Agency Information Collection Activities; Proposed Collection; Comment Request; Public Health Service Guideline on Infectious Disease Issues in Xenotransplantation, 58666-58670 [2021-23086]
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Federal Register / Vol. 86, No. 202 / Friday, October 22, 2021 / Notices
as the eligibility appeals process, the
Exchange-related components of the
Premium Tax Credit (PTC)
reconciliation process, and the basic
concepts and rights of health coverage
and how to use it.
Under the Terms and Conditions of
the Navigator program cooperative
agreements, awardees must provide
progress reports on a weekly, monthly,
quarterly and annual basis during the
cooperative agreement period of
performance, and a final report at the
end of the period of performance.
Awardees will submit their progress
reports electronically to CMS staff for
evaluation and analysis. The results of
this evaluation will provide feedback on
the effectiveness of the Navigator
program, so that HHS and CMS
leadership may evaluate the
effectiveness of the program and address
any areas that need revisions. CMS will
also use the information collected from
Navigator grant awardees to inform the
public about the availability of
application and enrollment assistance
services from designated organizations.
Form Number: CMS–10463 (OMB
control number: 0938–1215); Frequency:
Annually, Monthly, Quarterly, Weekly;
Affected Public: Private sector; Number
of Respondents: 100; Total Annual
Responses: 5,200; Total Annual Hours:
529,000. (For questions regarding this
collection contact Gian Johnson at 301–
492–4323.)
Dated: October 19, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2021–23107 Filed 10–21–21; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2012–N–0559]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Public Health
Service Guideline on Infectious
Disease Issues in Xenotransplantation
AGENCY:
Food and Drug Administration,
HHS.
lotter on DSK11XQN23PROD with NOTICES1
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
SUMMARY:
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required to publish notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information, and
to allow 60 days for public comment in
response to this notice. This notice
solicits comments on the collection of
information contained in the Public
Health Service (PHS) guideline entitled
‘‘PHS Guideline on Infectious Disease
Issues in Xenotransplantation.’’
DATES: Submit either electronic or
written comments on the collection of
information by December 21, 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 December 21,
2021. The https://www.regulations.gov
electronic filing system will accept
comments until 11:59 p.m. Eastern Time
at the end of December 21, 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
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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–0559 for ‘‘PHS Guideline on
Infectious Disease Issues in
Xenotransplantation.’’ 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
‘‘Search’’ box and follow the prompts
and/or go to the Dockets Management
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Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852, 240–402–7500.
FOR FURTHER INFORMATION CONTACT:
Rachel Showalter, Office of Operations,
Food and Drug Administration, Three
White Flint North, 10A–12M, 11601
Landsdown St., North Bethesda, MD
20852, 240–994–7399, 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 extension of an
existing collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, FDA is publishing notice
of the proposed collection of
information set forth in this document.
With respect to the following
collection of information, FDA invites
comments on these topics: (1) Whether
the proposed collection of information
is necessary for the proper performance
of FDA’s functions, including whether
the information will have practical
utility; (2) the accuracy of FDA’s
estimate of the burden of the proposed
collection of information, including the
validity of the methodology and
assumptions used; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques,
when appropriate, and other forms of
information technology.
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PHS Guideline on Infectious Disease
Issues in Xenotransplantation
OMB Control Number 0910–0456—
Extension
This information collection helps
support implementation of the
Department of Health and Human
Services’ ‘‘PHS Guideline on Infectious
Disease Issues in Xenotransplantation.’’
FDA is authorized to collect this
information under sections 351 and 361
of the PHS Act (42 U.S.C. 262 and 264)
and provisions of the Federal Food,
Drug, and Cosmetic Act that apply to
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drugs (21 U.S.C. 321 et seq.). The
guideline, available from our website at
https://www.fda.gov/media/73803/
download was developed by the PHS to
identify general principles for the
prevention and control of infectious
diseases associated with
xenotransplantation that may pose a risk
to public health. The PHS guideline
recommends procedures to diminish the
risk of transmission of infectious agents
to the xenotransplantation product
recipient and to the general public. The
PHS guideline is intended to address
public health issues raised by
xenotransplantation, through
identification of general principles of
prevention and control of infectious
diseases associated with
xenotransplantation that may pose a
hazard to the public health. The
collection of information described in
this guideline is intended to provide
general guidance on the following
topics: (1) The development of
xenotransplantation clinical protocols;
(2) the preparation of submissions to
FDA; and (3) the conduct of
xenotransplantation clinical trials. Also,
the collection of information will help
ensure that the sponsor maintains
important information in a crossreferenced system that links the relevant
records of the xenotransplantation
product recipient, xenotransplantation
product, source animal(s), animal
procurement center, and significant
nosocomial exposures. The PHS
guideline also describes an occupational
health service program for the
protection of health care workers
involved in xenotransplantation
procedures, caring for
xenotransplantation product recipients,
and performing associated laboratory
testing. The PHS guideline is intended
to protect the public health and to help
ensure the safety of using
xenotransplantation products in
humans by preventing the introduction,
transmission, and spread of infectious
diseases associated with
xenotransplantation.
