Agency Information Collection Activities; Proposed Collection; Comment Request; Protection of Human Subjects: Informed Consent; Institutional Review Boards, 24208-24211 [2013-09622]
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24208
Federal Register / Vol. 78, No. 79 / Wednesday, April 24, 2013 / Notices
Dated: April 18, 2013.
John Howard,
Director, National Institute for Occupational
Safety and Health, Centers for Disease Control
and Prevention.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2013–09651 Filed 4–23–13; 8:45 am]
[CFDA Number: 93.676]
BILLING CODE 4163–19–P
Administration for Children and
Families
Announcement of the Award of 12
Single-Source Program Expansion
Supplement Grants to Unaccompanied
Alien Children’s Shelter Care Grantees
Office of Refugee Resettlement,
Administration for Children and
Families, Department of Health and
Human Services.
AGENCY:
Announcement of the award of
12 single-source program expansion
grants to 10 current grantees to expand
bed capacity and supportive services to
the increasing number of
unaccompanied alien children.
ACTION:
The Administration for
Children and Families (ACF), Office of
Refugee Resettlement (ORR) announces
the award of twelve single-source
program expansion supplement grants
to the following ten current grantees, for
a total of $33,653,092.
SUMMARY:
Location
Children’s Center, Inc ...................................................................................................
BCFS Health and Human Services .............................................................................
Heartland Human Care Services, Inc ..........................................................................
Southwest Key, Inc ......................................................................................................
United States Conference of Catholic Bishops ............................................................
Lutheran Immigration Refugee Services ......................................................................
Lutheran Social Services of the South ........................................................................
His House .....................................................................................................................
Lincoln Hall ...................................................................................................................
Youth For Tomorrow ....................................................................................................
tkelley on DSK3SPTVN1PROD with NOTICES
Organization
Galveston, TX ...........................................
San Antonio, TX .......................................
Chicago, IL ................................................
Austin, TX .................................................
Washington, DC ........................................
Baltimore, MD ...........................................
Austin, TX .................................................
Opa Locka, FL ..........................................
Lincolndale, NY .........................................
Bristow, VA ...............................................
These supplement grants will support
the expansion of bed capacity and
supportive services to meet the number
of unaccompanied alien children
referrals from the Department of
Homeland Security (DHS). The funding
program is mandated by section 462 of
the Homeland Security Act to ensure
appropriate placement of all referrals
from the DHS. The program is tied to
DHS apprehension strategies and
sporadic number of border crossers.
Award funds will support services to
unaccompanied alien children through
September 30, 2013.
DATES: The period of support under
these supplements is October 1, 2012
through September 30, 2013.
FOR FURTHER INFORMATION CONTACT:
Jallyn Sualog, Acting Director, Division
of Children’s Services, Office of Refugee
Resettlement, 901 D Street SW.,
Washington, Telephone (202) 401–4997.
Email:jallyn.sualog@acf.hhs.gov.
SUPPLEMENTARY INFORMATION: Since the
beginning of FY 13, the Unaccompanied
Alien Children (UAC) program has seen
a dramatic increase in the number of
DHS referrals. The influx of border
crossers referred by DHS has grown
beyond anticipated rates and has
resulted in the program needing a
significant increase in the number of
shelter beds and supportive services.
The UAC program has specific
requirements for the provision of
services to unaccompanied alien
children. These grantee organizations
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are the only entities with the
infrastructure, licensing, experience,
and appropriate level of trained staff to
meet the required service requirements
and the urgent need for the expansion
of services required to respond to
unexpected arrivals of unaccompanied
children. The program expansion
supplement will support such services
and alleviate the buildup of children
waiting in border patrol stations for
placement in shelter care.
Statutory Authority: Section 462 of the
Homeland Security Act, (6 U.S.C. 279) and
sections 235(c) and 235(d) of the William
Wilberforce Trafficking Victims Protection
Reauthorization Act of 2008, (8 U.S.C.
1232(c) and 1232(d)).
Eskinder Negash,
Director, Office of Refugee Resettlement.
