Agency Information Collection Activities; Proposed Collection; Comment Request; Investigation of Consumer Perceptions of Expressed Modified Risk Claims, 23464-23466 [2018-10723]
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Federal Register / Vol. 83, No. 98 / Monday, May 21, 2018 / Notices
Disease.’’ The purpose of this guidance
is to assist sponsors in the clinical
development of drugs for the treatment
or prevention of CMV disease in
patients who have undergone SOT or
HSCT. Specifically, this guidance
addresses FDA’s current thinking
regarding the overall development
program and clinical trial designs for
the development of drugs and biologics
to support an indication for the
treatment or prevention of CMV disease
in post-transplant populations. This
guidance does not address drug
development for the prevention or
treatment of congenital CMV infection
or CMV infection in patients other than
those undergoing SOT or HSCT.
This guidance also discusses the use
of CMV DNAemia (CMV
deoxyribonucleic acid in blood
determined by polymerase chain
reaction, an indirect measure of CMV
viremia) as a surrogate endpoint in trials
designed to support accelerated
approval.
This draft guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The draft guidance, when finalized, will
represent the current thinking of FDA
on developing drugs to treat or prevent
CMV disease in transplantation. It does
not establish any rights for any person
and is not binding on FDA or the public.
You can use an alternative approach if
it satisfies the requirements of the
applicable statutes and regulations. This
guidance is not subject to Executive
Order 12866.
II. Paperwork Reduction Act of 1995
This draft guidance refers to
previously approved collections of
information that are subject to review by
the Office of Management and Budget
(OMB) under the Paperwork Reduction
Act of 1995 (44 U.S.C. 3501–3520). The
collections of information in 21 CFR
parts 312 and 314 have been approved
under OMB control numbers 0910–0014
and 0910–0001, respectively.
sradovich on DSK3GMQ082PROD with NOTICES
III. Electronic Access
Persons with access to the internet
may obtain the draft guidance at either
https://www.fda.gov/Drugs/Guidance
ComplianceRegulatoryInformation/
Guidances/default.htm or https://
www.regulations.gov.
Dated: May 15, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018–10733 Filed 5–18–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2018–N–0821]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Investigation of
Consumer Perceptions of Expressed
Modified Risk Claims
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA or Agency) 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 and
to allow 60 days for public comment in
response to the notice. This notice
solicits comments on the investigation
of consumer perceptions of expressed
modified risk claims.
DATES: Submit either electronic or
written comments on the collection of
information by July 20, 2018.
ADDRESSES: You may submit comments
as follows. Please note that late,
untimely filed comments will not be
considered. Electronic comments must
be submitted on or before July 20, 2018.
The https://www.regulations.gov
electronic filing system will accept
comments until midnight Eastern Time
at the end of July 20, 2018. Comments
received by mail/hand delivery/courier
(for written/paper submissions) will be
considered timely if they are
postmarked or the delivery service
acceptance receipt is on or before that
date.
SUMMARY:
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
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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–0821 for ‘‘Investigation of
Consumer Perceptions of Expressed
Modified Risk Claims.’’ 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
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Federal Register / Vol. 83, No. 98 / Monday, May 21, 2018 / Notices
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.gpo.gov/
fdsys/pkg/FR-2015-09-18/pdf/201523389.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:
Amber Sanford, Office of Operations,
Food and Drug Administration, Three
White Flint North, 10A–12M, 11601
Landsdown St., North Bethesda, MD
20852, 301–796–8867, PRAStaff@
fda.hhs.gov.
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,
sradovich on DSK3GMQ082PROD with NOTICES
SUPPLEMENTARY INFORMATION:
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when appropriate, and other forms of
information technology.
Investigation of Consumer Perceptions
of Expressed Modified Risk Claims
OMB Control Number 0910—NEW
FDA’s Center for Tobacco Products
proposes to conduct a study to develop
generalizable scientific knowledge to
help inform its implementation of
section 911 of the Federal Food, Drug,
and Cosmetic Act (FD&C Act) (21 U.S.C.
