-
305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, 
Rockville, MD 20852. All comments should be identified with the docket 
number found in brackets in the heading of this document.

FOR FURTHER INFORMATION CONTACT:  Ila S. Mizrachi, Office of 
Information Management, Food and Drug Administration, 1350 Piccard Dr., 
PI50-400B, Rockville, MD 20850, 301-796-7726, e-mail: 
Ila.Mizrachi@fda.hhs.gov.

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), Federal 
Agencies must obtain approval from the Office of Management and Budget 
(OMB) for each collection of information they conduct or sponsor. 
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes Agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) 
requires Federal Agencies to provide a 60-day notice in the Federal 
Register concerning each proposed collection of information 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.

Examination of Online Direct-to-Consumer Prescription Drug Promotion--
(OMB Control Number 0910--New)

    Pharmaceutical products are launched and marketed in a number of 
new modalities and venues that did not exist a short time ago. 
Increasingly, prescription products are promoted to consumers online in 
such formats as banner ads, Web sites, and videos. The interactive 
nature of the Internet allows for features not possible with 
traditional media (i.e., print, radio, and television), such as 
scrolling information, pop up windows, linking to more information, and 
embedding videos. FDA regulations require that prescription drug 
advertisements include a ``fair balance'' of information about the 
benefits and risks of advertised products, both in terms of the content 
and presentation of the information (21 CFR 202.1(e)(5)(ii)). All 
prescription drug ads that make claims about a product must, therefore, 
also include risk information in a ``balanced'' manner. Currently, 
there are a number of questions surrounding how to achieve ``fair 
balance'' in online DTC promotion.
    A few studies have examined how well online DTC Web sites 
communicate benefit and risk information. Although content analyses 
demonstrate that most Web sites include information on side effects and 
contraindications (Ref. 1), risk information is often presented less 
prominently and in fewer locations on the Web site (Refs. 2, 3, and 4). 
Content analyses also suggest that risk information on DTC prescription 
drug Web sites is often incomplete (Ref. 5) and written at very high 
literacy levels (Ref. 6).
    One study examined how users interact with prescription drug Web 
sites (Ref. 7). This study found that the placement of risk and benefit 
information on a Web site is an important factor in whether it achieves 
``fair balance.'' Specifically, participants' ability to find and 
accurately recall risk information was enhanced when risk and benefit 
information were presented separately and when risk information was 
presented on a higher order page (i.e., on a second-level page clearly 
linked from the homepage or on the homepage).
    This project is designed to test different ways of presenting 
prescription drug risk and benefit information on branded drug Web 
sites. This research is relevant to current policy questions and debate 
and will complement qualitative research we plan to conduct on issues 
surrounding social media. The original regulations that presently 
determine FDA's position on DTC promotion were written at a time when 
the available media for DTC promotion were print and broadcast, and the 
primary audience was health care professionals. This dynamic is 
shifting, and evidence is needed to support guidance development. The 
series of studies described in this notice will provide data that, 
along with other input and considerations, will inform the development 
of future guidance.
    Design Overview: This research will be conducted in three 
concurrent studies. The first three studies are experimental and the 
fourth is qualitative.
    The purpose of study 1 is to investigate whether the presentation 
of risk information on branded drug Web sites influences consumers' 
perceptions and understanding of the risks and benefits of the product. 
In study 1, we will examine the format (e.g., whether the risk 
information is presented in a paragraph or as a bulleted list) and

[[Page 23822]]

visibility (i.e., the risk information can be seen without scrolling 
down versus the risk information cannot be seen without scrolling down) 
of risk information on the homepage of a prescription drug Web site. 
Participants will be randomly assigned to experimental conditions in a 
factorial design as follows:

                                     Table 1--Study 1 Proposed Design (2x5)
----------------------------------------------------------------------------------------------------------------
                                                               Format
                  ----------------------------------------------------------------------------------------------
    Visibility                                                                                      Animated
                       Paragraph         Bullet list         Checklist       Highlighted box      spokesperson
----------------------------------------------------------------------------------------------------------------
Scrolling Needed   .................  .................  .................  .................  .................
No Scrolling       .................  .................  .................  .................  .................
 Needed
----------------------------------------------------------------------------------------------------------------

    The purpose of study 2 is to investigate how special features such 
as personal testimonial videos and interactive visuals on branded drug 
Web sites influence perceptions and understanding of the risks and 
benefits of the product. Examples of special features we may examine 
include personal testimonial video and interactive mechanism of action 
visuals. We will examine these special features in the context of the 
prominence of the presentation of risk information in two levels, more 
prominent and less prominent. An example of a more prominent display of 
risk information might involve including the risks as part of the 
spoken testimonial, whereas a less prominent display may involve a 
scrolling text of the risks after the animated video. We will include a 
control condition in which participants view a Web page with no special 
features. Participants will be randomly assigned to experimental 
conditions in a factorial design as follows:

                Table 2--Study 2 Proposed Design (2x2+1)
------------------------------------------------------------------------
                                      Special features
                  ------------------------------------------------------
Risk presentation       Personal         Interactive
                      testimonial          visual         Control group
------------------------------------------------------------------------
Prominent          .................  ................
Less Prominent     .................  ................
------------------------------------------------------------------------