The PHS guideline also recommends
that certain specimens and records be
maintained for 50 years beyond the date
of the xenotransplantation. These
include: (1) Records linking each
xenotransplantation product recipient
with relevant health records of the
source animal, herd or colony, and the
specific organ, tissue, or cell type
included in or used in the manufacture
of the product (3.2.7.1); (2) aliquots of
serum samples from randomly selected
animal and specific disease
investigations (3.4.3.1); (3) source
animal biological specimens designated
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for PHS use (3.7.1); animal health
records (3.7.2), including necropsy
results (3.6.4); and (4) recipients’
biological specimens (4.1.2). The
retention period is intended to assist
health care practitioners and officials in
surveillance and in tracking the source
of an infection, disease, or illness that
might emerge in the recipient, the
source animal, or the animal herd or
colony after a xenotransplantation.
The recommendation for maintaining
records for 50 years is based on clinical
experience with several human viruses
that have presented problems in human
to human transplantation and are
therefore thought to share certain
characteristics with viruses that may
pose potential risks in
xenotransplantation. These
characteristics include long latency
periods and the ability to establish
persistent infections. Several also share
the possibility of transmission among
individuals through intimate contact
with human body fluids. Human
immunodeficiency virus (HIV) and
Human T-lymphotropic virus are
human retroviruses. Retroviruses
contain ribonucleic acid that is reversetranscribed into deoxyribonucleic acid
(DNA) using an enzyme provided by the
virus and the human cell machinery.
That viral DNA can then be integrated
into the human cellular DNA. Both
viruses establish persistent infections
and have long latency periods before the
onset of disease, 10 years and 40 to 60
years, respectively. The human hepatitis
viruses are not retroviruses, but several
share with HIV the characteristic that
they can be transmitted through body
fluids, can establish persistent
infections, and have long latency
periods, e.g., approximately 30 years for
Hepatitis C.
In addition, the PHS guideline
recommends that a record system be
developed that allows easy, accurate,
and rapid linkage of information among
the specimen archive, the recipient’s
medical records, and the records of the
source animal for 50 years. The
development of such a record system is
a one-time burden. Such a system is
intended to cross-reference and locate
relevant records of recipients, products,
source animals, animal procurement
centers, and significant nosocomial
exposures.
Respondents to this collection of
information are the sponsors of clinical
studies of investigational
xenotransplantation products under
investigational new drug applications
(INDs) and xenotransplantation product
procurement centers, referred to as
source animal facilities. There are an
estimated three respondents who are
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Federal Register / Vol. 86, No. 202 / Friday, October 22, 2021 / Notices
sponsors of INDs that include protocols
for xenotransplantation in humans and
five clinical centers doing
xenotransplantation procedures. Other
respondents for this collection of
information are an estimated four source
animal facilities which provide source
xenotransplantation product material to
sponsors for use in human
xenotransplantation procedures. These
four source animal facilities keep
medical records of the herds/colonies as
well as the medical records of the
individual source animal(s). The burden
estimates are based on FDA’s records of
xenotransplantation-related INDs and
estimates of time required to complete
the various reporting, recordkeeping,
and third-party disclosure tasks
described in the PHS guideline.
FDA is requesting an extension of
OMB approval for the following
reporting, recordkeeping, and thirdparty disclosure recommendations in
the PHS guideline:
TABLE 1—REPORTING RECOMMENDATIONS
PHS guideline section
Description
3.2.7.2 .............................................
Notify sponsor or FDA of new archive site when the source animal facility or sponsor ceases operations.
TABLE 2—RECORDKEEPING RECOMMENDATIONS
PHS guideline section
Description
3.2.7 ................................................
4.3 ...................................................
Establish records linking each xenotransplantation product recipient with relevant records.
Sponsor to maintain cross-referenced system that links all relevant records (recipient, product, source animal, animal procurement center, and nosocomial exposures).
Document results of monitoring program used to detect introduction of infectious agents which may not be
apparent clinically.
Document full necropsy investigations including evaluation for infectious etiologies.
Justify shortening a source animal’s quarantine period of 3 weeks prior to xenotransplantation product procurement.
Document absence of infectious agent in xenotransplantation product if its presence elsewhere in source
animal does not preclude using it.
Add summary of individual source animal record to permanent medical record of the xenotransplantation
product recipient.
Document complete necropsy results on source animals (50-year record retention).
Link xenotransplantation product recipients to individual source animal records and archived biologic specimens.
Record baseline sera of xenotransplantation health care workers and specific nosocomial exposure.
Keep a log of health care workers’ significant nosocomial exposure(s).
Document each xenotransplant procedure.
Document location and nature of archived specimens in health care records of xenotransplantation product
recipient and source animal.
3.4.2 ................................................
3.4.3.2 .............................................
3.5.1 ................................................
3.5.2 ................................................
3.5.4 ................................................
3.6.4 ................................................
3.7 ...................................................
4.2.3.2 .............................................
4.2.3.3 and 4.3.2 .............................
4.3.1 ................................................
5.2 ...................................................
TABLE 3—DISCLOSURE RECOMMENDATIONS
PHS guideline section
Description
3.2.7.2 .............................................