387k), wherein FDA will be evaluating
information submitted to the Agency
about how consumers understand and
perceive modified risk tobacco products
(MRTPs). Section 911 of the FD&C Act
authorizes FDA to grant orders to
persons to allow the marketing of
MRTPs. The term ‘‘modified risk
tobacco product’’ means any tobacco
product that is sold or distributed for
use to reduce harm or the risk of
tobacco-related disease associated with
commercially marketed tobacco
products. FDA can issue a risk
modification order under section
911(g)(1) of the FD&C Act authorizing
the marketing of a MRTP only if the
Agency determines that the product, as
it is used by consumers, will
significantly reduce harm and the risk of
tobacco-related disease to individual
tobacco users and benefit the health of
the population as a whole, taking into
account both users of tobacco products
and persons who do not currently use
tobacco products (section 911(g)(1) of
the FD&C Act). Alternatively, with
respect to tobacco products that may not
be commercially marketed under
section 911(g)(1) of the FD&C Act, FDA
may issue an exposure modification
order under section 911(g)(2) of the
FD&C Act authorizing the marketing of
a MRTP if, the Agency determines that
the standard in section 911(g)(2) of the
FD&C Act is met, including, among
other requirements, that: Any aspect of
the label, labeling, or advertising that
would cause the product to be an MRTP
is limited to an explicit or implicit
representation that the tobacco product
or its smoke does not contain or is free
of a substance or contains a reduced
level of a substance, or presents a
reduced exposure to a substance in
tobacco smoke; the order would be
appropriate to promote the public
health; the issuance of the order is
expected to benefit the population as a
whole taking into account both users
and nonusers of tobacco products; and
the existing evidence demonstrates that
a measurable and substantial reduction
in morbidity and mortality among
individual tobacco users is reasonably
likely to be shown in subsequent studies
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(section 911(g)(2) of the FD&C Act). In
addition, section 911 of the FD&C Act
requires that any advertising or labeling
concerning modified risk products
enable the public to comprehend the
information concerning modified risk
and to understand the relative
significance of such information in the
context of total health and in relation to
all the diseases and health-related
conditions associated with the use of
tobacco products (section 911(h)(1) of
the FD&C Act). The proposed research
will inform the Agency’s efforts to
implement the provisions of the FD&C
Act related to MRTPs.
FDA proposes conducting a study to
assist in determining appropriate
methods for gathering information about
how consumers perceive and
understand modified risk information.
The study would develop and validate
measures of consumer perceptions of
health risk from using tobacco products.
Moreover, the study would test how
participants’ responses on these
measures are affected by viewing
modified risk labeling or advertising,
participants’ characteristics such as
prior beliefs about the harmfulness of
tobacco products, current use of tobacco
products, and sociodemographic
characteristics. Finally, the study would
examine factors that may influence the
effectiveness of debriefing at the end of
a consumer perception study to ensure
that people read and recall key
information about the study. This
research is significant because it will
validate methods that can be used in
studies of the impact of labels, labeling,
and advertising on consumer
perceptions and understanding of the
risks of product use.
Measures of consumer health risk
perception will be developed and
validated by conducting a study on two
product types: Moist snuff smokeless
tobacco products and electronic
cigarette (e-cigarette) products. For each
product type, we will assess individuallevel factors that may moderate the
impact of modified risk information on
consumer responses. Potential
moderating factors under study include:
Beliefs (prior to viewing the modified
risk information) about the harmfulness
of tobacco products, and the strength
with which those beliefs are held;
current tobacco use behaviors; and
sociodemographic characteristics
including age and educational
attainment. For each product type,
participants will be randomized to view
one of two conditions: Tobacco product
labeling and advertising that either does
or does not contain modified risk claims
about a product. The labeling will
consist of a product package. The
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advertising will consist of a print
advertisement. The study will assess
participants’ perceptions of various
health risks from using the product, as
well as their perceptions of health risk
from using the product compared to
products are harmful to users’ health.
Measures of intentions and doubt will
be used to help assess the validity of the
measures of health risk perception.
FDA estimates the burden of this
collection of information as follows:
smoking cigarettes, using nicotine
replacement therapies, and quitting all
tobacco and nicotine products. The
study will also assess participants’
intentions to use the product and their
level of doubt about whether tobacco
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
Number of
respondents
Activity
Number of
responses per
respondent
Average
burden per
response
Total annual
responses
Total hours
Invitation: Young Adults (Ages 18–25) ................................
Invitation: Adults (Ages 26+) ...............................................
Consent and Screener: Young Adults (Ages 18–25) ..........
Consent and Screener: Adults (Ages 26+) .........................
