Agency Information Collection Activities; Proposed Collection; Comment Request; Shortages Data Collections, 10972-10974 [2021-03630]
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10972
Federal Register / Vol. 86, No. 34 / Tuesday, February 23, 2021 / Notices
CMS–R–144 is required from States
quarterly to report utilization for any
drugs paid for during that quarter.
Effective July 1, 2021, the MDRP is
updating to a new Medicaid Drug
Programs (MDP) system which will now
accept a delimited text file format,
Comma Separated Values (.CSV), in
addition to the current Text (.TXT) file
format. We have also increased several
file format data field sizes in order to
accommodate the higher priced drugs
that are entering the market. These
changes in conjunction with numerous
edits to verbiage are applicable to Form
CMS–R–144. Separately, we are also
updating corresponding collection of
information requests (OMB 0938–0578
and OMB 0938–0676) so that all the
MDP file formats, field sizes, and
verbiage will align across the MDRP.
Form CMS–368 has been revised by
removing the DUR State Contact
information and description ‘‘Drug
Utilization Review (DUR) Program.’’
This information is now accounted for
under OMB 0938–0659. Form Number:
CMS–368 and –R–144 (OMB control
number: 0938–0582); Frequency:
Quarterly and on occasion; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 290; Total
Annual Hours: 13,669. (For policy
questions regarding this collection
contact Andrea Wellington at 410–786–
3490.)
Dated: February 17, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2021–03535 Filed 2–22–21; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2012–N–0197]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Shortages Data
Collections
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
SUMMARY:
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18:36 Feb 22, 2021
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Federal Register concerning each
proposed collection of information,
including each proposed revision of an
existing collection of information, and
to allow 60 days for public comment in
response to the notice. This notice
solicits comments on information
collections associated with Shortages
Data Collections and with notifications
to FDA of an interruption or permanent
discontinuance in manufacturing of
certain medical devices as required by
the Federal Food, Drug, and Cosmetic
Act (FD&C Act).
DATES: Submit either electronic or
written comments on the collection of
information by April 26, 2021.
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 April 26,
2021. The https://www.regulations.gov
electronic filing system will accept
comments until 11:59 p.m. Eastern Time
at the end of April 26, 2021. 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:
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• 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–
2012–N–0197 for ‘‘Agency Information
Collection Activities; Proposed
Collection; Comment Request; Shortages
Data Collection.’’ 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, 240–402–7500.
• Confidential Submissions—To
submit a comment with confidential
information that you do not wish to be
made publicly available, submit your
comments only as a written/paper
submission. You should submit two
copies total. One copy will include the
information you claim to be confidential
with a heading or cover note that states
‘‘THIS DOCUMENT CONTAINS
CONFIDENTIAL INFORMATION.’’ The
Agency will review this copy, including
the claimed confidential information, in
its consideration of comments. The
second copy, which will have the
claimed confidential information
redacted/blacked out, will be available
for public viewing and posted on
https://www.regulations.gov. Submit
both copies to the Dockets Management
Staff. If you do not wish your name and
contact information to be made publicly
available, you can provide this
information on the cover sheet and not
in the body of your comments and you
must identify this information as
‘‘confidential.’’ Any information marked
as ‘‘confidential’’ will not be disclosed
except in accordance with 21 CFR 10.20
and other applicable disclosure law. For
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://
www.govinfo.gov/content/pkg/FR-201509-18/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
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Federal Register / Vol. 86, No. 34 / Tuesday, February 23, 2021 / Notices
‘‘Search’’ box and follow the prompts
and/or go to the Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852, 240–402–7500.
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.
SUPPLEMENTARY INFORMATION: Under the
PRA (44 U.S.C. 3501–3521), 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,
including each proposed revision 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.
Shortages Data Collections
OMB Control Number 0910–0491—
Revision
Under section 1003(d)(2) of the FD&C
Act (21 U.S.C. 393(d)(2)), the
Commissioner of Food and Drugs is
authorized to implement general powers
(including conducting research) to carry
out effectively the mission of FDA.