3.4 ...................................................
3.5.1 ................................................
Notify sponsor or FDA of new archive site when the source animal facility or sponsor ceases operations.
Standard operating procedures (SOPs) of source animal facility should be available to review bodies.
Include increased infectious risk in informed consent if source animal quarantine period of 3 weeks is
shortened.
Sponsor to make linked records described in section 3.2.7 available for review.
Source animal facility to notify clinical center when infectious agent is identified in source animal or herd
after xenotransplantation product procurement.
3.5.4 ................................................
3.5.5 ................................................
FDA estimates the burden for this
collection of information as follows:
TABLE 4—ESTIMATED ANNUAL REPORTING BURDEN 1
3.2.7.2 2 .............................................
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Number of
responses per
respondent
Number of
respondents
PHS guideline section
1
Total annual
responses
1
Average burden per response
1
0.50 (30 minutes) .............................
1 There
2 FDA
are no capital costs or operating and maintenance costs associated with this collection of information.
is using one animal facility or sponsor for estimation purposes.
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Federal Register / Vol. 86, No. 202 / Friday, October 22, 2021 / Notices
58669
TABLE 5—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
Number of
recordkeepers
PHS guideline section
Number of
records per
recordkeeper
Total annual
records
Average burden per recordkeeping
Total hours
3.2.7 2 ................................................
4.3 3 ...................................................
3.4.2 4 ................................................
3.4.3.2 5 .............................................
3.5.1 6 ................................................
3.5.2 6 ................................................
3.5.4 ..................................................
3.6.4 7 ................................................
3.7 7 ...................................................
4.2.3.2 8 .............................................
4.2.3.2 6 .............................................
4.2.3.3 and 4.3.2 6 .............................
4.3.1 ..................................................
5.2 9 ...................................................
1
3
3
3
3
3
3
3
4
5
5
5
3
3
1
1
10.67
2.67
0.33
0.33
1
2.67
2
25
0.20
0.20
1
4
1
3
32
8
1
1
3
8
8
125
1
1
3
12
16 .....................................................
0.75 (45 minutes) .............................
0.25 (15 minutes) .............................
0.25 (15 minutes) .............................
0.50 (30 minutes) .............................
0.25 (15 minutes) .............................
0.17 (10 minutes) .............................
0.25 (15 minutes) .............................
0.08 (5 minutes) ...............................
0.17 (10 minutes) .............................
0.17 (10 minutes) .............................
0.17 (10 minutes) .............................
0.25 (15 minutes) .............................
0.08 (5 minutes) ...............................
16
2.25
8
2
0.50
0.25
0.51
2
0.64
21.25
0.17
0.17
0.75
0.96
Total ...........................................
........................
........................
........................
...........................................................
55.45
1 There
are no capital costs or operating and maintenance costs associated with this collection of information.
one-time burden for new respondents to set up a recordkeeping system linking all relevant records. FDA is using 1 new sponsor for estimation purposes.
3 FDA estimates there is minimal recordkeeping burden associated with maintaining the record system.
4 Monitoring for sentinel animals (subset representative of herd) plus all source animals. There are approximately 6 sentinel animals per herd ×
1 herd per facility × 4 facilities = 24 sentinel animals. There are approximately 8 source animals per year (see footnote 7 of this table); 24 + 8 =
32 monitoring records to document.
5 Necropsy for animal deaths of unknown cause estimated to be approximately 2 per herd per year × 1 herd per facility × 4 facilities = 8.
6 Has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
7 On average 2 source animals are used for preparing xenotransplantation product material for one recipient. The average number of source
animals is 2 source animals per recipient × 4 recipients annually = 8 source animals per year. (See footnote 5 of table 6.)
8 FDA estimates there are 5 clinical centers doing xenotransplantation procedures × approximately 25 health care workers involved per center
= 125 health care workers.
9 Eight source animal records + 4 recipient records = 12 total records.
2A
TABLE 6—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
Number of
disclosures
per
respondent
Number of
respondents
PHS guideline section
Total annual
disclosures
Average burden per disclosure
3.2.7.2 2 .............................................
3.4 3 ...................................................
3.5.1 4 ................................................
3.5.4 5 ................................................
3.5.5 4 ................................................
1
4
4
4
4
1
0.25
0.25
1
0.25
1
1
1
4
1
Total ...........................................
........................
........................
........................
0.50
0.08
0.25
0.50
0.25
Total hours
(30 minutes) .............................
(5 minutes) ...............................
(15 minutes) .............................
(30 minutes) .............................
(15 minutes) .............................
0.5
0.08
0.25
2.00
0.25
...........................................................
3.08
1 There
are no capital costs or operating and maintenance costs associated with this collection of information.
is using one animal facility or sponsor for estimation purposes.
records indicate that an average of one IND is expected to be submitted per year.
4 To our knowledge, has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
5 Based on an estimate of 12 patients treated over a 3 year period, the average number of xenotransplantation product recipients per year is
estimated to be 4.