Study: Young Adults (Ages 18–25) .....................................
Study: Adults (Ages 26+) .....................................................
29,000
29,000
11,000
16,500
3,300
3,300
1
1
1
1
1
1
29,000
29,000
11,000
16,500
3,300
3,300
0.02
0.02
0.10
0.10
0.33
0.33
580
580
1,100
1,650
1,089
1,089
Total ..............................................................................
........................
........................
........................
........................
6,088
1 There
are no capital costs or operating and maintenance costs associated with this collection of information.
FDA’s burden estimate is based on
prior experience with research that is
similar to this proposed study.
Approximately 58,000 people will
receive a study invitation, estimated to
take 1 minute to read (approximately
0.02 hours), for a total of 1,160 hours for
invitations. Approximately 27,500
people will complete the informed
consent and screener to determine
eligibility for participation in the study,
estimated to take 6 minutes (0.10 hours),
for a total of 2,750 hours for informed
consent and screening activities.
Approximately 6,600 people will
complete the full study, estimated to
take 20 minutes (approximately 0.33
hours), for a total of 2,178 hours for
study completion activities. The
estimated total hour burden of the
collection of information is 6,088 hours.
Dated: May 15, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018–10723 Filed 5–18–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2018–N–1708]
sradovich on DSK3GMQ082PROD with NOTICES
Blood Products Advisory Committee;
Notice of Meeting
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) announces a
forthcoming public advisory committee
meeting of the Blood Products Advisory
Committee. The general function of the
SUMMARY:
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committee is to provide advice and
recommendations to the Agency on
FDA’s regulatory issues. At least one
portion of the meeting will be closed to
the public.
DATES: The meeting will be held on June
22, 2018, from 11 a.m. to 4:20 p.m.
ADDRESSES: Great Room A, Building 31,
FDA White Oak Campus, 10903 New
Hampshire Ave., Silver Spring, MD
20993. Answers to commonly asked
questions including information
regarding special accommodations due
to a disability, visitor parking, and
transportation may be accessed at:
https://www.fda.gov/Advisory
Committees/AboutAdvisoryCommittees/
ucm408555.htm.
FOR FURTHER INFORMATION CONTACT:
Bryan Emery or Joanne Lipkind,
Division of Scientific Advisors and
Consultants, Center for Biologics
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Silver Spring, MD
20993–0002, Bldg. 71, Rm. 6132, at 240–
402–8054, bryan.emery@fda.hhs.gov
and Rm. 6270, at 240–402–8106,
joanne.lipkind@fda.hhs.gov,
respectively, or FDA Advisory
Committee Information Line, 1–800–
741–8138 (301–443–0572 in the
Washington, DC area). A notice in the
Federal Register about last minute
modifications that impact a previously
announced advisory committee meeting
cannot always be published quickly
enough to provide timely notice.
Therefore, you should always check the
Agency’s website at https://
www.fda.gov/AdvisoryCommittees/
default.htm and scroll down to the
appropriate advisory committee meeting
link, or call the advisory committee
information line to learn about possible
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modifications before coming to the
meeting. For those unable to attend in
person, the meeting will also be
available via webcast. The webcast will
be available at the following link:
https://collaboration.fda.gov/bpac0618/.
SUPPLEMENTARY INFORMATION:
Agenda: On June 22, 2018, in the
morning open session, under Topic 1,
the Committee will hear presentations
on the research programs in the
Laboratory of Emerging Pathogens
(LEP), Laboratory of bacterial and TSE
Agents (LBTSE), and from the
Laboratory of Molecular Virology (LMV)
in the Division of Emerging
Transfusion-Transmitted Diseases
(DETTD), Office of Blood Research and
Review (OBRR), Center for Biologics
Evaluation and Research (CBER), FDA.
After the conclusion of the open
session, the meeting will be closed to
permit discussion where disclosure
would constitute an unwarranted
invasion of personal privacy in
accordance with 5 U.S.C. 552b(c)(6).
In the afternoon, in open session,
under Topic II, the Committee will hear
presentations on the research program
in the Hemostasis Branch (HB), in the
Division of Plasma Protein Therapeutics
(DPPT), Office of Tissues and Advanced
Therapies (OTAT), Center for Biologics
Evaluation and Research (CBER), FDA.