[FR Doc. 2013–09699 Filed 4–23–13; 8:45 am]
BILLING CODE 4184–45–P
ACTION:
Amount
$354,377
11,826,867
1,459,119
12,450,000
300,000
2,500,000
2,171,142
950,000
523,520
1,118,067
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
the regulations that provide protection
for human subjects of clinical
investigations conducted in support of
applications or submissions to FDA for
FDA-regulated products. The
regulations provide protection of the
rights, safety, and welfare of human
subjects involved in research activities
within FDA’s jurisdiction.
SUMMARY:
Submit either electronic or
written comments on the collection of
information by June 24, 2013.
DATES:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–0403]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Protection of
Human Subjects: Informed Consent;
Institutional Review Boards
AGENCY:
Food and Drug Administration,
HHS.
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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.
ADDRESSES:
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Federal Register / Vol. 78, No. 79 / Wednesday, April 24, 2013 / Notices
Ila
S. Mizrachi, Office of Information
Management, Food and Drug
Administration, 1350 Piccard Dr., PI50–
400B, Rockville, MD 20850, 301–796–
7726, 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 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.
FOR FURTHER INFORMATION CONTACT:
tkelley on DSK3SPTVN1PROD with NOTICES
Protection of Human Subjects; Informed
Consent; Institutional Review Boards—
21 CFR Parts 50 and 56 (OMB Control
Number 0910—NEW)
Part 50 (21 CFR part 50) applies to all
clinical investigations regulated by FDA
under sections 505(i) and 520(g) of the
Federal Food, Drug, and Cosmetic Act
(the FD&C Act) (21 U.S.C. 355(i) and
360j(g), respectively), as well as clinical
investigations that support applications
for research or marketing permits for
products regulated by FDA, including
foods and dietary supplements that bear
a nutrient content claim or a health
claim, infant formulas, food and color
additives, drugs for human use, medical
devices for human use, biological
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products for human use, and electronic
products. Compliance with part 50 is
intended to protect the rights and safety
of subjects involved in investigations
filed with the FDA under sections 403,
406, 409, 412, 413, 502, 503, 505, 510,
513–516, 518–520, 721, and 801 of the
FD&C Act (21 U.S.C. 343, 346, 348,
350a, 350b, 352, 353, 355, 360, 360c–
360f, 360h–360j, 379e, and 381,
respectively) and sections 351 and 354–
360F of the Public Health Service Act.
With few exceptions, no investigator
may involve a human being as a subject
in FDA-regulated research unless the
investigator has obtained the legally
effective informed consent of the subject
or the subject’s legally authorized
representative (see 21 CFR 50.20). In
seeking informed consent, each subject
must be provided with certain elements
of informed consent. Those elements are
listed in § 50.25. Informed consent shall
be documented in writing as described
in § 50.27.
An institutional review board (IRB)
may approve emergency research
without requiring the informed consent
of all research subjects provided the IRB
finds and documents that certain
criteria are met as required in § 50.24.
We estimate that about five times per
year an IRB is requested to review
emergency research under § 50.24. We
estimate, of the five yearly requests for
IRB review under § 50.24, a particular
IRB will take about an hour during each
of three separate fully convened IRB
meetings to review the request under
§ 50.24 (one meeting occurring after
community consultation). The total
annual reporting burden for IRB review
of emergency research under § 50.24 is
estimated at 15 hours (see table 1).
The information requested in the
regulations for exception from the
general requirements for informed
consent for medical devices (21 CFR
812.47), and the information requested
in the regulations for exception from the
general requirements of informed
consent in § 50.23, paragraphs (a)
through (c), and (e), is currently
approved under OMB control number
0910–0586. The information requested
in the investigational new drug (IND)
regulations concerning exception from
informed consent for emergency
research under § 50.24 is currently
approved under OMB control number
0910–0014. In addition, the information
requested in the regulations for IND
safety reporting requirements for human
drug and biological products and safety
reporting requirements for
bioavailability and bioequivalence
studies in humans (21 CFR 320.31(d)
and 312.32(c)(1)(ii) and (iv)) is currently
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approved under OMB control number
0910–0672.