2 FDA
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3 FDA’s
Because of the potential risk for crossspecies transmission of pathogenic
persistent virus, the guideline
recommends that health records be
retained for 50 years. Since these
records are medical records, the
retention of such records for up to 50
years is not information subject to the
PRA (5 CFR 1320.3(h)(5)). Also, because
of the limited number of clinical studies
with small patient populations, the
number of records is expected to be
insignificant at this time. Information
collections in this guideline not
included in tables 1 through 6 can be
found under existing regulations and
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approved under the OMB control
numbers as follows: (1) ‘‘Current Good
Manufacturing Practice for Finished
Pharmaceuticals,’’ 21 CFR 211.1 through
211.208, approved under OMB control
number 0910–0139; (2) ‘‘Investigational
New Drug Application,’’ 21 CFR 312.1
through 312.160, approved under OMB
control number 0910–0014; and (3)
information included in a biologics
license application, 21 CFR 601.2,
approved under OMB control number
0910–0338. (Although it is possible that
a xenotransplantation product may not
be regulated as a biological product
(e.g., it may be regulated as a medical
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device), FDA believes, based on its
knowledge and experience with
xenotransplantation, that any
xenotransplantation product subject to
FDA regulation within the next 3 years
will most likely be regulated as a
biological product.). However, FDA
recognized that some of the information
collections go beyond approved
collections; assessments for these
burdens are included in tables 1 through
6.
In table 7, FDA identifies those
collection of information activities that
are already encompassed by existing
regulations or are consistent with
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voluntary standards which reflect
industry’s usual and customary business
practice.
TABLE 7—COLLECTION OF INFORMATION REQUIRED BY CURRENT REGULATIONS AND STANDARDS
21 CFR section
(unless otherwise stated)
PHS guideline section
Description
2.2.1 ..........................................
2.5 .............................................
3.1.1 and 3.1.6 ..........................
Document offsite collaborations ................................................
Sponsor ensures counseling patient + family + contacts .........
Document well-characterized health history and lineage of
source animals.
Registration with and import permit from the Centers for Disease Control and Prevention.
Document collaboration with accredited microbiology labs ......
Procedures to ensure the humane care of animals .................
Procedures consistent for accreditation by the Association for
Assessment and Accreditation of Laboratory Animal Care
International (AAALAC International) and consistent with
the National Research Council’s (NRC) Guide.
Herd health maintenance and surveillance to be documented,
available, and in accordance with documented procedures;
record standard veterinary care.
Animal facility SOPs ..................................................................
Validate assay methods ............................................................
Procurement and processing of xenografts using documented
aseptic conditions.
Develop, implement, and enforce SOPs for procurement and
screening processes.
Communicate to FDA animal necropsy findings pertinent to
health of recipient.
PHS specimens to be linked to health records; provide to
FDA justification for types of tissues, cells, and plasma,
and quantities of plasma and leukocytes collected.
Surveillance of xenotransplant recipient; sponsor ensures
documentation of surveillance program life-long (justify >2
yrs.); investigator case histories (2 yrs. after investigation is
discontinued).
Sponsor to justify amount and type of reserve samples ..........
System for prompt retrieval of PHS specimens and linkage to
medical records (recipient and source animal).
Notify FDA of a clinical episode potentially representing a
xenogeneic infection.
Document collaborations (transfer of obligation) ......................
Develop educational materials (sponsor provides investigators
with information needed to conduct investigation properly).
Sponsor to keep records of receipt, shipment, and disposition
of investigative drug; investigator to keep records of case
histories.
3.1.8 ..........................................
3.2.2 ..........................................
3.2.3 ..........................................
3.2.4 ..........................................
3.2.5, 3.4, and 3.4.1 ..................
3.2.6 ..........................................
3.3.3 ..........................................
3.6.1 ..........................................
3.6.2 ..........................................
3.6.4 ..........................................
3.7.1 ..........................................
4.1.1 ..........................................
4.1.2 ..........................................
4.1.2.2 .......................................
4.1.2.3 .......................................
4.2.2.1 .......................................
4.2.3.1 .......................................
4.3 .............................................
1 The
312.52.
312.62(c).
312.23(a)(7)(a) and 211.84.
42 CFR 71.53.
312.52.
9 CFR parts 1, 2, and 3 and PHS Policy.1
AAALAC International Rules of Accreditation 2
and NRC Guide.3
211.100 and 211.122.
PHS Policy.1
211.160(a)
211.100 and 211.122.
211.84(d) and 211.122(c).
312.32(c).
312.23(a)(6).
312.23(a)(6)(iii)(f) and (g), and 312.62(b) and
(c).
211.122.
312.57(a).
312.32.
312.52.
312.50.
312.57 and 312.62(b).
‘‘Public Health Service Policy on Humane Care and Use of Laboratory Animals’’ (https://olaw.nih.gov/policies-laws/phs-policy.htm).
International Rules of Accreditation (https://www.aaalac.org/accreditation-program/rules-of-accreditation/).
NRC’s ‘‘Guide for the Care and Use of Laboratory Animals.’’
2 AAALAC
3 The
lotter on DSK11XQN23PROD with NOTICES1
Based on a review of the information
collection since our last request for
OMB approval, we have made no
adjustments to our burden estimate
other than to adjust total burden hours
by one hour, from 60 to 59 total burden
hours, to address an inadvertent error in
disclosure burden in the previous
submissions to OMB.