After the open session, the meeting will
be closed to the public to permit
discussion where disclosure would
constitute an unwarranted invasion of
personal privacy in accordance with 5
U.S.C. 552.b(c)(6).
FDA intends to make background
material available to the public no later
than 2 business days before the meeting.
If FDA is unable to post the background
material on its website prior to the
meeting, the background material will
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Agencies
[Federal Register Volume 83, Number 98 (Monday, May 21, 2018)]
[Notices]
[Pages 23464-23466]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-10723]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2018-N-0821]
Agency Information Collection Activities; Proposed Collection;
Comment Request; Investigation of Consumer Perceptions of Expressed
Modified Risk Claims
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) 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 and to
allow 60 days for public comment in response to the notice. This notice
solicits comments on the investigation of consumer perceptions of
expressed modified risk claims.
DATES: Submit either electronic or written comments on the collection
of information by July 20, 2018.
ADDRESSES: You may submit comments as follows. Please note that late,
untimely filed comments will not be considered. Electronic comments
must be submitted on or before July 20, 2018. The https://www.regulations.gov electronic filing system will accept comments until
midnight Eastern Time at the end of July 20, 2018. Comments received by
mail/hand delivery/courier (for written/paper submissions) will be
considered timely if they are postmarked or the delivery service
acceptance receipt is on or before that date.
Electronic Submissions
Submit electronic comments in the following way:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments. Comments submitted
electronically, including attachments, to https://www.regulations.gov
will be posted to the docket unchanged. Because your comment will be
made public, you are solely responsible for ensuring that your comment
does not include any confidential information that you or a third party
may not wish to be posted, such as medical information, your or anyone
else's Social Security number, or confidential business information,
such as a manufacturing process. Please note that if you include your
name, contact information, or other information that identifies you in
the body of your comments, that information will be posted on https://www.regulations.gov.
If you want to submit a comment with confidential
information that you do not wish to be made available to the public,
submit the comment as a written/paper submission and in the manner
detailed (see ``Written/Paper Submissions'' and ``Instructions'').
Written/Paper Submissions
Submit written/paper submissions as follows:
Mail/Hand delivery/Courier (for written/paper
submissions): Dockets Management Staff (HFA-305), Food and Drug
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
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-0821 for ``Investigation of Consumer Perceptions of
Expressed Modified Risk Claims.'' 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
[[Page 23465]]
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.gpo.gov/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: Amber Sanford, Office of Operations,
Food and Drug Administration, Three White Flint North, 10A-12M, 11601
Landsdown St., North Bethesda, MD 20852, 301-796-8867,
[email protected].
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.
Investigation of Consumer Perceptions of Expressed Modified Risk Claims
OMB Control Number 0910--NEW
FDA's Center for Tobacco Products proposes to conduct a study to
develop generalizable scientific knowledge to help inform its
implementation of section 911 of the Federal Food, Drug, and Cosmetic
Act (FD&C Act) (21 U.S.C. 387k), wherein FDA will be evaluating
information submitted to the Agency about how consumers understand and
perceive modified risk tobacco products (MRTPs). Section 911 of the
FD&C Act authorizes FDA to grant orders to persons to allow the
marketing of MRTPs. The term ``modified risk tobacco product'' means
any tobacco product that is sold or distributed for use to reduce harm
or the risk of tobacco-related disease associated with commercially
marketed tobacco products. FDA can issue a risk modification order
under section 911(g)(1) of the FD&C Act authorizing the marketing of a
MRTP only if the Agency determines that the product, as it is used by
consumers, will significantly reduce harm and the risk of tobacco-
related disease to individual tobacco users and benefit the health of
the population as a whole, taking into account both users of tobacco
products and persons who do not currently use tobacco products (section
911(g)(1) of the FD&C Act). Alternatively, with respect to tobacco
products that may not be commercially marketed under section 911(g)(1)
of the FD&C Act, FDA may issue an exposure modification order under
section 911(g)(2) of the FD&C Act authorizing the marketing of a MRTP
if, the Agency determines that the standard in section 911(g)(2) of the
FD&C Act is met, including, among other requirements, that: Any aspect
of the label, labeling, or advertising that would cause the product to
be an MRTP is limited to an explicit or implicit representation that
the tobacco product or its smoke does not contain or is free of a
substance or contains a reduced level of a substance, or presents a
reduced exposure to a substance in tobacco smoke; the order would be
appropriate to promote the public health; the issuance of the order is
expected to benefit the population as a whole taking into account both
users and nonusers of tobacco products; and the existing evidence
demonstrates that a measurable and substantial reduction in morbidity
and mortality among individual tobacco users is reasonably likely to be
shown in subsequent studies (section 911(g)(2) of the FD&C Act). In
addition, section 911 of the FD&C Act requires that any advertising or
labeling concerning modified risk products enable the public to
comprehend the information concerning modified risk and to understand
the relative significance of such information in the context of total
health and in relation to all the diseases and health-related
conditions associated with the use of tobacco products (section
911(h)(1) of the FD&C Act). The proposed research will inform the
Agency's efforts to implement the provisions of the FD&C Act related to
MRTPs.