Some clinical investigations involving
children, although otherwise not
approvable, may present an opportunity
to understand, prevent, or alleviate a
serious problem affecting the health or
welfare of children (see § 50.54). Certain
clinical investigations involving
children may proceed if the IRB finds
and documents that the clinical
investigation presents a reasonable
opportunity to further the
understanding, prevention, or
alleviation of a serious problem
affecting the health or welfare of
children and when the Commissioner of
Food and Drugs, after consultation with
a panel of experts in pertinent
disciplines and following opportunity
for public review and comment, makes
a determination that certain conditions
are met (see § 50.54(b)).
The information requested for clinical
investigations in children of FDAregulated products is covered by the
collections of information in the IND
regulations (part 312 (21 CFR part 312),
the investigational device exemption
(IDE) regulations (part 812 (21 CFR part
812), the IRB regulations (21 CFR
56.115), the food additive petition and
nutrient content claim petition
regulations (21 CFR 101.69 and 101.70),
and the infant formula regulations (parts
106 and 107 (21 CFR parts 106 and
107)), all of which are approved by
OMB. Specifically, the information
collected under the IND regulations is
currently approved under OMB control
number 0910–0014. The information
collected under the IDE regulations is
currently approved under OMB control
number 0910–0078. The information
collected under the IRB regulations is
currently approved under OMB control
number 0910–0130. The information
collected in food additive and nutrient
content claim petitions is currently
approved under OMB control number
0910–0381 (general requirements) and
0910–0016 (Form FDA 3503). The
information collected under the infant
formula regulations is currently
approved under OMB control number
0910–0256 (general requirements) and
0910–0188 (infant formula recalls).
Part 56 (21 CFR part 56) contains the
general standards for the composition,
operation, and responsibility of an IRB
that reviews clinical investigations
regulated by FDA under sections 505(i)
and 520(g) of the FD&C Act, as well as
clinical investigations that support
applications for research or marketing
permits for products regulated by FDA,
including foods and dietary
supplements that bear a nutrient content
claim or a health claim, infant formulas,
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Federal Register / Vol. 78, No. 79 / Wednesday, April 24, 2013 / Notices
food and color additives, drugs for
human use, medical devices for human
use, biological products for human use,
and electronic products. Compliance
with part 56 is intended to protect the
rights and welfare of human subjects
involved in such investigations.
The information collected under the
IRB regulations, ‘‘Protection of Human
Subjects—Recordkeeping and Reporting
Requirements for Institutional Review
Boards (part 56)’’, including the
information collection activities in the
provisions in § 56.108(a)(1) and (b), is
currently approved under OMB control
number 0910–0130. The information
collected under the regulations for the
registration of IRBs in § 56.106 is
currently approved under OMB control
number 0910–0279. The information
collected for IRB review and approval
for the IDE regulations (part 812) is
currently approved under OMB control
number 0910–0078. The information
collected for premarket approval of
medical devices (part 814 (21 CFR part
814)) is currently approved under OMB
control number 0910–0231. The
information collected under the
regulations for IRB requirements for
humanitarian use devices (part 814,
subpart H) is currently approved under
OMB control number 0910–0332. The
information collected under the
regulations for IRB review and approval
of INDs (part 312) is currently approved
under OMB control number 0910–0014.
This new collection of information is
limited to certain provisions in part 50,
subpart B (informed consent of human
subjects), and part 56 (IRBs), not
currently approved under the OMB
control numbers referenced elsewhere
in this document. Those new proposed
collections of information in part 50 are
§§ 50.24 (emergency research), 50.25
(elements of informed consent), and
50.27 (documentation of informed
consent).
In part 56, those new proposed
collections of information are in
§ 56.109(e) (IRB written notification to
approve or disapprove research);
§ 56.109(f) (continuing review of
research); § 56.113 (suspension or
termination of IRB approval of
research); § 56.120(a) (IRB response to
lesser administrative actions for
noncompliance); and § 56.123
(reinstatement of an IRB or institution).
In § 56.109(f), the amount of time an
IRB spends on the continuing review of
a particular study will vary depending
on the nature and complexity of the
research, the amount and type of new
information presented to the IRB, and
whether the investigator is seeking
approval of substantive changes to the
research protocol or informed consent
document. For many studies, continuing
review can be fairly straightforward, and
the IRB should be able to complete its
deliberations and approve the research
within a brief period of time.