Dated: October 15, 2021.
Lauren K. Roth,
Associate Commissioner for Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2020–E–1910]
Determination of Regulatory Review
Period for Purposes of Patent
Extension; NUBEQA
AGENCY:
ACTION:
[FR Doc. 2021–23086 Filed 10–21–21; 8:45 am]
17:47 Oct 21, 2021
Notice.
The Food and Drug
Administration (FDA or the Agency) has
determined the regulatory review period
for NUBEQA and is publishing this
notice of that determination as required
SUMMARY:
BILLING CODE 4164–01–P
VerDate Sep<11>2014
Food and Drug Administration,
HHS.
Jkt 256001
PO 00000
Frm 00035
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Sfmt 4703
by law. FDA has made the
determination because of the
submission of an application to the
Director of the U.S. Patent and
Trademark Office (USPTO), Department
of Commerce, for the extension of a
patent which claims that human drug
product.
DATES: Anyone with knowledge that any
of the dates as published (see
SUPPLEMENTARY INFORMATION) are
incorrect may submit either electronic
or written comments and ask for a
redetermination by December 21, 2021.
Furthermore, any interested person may
petition FDA for a determination
regarding whether the applicant for
extension acted with due diligence
during the regulatory review period by
E:\FR\FM\22OCN1.SGM
22OCN1
Agencies
[Federal Register Volume 86, Number 202 (Friday, October 22, 2021)]
[Notices]
[Pages 58666-58670]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-23086]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2012-N-0559]
Agency Information Collection Activities; Proposed Collection;
Comment Request; Public Health Service Guideline on Infectious Disease
Issues in Xenotransplantation
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 extension of an existing collection of information, and
to allow 60 days for public comment in response to this notice. This
notice solicits comments on the collection of information contained in
the Public Health Service (PHS) guideline entitled ``PHS Guideline on
Infectious Disease Issues in Xenotransplantation.''
DATES: Submit either electronic or written comments on the collection
of information by December 21, 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 December 21, 2021. The https://www.regulations.gov electronic filing system will accept comments until
11:59 p.m. Eastern Time at the end of December 21, 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-0559 for ``PHS Guideline on Infectious Disease Issues in
Xenotransplantation.'' 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 ``Search'' box and follow the
prompts and/or go to the Dockets Management
[[Page 58667]]
Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852, 240-402-7500.
FOR FURTHER INFORMATION CONTACT: Rachel Showalter, Office of
Operations, Food and Drug Administration, Three White Flint North, 10A-
12M, 11601 Landsdown St., North Bethesda, MD 20852, 240-994-7399,
[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 extension of an existing collection of information,
before submitting the collection to OMB for approval. To comply with
this requirement, FDA is publishing notice of the proposed collection
of information set forth in this document.
With respect to the following collection of information, FDA
invites comments on these topics: (1) Whether the proposed collection
of information is necessary for the proper performance of FDA's
functions, including whether the information will have practical
utility; (2) the accuracy of FDA's estimate of the burden of the
proposed collection of information, including the validity of the
methodology and assumptions used; (3) ways to enhance the quality,
utility, and clarity of the information to be collected; and (4) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques, when
appropriate, and other forms of information technology.
PHS Guideline on Infectious Disease Issues in Xenotransplantation
OMB Control Number 0910-0456--Extension
This information collection helps support implementation of the
Department of Health and Human Services' ``PHS Guideline on Infectious
Disease Issues in Xenotransplantation.'' FDA is authorized to collect
this information under sections 351 and 361 of the PHS Act (42 U.S.C.
262 and 264) and provisions of the Federal Food, Drug, and Cosmetic Act
that apply to drugs (21 U.S.C. 321 et seq.). The guideline, available
from our website at https://www.fda.gov/media/73803/download was
developed by the PHS to identify general principles for the prevention
and control of infectious diseases associated with xenotransplantation
that may pose a risk to public health. The PHS guideline recommends
procedures to diminish the risk of transmission of infectious agents to
the xenotransplantation product recipient and to the general public.
The PHS guideline is intended to address public health issues raised by
xenotransplantation, through identification of general principles of
prevention and control of infectious diseases associated with
xenotransplantation that may pose a hazard to the public health. The
collection of information described in this guideline is intended to
provide general guidance on the following topics: (1) The development
of xenotransplantation clinical protocols; (2) the preparation of
submissions to FDA; and (3) the conduct of xenotransplantation clinical
trials. Also, the collection of information will help ensure that the
sponsor maintains important information in a cross-referenced system
that links the relevant records of the xenotransplantation product
recipient, xenotransplantation product, source animal(s), animal
procurement center, and significant nosocomial exposures. The PHS
guideline also describes an occupational health service program for the
protection of health care workers involved in xenotransplantation
procedures, caring for xenotransplantation product recipients, and
performing associated laboratory testing. The PHS guideline is intended
to protect the public health and to help ensure the safety of using
xenotransplantation products in humans by preventing the introduction,
transmission, and spread of infectious diseases associated with
xenotransplantation.