FDA proposes conducting a study to assist in determining
appropriate methods for gathering information about how consumers
perceive and understand modified risk information. The study would
develop and validate measures of consumer perceptions of health risk
from using tobacco products. Moreover, the study would test how
participants' responses on these measures are affected by viewing
modified risk labeling or advertising, participants' characteristics
such as prior beliefs about the harmfulness of tobacco products,
current use of tobacco products, and sociodemographic characteristics.
Finally, the study would examine factors that may influence the
effectiveness of debriefing at the end of a consumer perception study
to ensure that people read and recall key information about the study.
This research is significant because it will validate methods that can
be used in studies of the impact of labels, labeling, and advertising
on consumer perceptions and understanding of the risks of product use.
Measures of consumer health risk perception will be developed and
validated by conducting a study on two product types: Moist snuff
smokeless tobacco products and electronic cigarette (e-cigarette)
products. For each product type, we will assess individual-level
factors that may moderate the impact of modified risk information on
consumer responses. Potential moderating factors under study include:
Beliefs (prior to viewing the modified risk information) about the
harmfulness of tobacco products, and the strength with which those
beliefs are held; current tobacco use behaviors; and sociodemographic
characteristics including age and educational attainment. For each
product type, participants will be randomized to view one of two
conditions: Tobacco product labeling and advertising that either does
or does not contain modified risk claims about a product. The labeling
will consist of a product package. The
[[Page 23466]]
advertising will consist of a print advertisement. The study will
assess participants' perceptions of various health risks from using the
product, as well as their perceptions of health risk from using the
product compared to smoking cigarettes, using nicotine replacement
therapies, and quitting all tobacco and nicotine products. The study
will also assess participants' intentions to use the product and their
level of doubt about whether tobacco products are harmful to users'
health. Measures of intentions and doubt will be used to help assess
the validity of the measures of health risk perception.
FDA estimates the burden of this collection of information as
follows:
Table 1--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
Number of Average
Activity Number of responses per Total annual burden per Total hours
respondents respondent responses response
----------------------------------------------------------------------------------------------------------------
Invitation: Young Adults (Ages 29,000 1 29,000 0.02 580
18-25).........................
Invitation: Adults (Ages 26+)... 29,000 1 29,000 0.02 580
Consent and Screener: Young 11,000 1 11,000 0.10 1,100
Adults (Ages 18-25)............
Consent and Screener: Adults 16,500 1 16,500 0.10 1,650
(Ages 26+).....................
Study: Young Adults (Ages 18-25) 3,300 1 3,300 0.33 1,089
Study: Adults (Ages 26+)........ 3,300 1 3,300 0.33 1,089
-------------------------------------------------------------------------------
Total....................... .............. .............. .............. .............. 6,088
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
information.
FDA's burden estimate is based on prior experience with research
that is similar to this proposed study. Approximately 58,000 people
will receive a study invitation, estimated to take 1 minute to read
(approximately 0.02 hours), for a total of 1,160 hours for invitations.
Approximately 27,500 people will complete the informed consent and
screener to determine eligibility for participation in the study,
estimated to take 6 minutes (0.10 hours), for a total of 2,750 hours
for informed consent and screening activities. Approximately 6,600
people will complete the full study, estimated to take 20 minutes
(approximately 0.33 hours), for a total of 2,178 hours for study
completion activities. The estimated total hour burden of the
collection of information is 6,088 hours.
Dated: May 15, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-10723 Filed 5-18-18; 8:45 am]
BILLING CODE 4164-01-P