When an IRB or institution violates
the regulations, FDA issues to the IRB
or institution a noncompliance letter
(see § 56.120(a)). The IRB or institution
must respond to the noncompliance
letter describing the corrective actions
that will be taken by the IRB or
institution. FDA estimates about five
IRBs or institutions will be issued a
noncompliance letter annually. We
estimate that the IRB’s or institution’s
response will take about 10 hours to
prepare, with an estimated total annual
burden of 50 hours.
To date, no IRB or institution has
been disqualified by FDA under
§ 56.121. Therefore, no IRB or
institution has been reinstated under
§ 56.123. For this reason, we estimate
the annual reporting burden for one
respondent only. We estimate a 5-hour
burden per response, with an estimated
total annual burden of 5 hours.
Those regulatory provisions in parts
50 and 56 not currently approved under
certain OMB control numbers are shown
in table 1.
FDA estimates the burden of this
collection of information as follows:
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
Number of respondents
Number of responses per
respondent
56.109(e) IRB Written Notification to Approve or Disapprove Research; 56.109(f) Continuing Review; 50.25
Elements of Informed Consent; and 50.27 Documentation of Informed Consent ..................................................
50.24 Exception from Informed Consent for Emergency
Research ..........................................................................
56.113 Suspension or Termination of IRB Approval of
Research ..........................................................................
6,000
40
240,000
1
240,000
5
3
15
1
15
6,000
1
6,000
0.5
(30 minutes)
3,000
56.120(a) IRB Response to Lesser Administrative Actions for Noncompliance ...................................................
56.123 Reinstatement of an IRB or Institution ..................
5
1
1
1
5
1
10
5
50
5
Total ..............................................................................
........................
........................
........................
........................
243,070
21 CFR Section
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1 There
Average burden per response
Total annual
responses
are no capital costs or operating and maintenance costs associated with this collection of information.
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Total hours
Federal Register / Vol. 78, No. 79 / Wednesday, April 24, 2013 / Notices
Dated: April 18, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
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.
[FR Doc. 2013–09622 Filed 4–23–13; 8:45 am]
BILLING CODE 4160–01–P
FOR FURTHER INFORMATION CONTACT:
Carol Holquist, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 22, Rm. 4416,
Silver Spring, MD 20993–0002, 301–
796–0171.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–D–0401]
Draft Guidance for Industry on Safety
Considerations for Container Labels
and Carton Labeling Design To
Minimize Medication Errors;
Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing the
availability of a draft guidance for
industry entitled ‘‘Safety Considerations
for Container Labels and Carton
Labeling Design to Minimize
Medication Errors.’’ The draft guidance
focuses on safety aspects of the
container label and carton labeling
design for prescription drug and
biological products. The draft guidance
provides sponsors of new drug
applications (NDAs), biologics licensing
applications (BLAs), abbreviated new
drug applications (ANDAs), and
prescription drugs marketed without an
approved NDA or ANDA with a set of
principles and recommendations for
ensuring that critical elements of
product container labels and carton
labeling are designed to promote safe
dispensing, administration, and use of
the product to minimize medication
errors.
DATES: Although you can comment on
any guidance at any time (see 21 CFR
10.115(g), to ensure that the Agency
considers your comments on this draft
guidance before it begins work on the
final version of the guidance, submit
either electronic or written comments
on the draft guidance by June 24, 2013.
ADDRESSES: Submit written requests for
single copies of this draft guidance to
the Division of Drug Information, Center
for Drug Evaluation and Research, Food
and Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, rm. 2201,
Silver Spring, MD 20993–0002. Send
one self-addressed adhesive label to
assist that office in processing your
requests. See the SUPPLEMENTARY
INFORMATION section for electronic
access to the guidance document.
Submit electronic comments on the
draft guidance to https://
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
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SUPPLEMENTARY INFORMATION:
I. Background
FDA is announcing the availability of
a draft guidance for industry entitled
‘‘Safety Considerations for Container
Labels and Carton Labeling Design to
Minimize Medication Errors.’’ In Title I
of the Food and Drug Administration
Amendments Act of 2007 (FDAAA)
(Pub. L. 110–85), Congress reauthorized
and expanded the Prescription Drug
User Fee Act program for fiscal years
(FYs) 2008 through 2012 (PDUFA IV).