The PHS guideline also recommends that certain specimens and
records be maintained for 50 years beyond the date of the
xenotransplantation. These include: (1) Records linking each
xenotransplantation product recipient with relevant health records of
the source animal, herd or colony, and the specific organ, tissue, or
cell type included in or used in the manufacture of the product
(3.2.7.1); (2) aliquots of serum samples from randomly selected animal
and specific disease investigations (3.4.3.1); (3) source animal
biological specimens designated for PHS use (3.7.1); animal health
records (3.7.2), including necropsy results (3.6.4); and (4)
recipients' biological specimens (4.1.2). The retention period is
intended to assist health care practitioners and officials in
surveillance and in tracking the source of an infection, disease, or
illness that might emerge in the recipient, the source animal, or the
animal herd or colony after a xenotransplantation.
The recommendation for maintaining records for 50 years is based on
clinical experience with several human viruses that have presented
problems in human to human transplantation and are therefore thought to
share certain characteristics with viruses that may pose potential
risks in xenotransplantation. These characteristics include long
latency periods and the ability to establish persistent infections.
Several also share the possibility of transmission among individuals
through intimate contact with human body fluids. Human immunodeficiency
virus (HIV) and Human T-lymphotropic virus are human retroviruses.
Retroviruses contain ribonucleic acid that is reverse-transcribed into
deoxyribonucleic acid (DNA) using an enzyme provided by the virus and
the human cell machinery. That viral DNA can then be integrated into
the human cellular DNA. Both viruses establish persistent infections
and have long latency periods before the onset of disease, 10 years and
40 to 60 years, respectively. The human hepatitis viruses are not
retroviruses, but several share with HIV the characteristic that they
can be transmitted through body fluids, can establish persistent
infections, and have long latency periods, e.g., approximately 30 years
for Hepatitis C.
In addition, the PHS guideline recommends that a record system be
developed that allows easy, accurate, and rapid linkage of information
among the specimen archive, the recipient's medical records, and the
records of the source animal for 50 years. The development of such a
record system is a one-time burden. Such a system is intended to cross-
reference and locate relevant records of recipients, products, source
animals, animal procurement centers, and significant nosocomial
exposures.
Respondents to this collection of information are the sponsors of
clinical studies of investigational xenotransplantation products under
investigational new drug applications (INDs) and xenotransplantation
product procurement centers, referred to as source animal facilities.
There are an estimated three respondents who are
[[Page 58668]]
sponsors of INDs that include protocols for xenotransplantation in
humans and five clinical centers doing xenotransplantation procedures.
Other respondents for this collection of information are an estimated
four source animal facilities which provide source xenotransplantation
product material to sponsors for use in human xenotransplantation
procedures. These four source animal facilities keep medical records of
the herds/colonies as well as the medical records of the individual
source animal(s). The burden estimates are based on FDA's records of
xenotransplantation-related INDs and estimates of time required to
complete the various reporting, recordkeeping, and third-party
disclosure tasks described in the PHS guideline.
FDA is requesting an extension of OMB approval for the following
reporting, recordkeeping, and third-party disclosure recommendations in
the PHS guideline:
Table 1--Reporting Recommendations
------------------------------------------------------------------------
PHS guideline section Description
------------------------------------------------------------------------
3.2.7.2........................... Notify sponsor or FDA of new archive
site when the source animal
facility or sponsor ceases
operations.
------------------------------------------------------------------------
Table 2--Recordkeeping Recommendations
------------------------------------------------------------------------
PHS guideline section Description
------------------------------------------------------------------------
3.2.7............................. Establish records linking each
xenotransplantation product
recipient with relevant records.
4.3............................... Sponsor to maintain cross-referenced
system that links all relevant
records (recipient, product, source
animal, animal procurement center,
and nosocomial exposures).
3.4.2............................. Document results of monitoring
program used to detect introduction
of infectious agents which may not
be apparent clinically.
3.4.3.2........................... Document full necropsy
investigations including evaluation
for infectious etiologies.
3.5.1............................. Justify shortening a source animal's
quarantine period of 3 weeks prior
to xenotransplantation product
procurement.
3.5.2............................. Document absence of infectious agent
in xenotransplantation product if
its presence elsewhere in source
animal does not preclude using it.
3.5.4............................. Add summary of individual source
animal record to permanent medical
record of the xenotransplantation
product recipient.
3.6.4............................. Document complete necropsy results
on source animals (50-year record
retention).
3.7............................... Link xenotransplantation product
recipients to individual source
animal records and archived
biologic specimens.
4.2.3.2........................... Record baseline sera of
xenotransplantation health care
workers and specific nosocomial
exposure.
4.2.3.3 and 4.3.2................. Keep a log of health care workers'
significant nosocomial exposure(s).
4.3.1............................. Document each xenotransplant
procedure.
5.2............................... Document location and nature of
archived specimens in health care
records of xenotransplantation
product recipient and source
animal.
------------------------------------------------------------------------
Table 3--Disclosure Recommendations
------------------------------------------------------------------------
PHS guideline section Description
------------------------------------------------------------------------
3.2.7.2........................... Notify sponsor or FDA of new archive
site when the source animal
facility or sponsor ceases
operations.