After the events of September 11,
2001, and as part of broader
counterterrorism and emergency
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preparedness activities, FDA’s Center
for Devices and Radiological Health
(CDRH) began developing operational
plans and interventions that would
enable CDRH to anticipate and respond
to medical device shortages that might
arise in the context of federally declared
disasters/emergencies or regulatory
actions. In particular, CDRH identified
the need to acquire and maintain
detailed data on domestic inventory,
manufacturing capabilities, distribution
plans, and raw material constraints for
medical devices that would be in high
demand and/or would be vulnerable to
shortages in specific disaster/emergency
situations or following specific
regulatory actions. Such data could
support prospective risk assessment,
help inform risk mitigation strategies,
support real-time decision making by
the Department of Health and Human
Services (HHS) during actual
emergencies or emergency preparedness
exercises, and mitigate or prevent harm
to the public health.
This voluntary data collection process
consists of outreach to firms who have
been identified as producing or
distributing medical devices that may be
considered essential to the response
effort. In this initial outreach, the intent
and goals of the data collection effort
will be described, and the specific data
request made. Data will be collected,
using least burdensome methods, in a
structured manner to answer specific
questions. After the initial outreach, we
will request updates to the information
on a quarterly basis to keep the data
current and accurate. Additional
followup correspondence may
occasionally be needed to verify/
validate data, confirm receipt of
followup correspondence(s), and/or
request additional details to further
inform FDA’s public health response.
These data, collected under section
1003(d)(2) of the FD&C Act, are
currently approved under OMB control
number 0910–0491. We have made
minor changes to this ‘‘Shortages data
collection’’ at this time (see first row of
table 1 of this document) to reflect
additional learnings from recent
experience.
The Coronavirus Aid, Relief, and
Economic Security Act (CARES Act)
was enacted on March 27, 2020. Section
3121 of the CARES Act amended the
FD&C Act by adding section 506J (21
U.S.C. 356j). Section 506J of the FD&C
Act provides FDA with new authorities
intended to help prevent or mitigate
medical device shortages by requiring
medical device manufacturers to inform
FDA about changes in device
manufacturing that could potentially
lead to a device shortage. Apprised with
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10973
that information, section 506J authorizes
FDA to take several actions that may
help to mitigate or avoid supply
disruptions.
Section 506J of the FD&C Act requires
manufacturers of certain devices,1 to
notify FDA ‘‘of a permanent
discontinuance in the manufacture of
the device’’ or an interruption in ‘‘the
manufacture of the device that is likely
to lead to a meaningful disruption in
supply of that device in the United
States’’ during or in advance of a
declared public health emergency
(PHE), and the reason for such
discontinuance or interruption.2 Section
506J requires FDA to take action based
on that information, including (1)
publicly posting a list of devices it
determines to be in shortage, (2)
publicly posting the reasons for the
shortage, and (3) issuing letters to
manufacturers that fail to comply with
the notification requirements of section
506J.
Section 3087 of the 21st Century
Cures Act, signed into law in December
2016, added subsection (f) to section
319 of the Public Health Service Act.
This new subsection gives the HHS
Secretary the authority to waive PRA
requirements with respect to voluntary
collections of information during a PHE,
as declared by the Secretary, or when a
disease or disorder is significantly likely
to become a PHE. In 2020 FDA
published the immediately in effect
guidance document entitled ‘‘Notifying
CDRH of a Permanent Discontinuance or
Interruption in Manufacturing of a
Device Under Section 506J of the FD&C
Act During the COVID–19 Public Health
Emergency (Revised)—Guidance for
Industry and Food and Drug
Administration Staff’’ (see 86 FR 106,
January 4, 2021) 3 to implement section
506J of the FD&C Act, as it relates to
device shortages and potential device
shortages occurring during the COVID–
19 pandemic, for the duration of the
COVID–19 PHE. The guidance includes
1 Under section 506J of the FD&C Act,
manufacturers of the following devices must notify
FDA of an interruption or permanent
discontinuance in manufacturing:
• Devices that are critical to public health during
a public health emergency, including those that are
life-supporting, life-sustaining, or intended for use
in emergency medical care or during surgery; or
• Devices for which FDA determines information
on potential meaningful supply disruptions is
needed during a public health emergency.