As part of the performance goals and
procedures set forth in an enclosure to
the letter from the Secretary of Health
and Human Services referred to in
section 101(c) of FDAAA, FDA
committed to certain performance goals
and procedures. (See https://
www.fda.gov/ForIndustry/UserFees/
PrescriptionDrugUserFee/
ucm119243.htm). In that letter, FDA
stated that it would use fees collected
under PDUFA to implement various
measures to reduce medication errors
related to look-alike and sound-alike
proprietary names, unclear label
abbreviations, acronyms, dose
designations, and error-prone label and
packaging designs. Among these
measures, FDA agreed that by the end
of FY 2010, after public consultation
with academia, industry, other
stakeholders, and the general public, the
Agency would publish draft guidance
describing practices for naming,
labeling, and packaging drugs and
biologics to reduce medication errors.
On June 24 and 25, 2010, FDA held a
public workshop and opened a public
docket (Docket No. FDA–2010–N–0168)
to receive comments on these measures.
This draft guidance document, which
addresses safety achieved through the
design of drug product container labels
and carton labeling design, is the second
in a series of three planned guidance
documents to minimize risks
contributing to medication errors. The
first guidance focuses on minimizing
risks with the design of drug product
and container closure design (December
13, 2012, 77 FR 74196), and the third
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24211
guidance will focus on minimizing risks
with drug product nomenclature.
This draft guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The draft guidance represents the
Agency’s current thinking on addressing
safety achieved through drug product
design to minimize medication errors. It
does not create or confer any rights for
or on any person and does not operate
to bind FDA or the public. An
alternative approach may be used if
such approach satisfies the
requirements of the applicable statutes
and regulations.
II. Comments
Interested persons may submit either
electronic comments regarding this
document to https://www.regulations.gov
or written comments to the Division of
Dockets Management (see ADDRESSES). It
is only necessary to send one set of
comments. Identify comments with the
docket number found in brackets in the
heading of this document. Received
comments may be seen in the Division
of Dockets Management between 9 a.m.
and 4 p.m., Monday through Friday, and
will be posted to the docket at https://
www.regulations.gov.
III. Paperwork Reduction Act of 1995
In accordance with the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501–
3520), before publication of the final
guidance document, FDA intends to
solicit public comment and obtain OMB
approval for any information collections
recommended in this draft guidance
that are new or that would represent
material modifications to previously
approved collections of information
found in FDA regulations.
IV. Electronic Access
Persons with access to the Internet
may obtain the document at https://
www.fda.gov/Drugs/
GuidanceCompliance
RegulatoryInformation/Guidances/
default.htm, or https://
www.regulations.gov.
Dated: April 18, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2013–09640 Filed 4–23–13; 8:45 am]
BILLING CODE 4160–01–P
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Agencies
[Federal Register Volume 78, Number 79 (Wednesday, April 24, 2013)]
[Notices]
[Pages 24208-24211]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-09622]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2013-N-0403]
Agency Information Collection Activities; Proposed Collection;
Comment Request; Protection of Human Subjects: Informed Consent;
Institutional Review Boards
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 the regulations that provide protection for
human subjects of clinical investigations conducted in support of
applications or submissions to FDA for FDA-regulated products. The
regulations provide protection of the rights, safety, and welfare of
human subjects involved in research activities within FDA's
jurisdiction.
DATES: Submit either electronic or written comments on the collection
of information by June 24, 2013.
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.
[[Page 24209]]
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, 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 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.
Protection of Human Subjects; Informed Consent; Institutional Review
Boards--21 CFR Parts 50 and 56 (OMB Control Number 0910--NEW)
Part 50 (21 CFR part 50) applies to all clinical investigations
regulated by FDA under sections 505(i) and 520(g) of the Federal Food,
Drug, and Cosmetic Act (the FD&C Act) (21 U.S.C. 355(i) and 360j(g),
respectively), as well as clinical investigations that support
applications for research or marketing permits for products regulated
by FDA, including foods and dietary supplements that bear a nutrient
content claim or a health claim, infant formulas, food and color
additives, drugs for human use, medical devices for human use,
biological products for human use, and electronic products. Compliance
with part 50 is intended to protect the rights and safety of subjects
involved in investigations filed with the FDA under sections 403, 406,
409, 412, 413, 502, 503, 505, 510, 513-516, 518-520, 721, and 801 of
the FD&C Act (21 U.S.C. 343, 346, 348, 350a, 350b, 352, 353, 355, 360,
360c-360f, 360h-360j, 379e, and 381, respectively) and sections 351 and
354-360F of the Public Health Service Act.