3.4............................... Standard operating procedures (SOPs)
of source animal facility should be
available to review bodies.
3.5.1............................. Include increased infectious risk in
informed consent if source animal
quarantine period of 3 weeks is
shortened.
3.5.4............................. Sponsor to make linked records
described in section 3.2.7
available for review.
3.5.5............................. Source animal facility to notify
clinical center when infectious
agent is identified in source
animal or herd after
xenotransplantation product
procurement.
------------------------------------------------------------------------
FDA estimates the burden for this collection of information as
follows:
Table 4--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
Number of
PHS guideline section Number of responses per Total annual Average burden Total hours
respondents respondent responses per response
----------------------------------------------------------------------------------------------------------------
3.2.7.2 \2\................... 1 1 1 0.50 (30 0.5
minutes).
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
information.
\2\ FDA is using one animal facility or sponsor for estimation purposes.
[[Page 58669]]
Table 5--Estimated Annual Recordkeeping Burden \1\
----------------------------------------------------------------------------------------------------------------
Number of Average burden
PHS guideline section Number of records per Total annual per Total hours
recordkeepers recordkeeper records recordkeeping
----------------------------------------------------------------------------------------------------------------
3.2.7 \2\..................... 1 1 1 16.............. 16
4.3 \3\....................... 3 1 3 0.75 (45 2.25
minutes).
3.4.2 \4\..................... 3 10.67 32 0.25 (15 8
minutes).
3.4.3.2 \5\................... 3 2.67 8 0.25 (15 2
minutes).
3.5.1 \6\..................... 3 0.33 1 0.50 (30 0.50
minutes).
3.5.2 \6\..................... 3 0.33 1 0.25 (15 0.25
minutes).
3.5.4......................... 3 1 3 0.17 (10 0.51
minutes).
3.6.4 \7\..................... 3 2.67 8 0.25 (15 2
minutes).
3.7 \7\....................... 4 2 8 0.08 (5 minutes) 0.64
4.2.3.2 \8\................... 5 25 125 0.17 (10 21.25
minutes).
4.2.3.2 \6\................... 5 0.20 1 0.17 (10 0.17
minutes).
4.2.3.3 and 4.3.2 \6\......... 5 0.20 1 0.17 (10 0.17
minutes).
4.3.1......................... 3 1 3 0.25 (15 0.75
minutes).
5.2 \9\....................... 3 4 12 0.08 (5 minutes) 0.96
---------------------------------------------------------------------------------
Total..................... .............. .............. .............. ................ 55.45
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
information.
\2\ A one-time burden for new respondents to set up a recordkeeping system linking all relevant records. FDA is
using 1 new sponsor for estimation purposes.
\3\ FDA estimates there is minimal recordkeeping burden associated with maintaining the record system.
\4\ Monitoring for sentinel animals (subset representative of herd) plus all source animals. There are
approximately 6 sentinel animals per herd x 1 herd per facility x 4 facilities = 24 sentinel animals. There
are approximately 8 source animals per year (see footnote 7 of this table); 24 + 8 = 32 monitoring records to
document.
\5\ Necropsy for animal deaths of unknown cause estimated to be approximately 2 per herd per year x 1 herd per
facility x 4 facilities = 8.
\6\ Has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
\7\ On average 2 source animals are used for preparing xenotransplantation product material for one recipient.
The average number of source animals is 2 source animals per recipient x 4 recipients annually = 8 source
animals per year. (See footnote 5 of table 6.)
\8\ FDA estimates there are 5 clinical centers doing xenotransplantation procedures x approximately 25 health
care workers involved per center = 125 health care workers.
\9\ Eight source animal records + 4 recipient records = 12 total records.
Table 6--Estimated Annual Third-Party Disclosure Burden \1\
----------------------------------------------------------------------------------------------------------------
Number of
PHS guideline section Number of disclosures Total annual Average burden Total hours
respondents per respondent disclosures per disclosure
----------------------------------------------------------------------------------------------------------------
3.2.7.2 \2\................... 1 1 1 0.50 (30 0.5
minutes).
3.4 \3\....................... 4 0.25 1 0.08 (5 minutes) 0.08
3.5.1 \4\..................... 4 0.25 1 0.25 (15 0.25
minutes).
3.5.4 \5\..................... 4 1 4 0.50 (30 2.00
minutes).
3.5.5 \4\..................... 4 0.25 1 0.25 (15 0.25
minutes).
---------------------------------------------------------------------------------
Total..................... .............. .............. .............. ................ 3.08
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
information.
\2\ FDA is using one animal facility or sponsor for estimation purposes.
\3\ FDA's records indicate that an average of one IND is expected to be submitted per year.
\4\ To our knowledge, has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
\5\ Based on an estimate of 12 patients treated over a 3 year period, the average number of xenotransplantation
product recipients per year is estimated to be 4.
Because of the potential risk for cross-species transmission of
pathogenic persistent virus, the guideline recommends that health
records be retained for 50 years. Since these records are medical
records, the retention of such records for up to 50 years is not
information subject to the PRA (5 CFR 1320.3(h)(5)). Also, because of
the limited number of clinical studies with small patient populations,
the number of records is expected to be insignificant at this time.