See section 506J(a)(1) and (2) of the FD&C Act.
2 See section 506J(a) of the FD&C Act.
3 Available at: https://www.fda.gov/regulatoryinformation/search-fda-guidance-documents/
notifying-cdrh-permanent-discontinuance-orinterruption-manufacturing-device-under-section506j-fdc.
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Federal Register / Vol. 86, No. 34 / Tuesday, February 23, 2021 / Notices
additional voluntary items that
manufacturers could provide the
Agency, including additional
information about device manufacturing
and supply, and updates to initial
notifications. While PRA requirements
for the voluntary information
collections recommended in the
guidance are waived 4 during the
COVID–19 pandemic PHE using this
new authority, mandatory collections
such as those under section 506J of the
FD&C Act may not be part of the waiver.
FDA requested emergency clearance
under 44 U.S.C. 3507(j) and 5 CFR
1320.13 to immediately approve
revision of OMB control number 0910–
0491 to add the information collection
required by section 506J of the FD&C
Act, as amended. The emergency
clearance approval expires on May 31,
2021; therefore, CDRH is requesting a
revision of OMB control number 0910–
0491 to add the information collection
required by 506J of the FD&C Act.
FDA estimates the burden of this
collection of information as follows:
I. Shortages Data Collection Currently
Approved Under OMB Control Number
0910–0491
FDA bases these estimates on past
experiences with direct contact with the
medical device manufacturers and
distributors, and anticipated changes in
the medical device manufacturing and
distributions patterns for the specific
devices that may be monitored. FDA
estimates that there may be up to 500
manufacturers and distributors for
which there may be targeted outreach
because their devices may be essential
to the response effort. This targeted
outreach will be conducted quarterly to
either obtain primary data or to verify/
validate updated data (although
additional outreach may be undertaken
as needed).
From the manufacturer and
distributor’s point of view, the data
being requested represent common data
elements that they monitor and track as
part of routine business operations and
therefore are readily available. It is
anticipated that for most manufacturers
and distributors, the estimated time to
fulfill CDRH’s data request will not
exceed 30 minutes per request, or 2
hours per year.
II. Information Collection Under
Section 506J of the FD&C Act and
Related Voluntary Collections
Based on current registration and
listing data (approved under OMB
control number 0910–0625), we
estimate the number of respondents that
will submit a notification under section
506J of the FD&C Act to be
approximately 20 percent of currently
registered manufacturers. Data from our
Registration & Listing system indicates
that there are approximately 42,000
unique FDA Establishment
Identification registered manufacturers.
Therefore, we estimate 8,400
respondents per year. We believe that
the burden as well as the provision of
required information under section 506J
of the FD&C Act—as well as additional
voluntary information related to the
determination (including additional
issues that may impact the availability
of the device, such as information about
critical suppliers, potential mitigations,
production capacity and market share,
and notification updates)—is minimal
and such information is readily
available to manufacturers of the
applicable devices. Therefore, we
estimate the burden of this information
collection to be 15 minutes or less per
determination and notification.
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
Number of
respondents
Activity
Shortages data collection ............................................
Information collection under section 506J of the
FD&C Act.
Additional voluntary collections related to section
506J of the FD&C Act.
Total ......................................................................
1 There
Number of
responses per
respondent
Total annual
responses
Average burden
per response
Total hours
500
8,400
4
1
2,000
8,400
0.5 (30 minutes) .....
0.25 (15 minutes) ...
1,000
2,100
8,400
1
8,400
0.25 (15 minutes) ...
2,100
........................
........................
18,800
................................
5,200
are no capital costs or operating and maintenance costs associated with this collection of information.
The information collection reflects a
revision to add the information
collection required by section 506J of
the FD&C Act (as amended by section
3121 of the CARES Act) and additional
voluntary collections related to section
506J of the FD&C Act to OMB control
number 0910–0491.