    The purpose of study 3 is to investigate whether links to and 
citations from external organizations referenced on the homepage of 
branded drug Web sites influence consumer perceptions and understanding 
of the risks and benefits of the product. We will examine two types of 
information: Hyperlinks to the external organization's Web site (e.g., 
a link to the American Heart Association) and citations from an 
external organization (e.g., a citation to American Heart Association 
guidelines). We will also examine the type of organization (e.g., 
nonprofit or online health community). Participants will be randomly 
assigned to experimental conditions in a factorial design as follows:

                                    Table 3--Study 3 Proposed Design (8x2+1)
----------------------------------------------------------------------------------------------------------------
                                                                   Information type
          Organization type          ---------------------------------------------------------------------------
                                       Hyperlink to organization Web site                 Citation
----------------------------------------------------------------------------------------------------------------
Government                            ....................................  ....................................
Nonprofit                             ....................................  ....................................
Health Care                           ....................................  ....................................
Health Professions Associations       ....................................  ....................................
Academic                              ....................................  ....................................
Commercial                            ....................................  ....................................
Online Health Community               ....................................  ....................................
Pharmaceutical Company-Sponsored      ....................................  ....................................
 Community
Control Group                         ....................................
----------------------------------------------------------------------------------------------------------------

    In these three studies, participants will be randomly assigned to 
view one version of a (fictitious) prescription drug Web site. After 
viewing the Web site, participants will answer a series of questions 
about the drug. We will test how the manipulations affect outcomes such 
as perceived efficacy, perceived risk, behavioral intention, and 
accurate understanding of the benefit and risk information. In each 
study, the fictitious prescription drug will be for the treatment of a 
high prevalence medical condition and modeled on an actual drug used to 
treat that condition. Participants will be consumers who have been 
diagnosed with the medical condition of interest. For instance, the 
medical conditions may be high cholesterol and seasonal allergies for 
study 1, depression and acid reflux disease for study 2, and high blood 
pressure for study 3.
    For studies 1 to 3, interviews are expected to last no more than 25 
minutes (the questionnaire is available upon request). This will be a 
one-time (rather than annual) collection of information.

[[Page 23823]]

    FDA estimates the burden of this collection of information as 
follows:

                                 Table 4--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                     Number of       Number of     Total annual     burden per
            Activity                respondents    responses per     responses     response  (in    Total hours
                                                    respondent                      hours) \2\
----------------------------------------------------------------------------------------------------------------
Screener........................          20,000               1          20,000            2/60             667
Pretests........................           1,200               1           1,200           20/60             400
Study 1.........................           4,000               1           4,000           25/60           1,667
Study 2.........................           2,000               1           2,000           25/60             834
Study 3.........................           3,600               1           3,600           25/60           1,500
    Total.......................  ..............  ..............  ..............  ..............           5,068
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.
\2\ Burden estimates of less than 1 hour are expressed as a fraction of an hour in the format ``[number of
  minutes per response]/60''.

I. References

    The following references have been placed on display in the 
Division of Dockets Management (see ADDRESSES) and may be seen by 
interested persons between 9 a.m. and 4 p.m., Monday through Friday.

1. Macias, W. and L. Stavchansky Lewis, ``How Well Do Direct-to-
Consumer (DTC) Prescription Drug Web Sites Meet FDA Guidelines and 
Public Policy Concerns?'' Health Marketing Quarterly, vol. 22, pp. 
45-71, 2005.
2. Hicks, K. E., M. S. Wogalter, and W. J. Vigilante, Jr., 
``Placement of Benefits and Risks in Prescription Drug 
Manufacturers' Web Sites and Information Source Expectations,'' Drug 
Information Journal, vol. 39, pp. 267-278, 2005.
3. Huh, J. and B. J. Cude, ``Is the Information `Fair and Balanced' 
in Direct-to-Consumer Prescription Drug Web Sites?'' Journal of 
Health Communication, vol. 9, pp. 529-540, 2004.
4. Sheehan, K. B., ``Direct-to-Consumer (DTC) Branded Drug Web Sites 
Risk Presentation and Implications for Public Policy,'' Journal of 
Advertising, vol. 36, pp. 123-135, 2007.
5. Davis, J. J., E. Cross, and J. Crowley, ``Pharmaceutical Web 
Sites and the Communication of Risk Information,'' Journal of Health 
Communication, vol. 12, pp. 29-39, 2007.
6. Naik, S. and S. P. Desselle, ``An Evaluation of Cues, 
Inducements, and Readability of Information on Drug-Specific Web 
Sites,'' Journal of Pharmaceutical Marketing and Management, vol. 
17, pp. 61-81, 2007.
7. Vigilante, Jr., W. J., and M. S. Wogalter, ``Assessing Risk and 
Benefit Communication in Direct-to-Consumer Medication Web Site 
Advertising,'' Drug Information Journal, vol. 39, pp. 3-12, 2005.

    Dated: April 22, 2011.
Leslie Kux,
Acting Assistant Commissioner for Policy.
[FR Doc. 2011-10253 Filed 4-27-11; 8:45 am]
BILLING CODE 4160-01-P
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