Information collections in this guideline not included in tables 1
through 6 can be found under existing regulations and approved under
the OMB control numbers as follows: (1) ``Current Good Manufacturing
Practice for Finished Pharmaceuticals,'' 21 CFR 211.1 through 211.208,
approved under OMB control number 0910-0139; (2) ``Investigational New
Drug Application,'' 21 CFR 312.1 through 312.160, approved under OMB
control number 0910-0014; and (3) information included in a biologics
license application, 21 CFR 601.2, approved under OMB control number
0910-0338. (Although it is possible that a xenotransplantation product
may not be regulated as a biological product (e.g., it may be regulated
as a medical device), FDA believes, based on its knowledge and
experience with xenotransplantation, that any xenotransplantation
product subject to FDA regulation within the next 3 years will most
likely be regulated as a biological product.). However, FDA recognized
that some of the information collections go beyond approved
collections; assessments for these burdens are included in tables 1
through 6.
In table 7, FDA identifies those collection of information
activities that are already encompassed by existing regulations or are
consistent with
[[Page 58670]]
voluntary standards which reflect industry's usual and customary
business practice.
Table 7--Collection of Information Required by Current Regulations and
Standards
------------------------------------------------------------------------
21 CFR section
(unless
PHS guideline section Description otherwise
stated)
------------------------------------------------------------------------
2.2.1......................... Document offsite 312.52.
collaborations.
2.5........................... Sponsor ensures 312.62(c).
counseling patient +
family + contacts.
3.1.1 and 3.1.6............... Document well- 312.23(a)(7)(a)
characterized health and 211.84.
history and lineage
of source animals.
3.1.8......................... Registration with and 42 CFR 71.53.
import permit from
the Centers for
Disease Control and
Prevention.
3.2.2......................... Document collaboration 312.52.
with accredited
microbiology labs.
3.2.3......................... Procedures to ensure 9 CFR parts 1,
the humane care of 2, and 3 and
animals. PHS Policy.\1\
3.2.4......................... Procedures consistent AAALAC
for accreditation by International
the Association for Rules of
Assessment and Accreditation
Accreditation of \2\ and NRC
Laboratory Animal Guide.\3\
Care International
(AAALAC
International) and
consistent with the
National Research
Council's (NRC) Guide.
3.2.5, 3.4, and 3.4.1......... Herd health 211.100 and
maintenance and 211.122.
surveillance to be
documented,
available, and in
accordance with
documented
procedures; record
standard veterinary
care.
3.2.6......................... Animal facility SOPs.. PHS Policy.\1\
3.3.3......................... Validate assay methods 211.160(a)
3.6.1......................... Procurement and 211.100 and
processing of 211.122.
xenografts using
documented aseptic
conditions.
3.6.2......................... Develop, implement, 211.84(d) and
and enforce SOPs for 211.122(c).
procurement and
screening processes.
3.6.4......................... Communicate to FDA 312.32(c).
animal necropsy
findings pertinent to
health of recipient.
3.7.1......................... PHS specimens to be 312.23(a)(6).
linked to health
records; provide to
FDA justification for
types of tissues,
cells, and plasma,
and quantities of
plasma and leukocytes
collected.
4.1.1......................... Surveillance of 312.23(a)(6)(iii
xenotransplant )(f) and (g),
recipient; sponsor and 312.62(b)
ensures documentation and (c).
of surveillance
program life-long
(justify >2 yrs.);
investigator case
histories (2 yrs.
after investigation
is discontinued).
4.1.2......................... Sponsor to justify 211.122.
amount and type of
reserve samples.
4.1.2.2....................... System for prompt 312.57(a).
retrieval of PHS
specimens and linkage
to medical records
(recipient and source
animal).
4.1.2.3....................... Notify FDA of a 312.32.
clinical episode
potentially
representing a
xenogeneic infection.
4.2.2.1....................... Document 312.52.
collaborations
(transfer of
obligation).
4.2.3.1....................... Develop educational 312.50.
materials (sponsor
provides
investigators with
information needed to
conduct investigation
properly).
4.3........................... Sponsor to keep 312.57 and
records of receipt, 312.62(b).
shipment, and
disposition of
investigative drug;
investigator to keep
records of case
histories.
------------------------------------------------------------------------
\1\ The ``Public Health Service Policy on Humane Care and Use of
Laboratory Animals'' (https://olaw.nih.gov/policies-laws/phs-policy.htm).
\2\ AAALAC International Rules of Accreditation (https://www.aaalac.org/accreditation-program/rules-of-accreditation/).
\3\ The NRC's ``Guide for the Care and Use of Laboratory Animals.''
Based on a review of the information collection since our last
request for OMB approval, we have made no adjustments to our burden
estimate other than to adjust total burden hours by one hour, from 60
to 59 total burden hours, to address an inadvertent error in disclosure
burden in the previous submissions to OMB.
Dated: October 15, 2021.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2021-23086 Filed 10-21-21; 8:45 am]
BILLING CODE 4164-01-P