Upon review of OMB control number
0910–0491, we note that there is a dataentry error in the RISC/ORIA Combined
Information System (ROCIS) for a
previous information collection
approval on February 3, 2020.
Currently, ROCIS lists the total burden
hours for that approval as 390 hours; the
correct total burden hour estimate is 520
hours. This error has carried through to
the current total hour burden listed in
ROCIS as 2,481 hours for the approval
on November 24, 2020; the correct total
burden hour estimate should be 2,611
hours. We will correct this error upon
submission of this information
collection request to OMB.
Additionally, we have updated the
number of respondents in each
information collection to reflect our
current data and estimations.
These revisions and adjustments
reflect an overall increase of 2,589 hours
to the (corrected) estimated total
burden.
Dated: February 16, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for
Policy.
[FR Doc. 2021–03630 Filed 2–22–21; 8:45 am]
BILLING CODE 4164–01–P
4 See https://aspe.hhs.gov/system/files/pdf/
258866/FDA-PHE-PRA-Waiver-Notice_COVID-19_
03.19.20.pdf.
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Agencies
[Federal Register Volume 86, Number 34 (Tuesday, February 23, 2021)]
[Notices]
[Pages 10972-10974]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-03630]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2012-N-0197]
Agency Information Collection Activities; Proposed Collection;
Comment Request; Shortages Data Collections
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, including
each proposed revision of an existing collection of information, and to
allow 60 days for public comment in response to the notice. This notice
solicits comments on information collections associated with Shortages
Data Collections and with notifications to FDA of an interruption or
permanent discontinuance in manufacturing of certain medical devices as
required by the Federal Food, Drug, and Cosmetic Act (FD&C Act).
DATES: Submit either electronic or written comments on the collection
of information by April 26, 2021.
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 April 26, 2021. The https://www.regulations.gov electronic filing system will accept comments until
11:59 p.m. Eastern Time at the end of April 26, 2021. 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-2012-N-0197 for ``Agency Information Collection Activities;
Proposed Collection; Comment Request; Shortages Data Collection.''
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, 240-402-7500.
Confidential Submissions--To submit a comment with
confidential information that you do not wish to be made publicly
available, submit your comments only as a written/paper submission. You
should submit two copies total. One copy will include the information
you claim to be confidential with a heading or cover note that states
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will
review this copy, including the claimed confidential information, in
its consideration of comments. The second copy, which will have the
claimed confidential information redacted/blacked out, will be
available for public viewing and posted on https://www.regulations.gov.
Submit both copies to the Dockets Management Staff. If you do not wish
your name and contact information to be made publicly available, you
can provide this information on the cover sheet and not in the body of
your comments and you must identify this information as
``confidential.'' Any information marked as ``confidential'' will not
be disclosed except in accordance with 21 CFR 10.20 and other
applicable disclosure law. For more information about FDA's posting of
comments to public dockets, see 80 FR 56469, September 18, 2015, or
access the information at: https://www.govinfo.gov/content/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
[[Page 10973]]
``Search'' box and follow the prompts and/or go to the Dockets
Management Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852,
240-402-7500.
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. 3501-3521), 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, including
each proposed revision 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.
Shortages Data Collections
OMB Control Number 0910-0491--Revision
Under section 1003(d)(2) of the FD&C Act (21 U.S.C. 393(d)(2)), the
Commissioner of Food and Drugs is authorized to implement general
powers (including conducting research) to carry out effectively the
mission of FDA.
After the events of September 11, 2001, and as part of broader
counterterrorism and emergency preparedness activities, FDA's Center
for Devices and Radiological Health (CDRH) began developing operational
plans and interventions that would enable CDRH to anticipate and
respond to medical device shortages that might arise in the context of
federally declared disasters/emergencies or regulatory actions. In
particular, CDRH identified the need to acquire and maintain detailed
data on domestic inventory, manufacturing capabilities, distribution
plans, and raw material constraints for medical devices that would be
in high demand and/or would be vulnerable to shortages in specific
disaster/emergency situations or following specific regulatory actions.