With few exceptions, no investigator may involve a human being as a
subject in FDA-regulated research unless the investigator has obtained
the legally effective informed consent of the subject or the subject's
legally authorized representative (see 21 CFR 50.20). In seeking
informed consent, each subject must be provided with certain elements
of informed consent. Those elements are listed in Sec. 50.25. Informed
consent shall be documented in writing as described in Sec. 50.27.
An institutional review board (IRB) may approve emergency research
without requiring the informed consent of all research subjects
provided the IRB finds and documents that certain criteria are met as
required in Sec. 50.24. We estimate that about five times per year an
IRB is requested to review emergency research under Sec. 50.24. We
estimate, of the five yearly requests for IRB review under Sec. 50.24,
a particular IRB will take about an hour during each of three separate
fully convened IRB meetings to review the request under Sec. 50.24
(one meeting occurring after community consultation). The total annual
reporting burden for IRB review of emergency research under Sec. 50.24
is estimated at 15 hours (see table 1).
The information requested in the regulations for exception from the
general requirements for informed consent for medical devices (21 CFR
812.47), and the information requested in the regulations for exception
from the general requirements of informed consent in Sec. 50.23,
paragraphs (a) through (c), and (e), is currently approved under OMB
control number 0910-0586. The information requested in the
investigational new drug (IND) regulations concerning exception from
informed consent for emergency research under Sec. 50.24 is currently
approved under OMB control number 0910-0014. In addition, the
information requested in the regulations for IND safety reporting
requirements for human drug and biological products and safety
reporting requirements for bioavailability and bioequivalence studies
in humans (21 CFR 320.31(d) and 312.32(c)(1)(ii) and (iv)) is currently
approved under OMB control number 0910-0672.
Some clinical investigations involving children, although otherwise
not approvable, may present an opportunity to understand, prevent, or
alleviate a serious problem affecting the health or welfare of children
(see Sec. 50.54). Certain clinical investigations involving children
may proceed if the IRB finds and documents that the clinical
investigation presents a reasonable opportunity to further the
understanding, prevention, or alleviation of a serious problem
affecting the health or welfare of children and when the Commissioner
of Food and Drugs, after consultation with a panel of experts in
pertinent disciplines and following opportunity for public review and
comment, makes a determination that certain conditions are met (see
Sec. 50.54(b)).
The information requested for clinical investigations in children
of FDA-regulated products is covered by the collections of information
in the IND regulations (part 312 (21 CFR part 312), the investigational
device exemption (IDE) regulations (part 812 (21 CFR part 812), the IRB
regulations (21 CFR 56.115), the food additive petition and nutrient
content claim petition regulations (21 CFR 101.69 and 101.70), and the
infant formula regulations (parts 106 and 107 (21 CFR parts 106 and
107)), all of which are approved by OMB. Specifically, the information
collected under the IND regulations is currently approved under OMB
control number 0910-0014. The information collected under the IDE
regulations is currently approved under OMB control number 0910-0078.
The information collected under the IRB regulations is currently
approved under OMB control number 0910-0130. The information collected
in food additive and nutrient content claim petitions is currently
approved under OMB control number 0910-0381 (general requirements) and
0910-0016 (Form FDA 3503). The information collected under the infant
formula regulations is currently approved under OMB control number
0910-0256 (general requirements) and 0910-0188 (infant formula
recalls).
Part 56 (21 CFR part 56) contains the general standards for the
composition, operation, and responsibility of an IRB that reviews
clinical investigations regulated by FDA under sections 505(i) and
520(g) of the FD&C Act, as well as clinical investigations that support
applications for research or marketing permits for products regulated
by FDA, including foods and dietary supplements that bear a nutrient
content claim or a health claim, infant formulas,
[[Page 24210]]
food and color additives, drugs for human use, medical devices for
human use, biological products for human use, and electronic products.