Such data could support prospective risk assessment, help inform risk
mitigation strategies, support real-time decision making by the
Department of Health and Human Services (HHS) during actual emergencies
or emergency preparedness exercises, and mitigate or prevent harm to
the public health.
This voluntary data collection process consists of outreach to
firms who have been identified as producing or distributing medical
devices that may be considered essential to the response effort. In
this initial outreach, the intent and goals of the data collection
effort will be described, and the specific data request made. Data will
be collected, using least burdensome methods, in a structured manner to
answer specific questions. After the initial outreach, we will request
updates to the information on a quarterly basis to keep the data
current and accurate. Additional followup correspondence may
occasionally be needed to verify/validate data, confirm receipt of
followup correspondence(s), and/or request additional details to
further inform FDA's public health response. These data, collected
under section 1003(d)(2) of the FD&C Act, are currently approved under
OMB control number 0910-0491. We have made minor changes to this
``Shortages data collection'' at this time (see first row of table 1 of
this document) to reflect additional learnings from recent experience.
The Coronavirus Aid, Relief, and Economic Security Act (CARES Act)
was enacted on March 27, 2020. Section 3121 of the CARES Act amended
the FD&C Act by adding section 506J (21 U.S.C. 356j). Section 506J of
the FD&C Act provides FDA with new authorities intended to help prevent
or mitigate medical device shortages by requiring medical device
manufacturers to inform FDA about changes in device manufacturing that
could potentially lead to a device shortage. Apprised with that
information, section 506J authorizes FDA to take several actions that
may help to mitigate or avoid supply disruptions.
Section 506J of the FD&C Act requires manufacturers of certain
devices,\1\ to notify FDA ``of a permanent discontinuance in the
manufacture of the device'' or an interruption in ``the manufacture of
the device that is likely to lead to a meaningful disruption in supply
of that device in the United States'' during or in advance of a
declared public health emergency (PHE), and the reason for such
discontinuance or interruption.\2\ Section 506J requires FDA to take
action based on that information, including (1) publicly posting a list
of devices it determines to be in shortage, (2) publicly posting the
reasons for the shortage, and (3) issuing letters to manufacturers that
fail to comply with the notification requirements of section 506J.
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\1\ Under section 506J of the FD&C Act, manufacturers of the
following devices must notify FDA of an interruption or permanent
discontinuance in manufacturing:
Devices that are critical to public health during a
public health emergency, including those that are life-supporting,
life-sustaining, or intended for use in emergency medical care or
during surgery; or
Devices for which FDA determines information on
potential meaningful supply disruptions is needed during a public
health emergency.
See section 506J(a)(1) and (2) of the FD&C Act.
\2\ See section 506J(a) of the FD&C Act.
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Section 3087 of the 21st Century Cures Act, signed into law in
December 2016, added subsection (f) to section 319 of the Public Health
Service Act. This new subsection gives the HHS Secretary the authority
to waive PRA requirements with respect to voluntary collections of
information during a PHE, as declared by the Secretary, or when a
disease or disorder is significantly likely to become a PHE. In 2020
FDA published the immediately in effect guidance document entitled
``Notifying CDRH of a Permanent Discontinuance or Interruption in
Manufacturing of a Device Under Section 506J of the FD&C Act During the
COVID-19 Public Health Emergency (Revised)--Guidance for Industry and
Food and Drug Administration Staff'' (see 86 FR 106, January 4, 2021)
\3\ to implement section 506J of the FD&C Act, as it relates to device
shortages and potential device shortages occurring during the COVID-19
pandemic, for the duration of the COVID-19 PHE. The guidance includes
[[Page 10974]]
additional voluntary items that manufacturers could provide the
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\3\ Available at: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/notifying-cdrh-permanent-discontinuance-or-interruption-manufacturing-device-under-section-506j-fdc.