Compliance with part 56 is intended to protect the rights and welfare
of human subjects involved in such investigations.
The information collected under the IRB regulations, ``Protection
of Human Subjects--Recordkeeping and Reporting Requirements for
Institutional Review Boards (part 56)'', including the information
collection activities in the provisions in Sec. 56.108(a)(1) and (b),
is currently approved under OMB control number 0910-0130. The
information collected under the regulations for the registration of
IRBs in Sec. 56.106 is currently approved under OMB control number
0910-0279. The information collected for IRB review and approval for
the IDE regulations (part 812) is currently approved under OMB control
number 0910-0078. The information collected for premarket approval of
medical devices (part 814 (21 CFR part 814)) is currently approved
under OMB control number 0910-0231. The information collected under the
regulations for IRB requirements for humanitarian use devices (part
814, subpart H) is currently approved under OMB control number 0910-
0332. The information collected under the regulations for IRB review
and approval of INDs (part 312) is currently approved under OMB control
number 0910-0014.
This new collection of information is limited to certain provisions
in part 50, subpart B (informed consent of human subjects), and part 56
(IRBs), not currently approved under the OMB control numbers referenced
elsewhere in this document. Those new proposed collections of
information in part 50 are Sec. Sec. 50.24 (emergency research), 50.25
(elements of informed consent), and 50.27 (documentation of informed
consent).
In part 56, those new proposed collections of information are in
Sec. 56.109(e) (IRB written notification to approve or disapprove
research); Sec. 56.109(f) (continuing review of research); Sec.
56.113 (suspension or termination of IRB approval of research); Sec.
56.120(a) (IRB response to lesser administrative actions for
noncompliance); and Sec. 56.123 (reinstatement of an IRB or
institution).
In Sec. 56.109(f), the amount of time an IRB spends on the
continuing review of a particular study will vary depending on the
nature and complexity of the research, the amount and type of new
information presented to the IRB, and whether the investigator is
seeking approval of substantive changes to the research protocol or
informed consent document. For many studies, continuing review can be
fairly straightforward, and the IRB should be able to complete its
deliberations and approve the research within a brief period of time.
When an IRB or institution violates the regulations, FDA issues to
the IRB or institution a noncompliance letter (see Sec. 56.120(a)).
The IRB or institution must respond to the noncompliance letter
describing the corrective actions that will be taken by the IRB or
institution. FDA estimates about five IRBs or institutions will be
issued a noncompliance letter annually. We estimate that the IRB's or
institution's response will take about 10 hours to prepare, with an
estimated total annual burden of 50 hours.
To date, no IRB or institution has been disqualified by FDA under
Sec. 56.121. Therefore, no IRB or institution has been reinstated
under Sec. 56.123. For this reason, we estimate the annual reporting
burden for one respondent only. We estimate a 5-hour burden per
response, with an estimated total annual burden of 5 hours.
Those regulatory provisions in parts 50 and 56 not currently
approved under certain OMB control numbers are shown in table 1.
FDA estimates the burden of this collection of information as
follows:
Table 1--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
Number of
21 CFR Section Number of responses per Total annual Average burden Total hours
respondents respondent responses per response
----------------------------------------------------------------------------------------------------------------
56.109(e) IRB Written 6,000 40 240,000 1 240,000
Notification to Approve or
Disapprove Research; 56.109(f)
Continuing Review; 50.25
Elements of Informed Consent;
and 50.27 Documentation of
Informed Consent...............
50.24 Exception from Informed 5 3 15 1 15
Consent for Emergency Research.
56.113 Suspension or Termination 6,000 1 6,000 0.5 3,000
of IRB Approval of Research.... (30 minutes)
56.120(a) IRB Response to Lesser 5 1 5 10 50
Administrative Actions for
Noncompliance..................
56.123 Reinstatement of an IRB 1 1 1 5 5
or Institution.................
---------------
Total....................... .............. .............. .............. .............. 243,070
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
information.
[[Page 24211]]
Dated: April 18, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2013-09622 Filed 4-23-13; 8:45 am]
BILLING CODE 4160-01-P