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Agency, including additional information about device manufacturing and
supply, and updates to initial notifications. While PRA requirements
for the voluntary information collections recommended in the guidance
are waived \4\ during the COVID-19 pandemic PHE using this new
authority, mandatory collections such as those under section 506J of
the FD&C Act may not be part of the waiver. FDA requested emergency
clearance under 44 U.S.C. 3507(j) and 5 CFR 1320.13 to immediately
approve revision of OMB control number 0910-0491 to add the information
collection required by section 506J of the FD&C Act, as amended. The
emergency clearance approval expires on May 31, 2021; therefore, CDRH
is requesting a revision of OMB control number 0910-0491 to add the
information collection required by 506J of the FD&C Act.
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\4\ See https://aspe.hhs.gov/system/files/pdf/258866/FDA-PHE-PRA-Waiver-Notice_COVID-19_03.19.20.pdf.
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FDA estimates the burden of this collection of information as
follows:
I. Shortages Data Collection Currently Approved Under OMB Control
Number 0910-0491
FDA bases these estimates on past experiences with direct contact
with the medical device manufacturers and distributors, and anticipated
changes in the medical device manufacturing and distributions patterns
for the specific devices that may be monitored. FDA estimates that
there may be up to 500 manufacturers and distributors for which there
may be targeted outreach because their devices may be essential to the
response effort. This targeted outreach will be conducted quarterly to
either obtain primary data or to verify/validate updated data (although
additional outreach may be undertaken as needed).
From the manufacturer and distributor's point of view, the data
being requested represent common data elements that they monitor and
track as part of routine business operations and therefore are readily
available. It is anticipated that for most manufacturers and
distributors, the estimated time to fulfill CDRH's data request will
not exceed 30 minutes per request, or 2 hours per year.
II. Information Collection Under Section 506J of the FD&C Act and
Related Voluntary Collections
Based on current registration and listing data (approved under OMB
control number 0910-0625), we estimate the number of respondents that
will submit a notification under section 506J of the FD&C Act to be
approximately 20 percent of currently registered manufacturers. Data
from our Registration & Listing system indicates that there are
approximately 42,000 unique FDA Establishment Identification registered
manufacturers. Therefore, we estimate 8,400 respondents per year. We
believe that the burden as well as the provision of required
information under section 506J of the FD&C Act--as well as additional
voluntary information related to the determination (including
additional issues that may impact the availability of the device, such
as information about critical suppliers, potential mitigations,
production capacity and market share, and notification updates)--is
minimal and such information is readily available to manufacturers of
the applicable devices. Therefore, we estimate the burden of this
information collection to be 15 minutes or less per determination and
notification.
Table 1--Estimated Annual Reporting Burden 1
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Number of
Activity Number of responses per Total annual Average burden per response Total hours
respondents respondent responses
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Shortages data collection.................... 500 4 2,000 0.5 (30 minutes)......................... 1,000
Information collection under section 506J of 8,400 1 8,400 0.25 (15 minutes)........................ 2,100
the FD&C Act.
Additional voluntary collections related to 8,400 1 8,400 0.25 (15 minutes)........................ 2,100
section 506J of the FD&C Act.
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Total.................................... .............. .............. 18,800 ......................................... 5,200
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\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.
The information collection reflects a revision to add the
information collection required by section 506J of the FD&C Act (as
amended by section 3121 of the CARES Act) and additional voluntary
collections related to section 506J of the FD&C Act to OMB control
number 0910-0491.
Upon review of OMB control number 0910-0491, we note that there is
a data-entry error in the RISC/ORIA Combined Information System (ROCIS)
for a previous information collection approval on February 3, 2020.
Currently, ROCIS lists the total burden hours for that approval as 390
hours; the correct total burden hour estimate is 520 hours. This error
has carried through to the current total hour burden listed in ROCIS as
2,481 hours for the approval on November 24, 2020; the correct total
burden hour estimate should be 2,611 hours. We will correct this error
upon submission of this information collection request to OMB.
Additionally, we have updated the number of respondents in each
information collection to reflect our current data and estimations.
These revisions and adjustments reflect an overall increase of
2,589 hours to the (corrected) estimated total burden.
Dated: February 16, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for Policy.
[FR Doc. 2021-03630 Filed 2-22-21; 8:45 am]
BILLING CODE 4164-01-P