Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Endorser Status and Actual Use in Direct-to-Consumer Television Ads, 26316-26318 [2023-08965]

Download as PDF 26316 Federal Register / Vol. 88, No. 82 / Friday, April 28, 2023 / Notices respondent to include transitional foster care programs (in addition to long-term foster care programs). • Update instructions on which fields are completed for initial placements and which are completed for transfers within the community-based care program. • Added citation to related policies in the instructions. • Reword some fields and instructions for clarity. • Add field to capture the facility name for children placed in an out-ofnetwork community-based care program. • Separate fields that capture contact information for the foster family or group home into separate subsections and expand the fields to capture additional contact information (e.g., phone or email) in addition to name and address. For information about all currently approved forms under this OMB number, see: https://www.reginfo.gov/ public/do/PRAViewICR?ref_ nbr=202210-0970-008. Respondents: ORR grantee and contractor staff; UC; and other Federal agencies. Annual Burden Estimates Note: These burden estimates include burden related to the revisions described above and currently approved forms for which we are not proposing any changes. ESTIMATED BURDEN HOURS FOR RESPONDENTS Annual number of respondents Information collection title Average burden hours per response Annual total burden hours Placement Authorization (Form P–1) .............................................................. Authorization for Medical, Dental, and Mental Health Care (Form P–2) ........ Notice of Placement in a Restrictive Setting (Form P–4) ............................... Community-Based Care Placement Memo (Form P–5) .................................. UC Referral (Form P–7) .................................................................................. Care Provider Checklist for Transfers to Influx Care Facilities (Form P–8) ... Medical Checklist for Transfers (Form P–9A) ................................................. Medical Checklist for Influx Transfers (Form P–9B) ....................................... Transfer Request (Form P–10A) ..................................................................... Transfer Request (Form P–10A) ..................................................................... Influx Transfer Request (Form P–10B) ........................................................... Transfer Summary and Tracking (Form P–11) ............................................... Program Entity (Form P–12) ............................................................................ UC Profile (Form P–13) ................................................................................... ORR Transfer Notification—ORR Notification to Immigration and Customs Enforcement Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P–14) ....................................................................... Family Group Entity (Form P–15) .................................................................... Influx Transfer Manifest (Form P–16) .............................................................. Influx Transfer Manual and Prescreen Criteria Review (Form P–17) ............. Notice of Administrative Review (Form P–18) ................................................ 262 262 15 110 25 262 262 262 262 275 262 262 262 262 536 536 114 337 4,909 19 49 96 67 67 96 67 12 468 0.08 0.08 0.33 0.25 1.00 0.25 0.08 0.17 0.42 0.33 0.42 0.17 0.50 0.75 11,235 11,235 564 9,268 122,725 1,245 1,027 4,276 7,373 6,080 10,564 2,984 1,572 91,962 262 25 3 262 200 67 120 12 56,213 1 0.17 0.08 0.33 0.50 0.83 2,984 240 12 7,363,903 166 Estimated Annual Burden Hours Total ..................................................... ........................ ........................ ........................ 7,649,415 Authority: 6 U.S.C. 279; 8 U.S.C. 1232; Flores v. Reno Settlement Agreement, No. CV85–4544–RJK (C.D. Cal. 1996); 45 CFR part 411; Lucas R. et al. v. Azar et al. (Case No. CV 18–5741– DMG (PLAx)) Preliminary Injunction. Mary B. Jones, ACF/OPRE Certifying Officer. [FR Doc. 2023–09048 Filed 4–27–23; 8:45 am] BILLING CODE 4184–45–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2022–N–1886] Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Endorser Status and Actual Use in Direct-to-Consumer Television Ads AGENCY: Food and Drug Administration, HHS. ACTION: ddrumheller on DSK120RN23PROD with NOTICES1 Annual number of responses per respondent Notice. The Food and Drug Administration (FDA) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995. DATES: Submit written comments (including recommendations) on the SUMMARY: VerDate Sep<11>2014 18:44 Apr 27, 2023 Jkt 259001 PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 collection of information by May 30, 2023. ADDRESSES: To ensure that comments on the information collection are received, OMB recommends that written comments be submitted to https:// www.reginfo.gov/public/do/PRAMain. Find this particular information collection by selecting ‘‘Currently under Review—Open for Public Comments’’ or by using the search function. The title of this information collection is ‘‘Endorser Status and Actual Use in Direct-to-Consumer Television Ads.’’ Also include the FDA docket number found in brackets in the heading of this document. FOR FURTHER INFORMATION CONTACT: PRA Staff, Office of Operations, Food and Drug Administration, Three White Flint North, 10A–12M, 11601 Landsdown St., North Bethesda, MD 20852, 301–796– 7726, PRAStaff@fda.hhs.gov. SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA E:\FR\FM\28APN1.SGM 28APN1 26317 Federal Register / Vol. 88, No. 82 / Friday, April 28, 2023 / Notices has submitted the following proposed collection of information to OMB for review and clearance. ddrumheller on DSK120RN23PROD with NOTICES1 Endorser Status and Actual Use in Direct-to-Consumer Television Ads OMB Control Number 0910—New Section 1701(a)(4) of the Public Health Service Act (42 U.S.C. 300u(a)(4)) authorizes FDA to conduct research relating to health information. Section 1003(d)(2)(C) of the Federal Food, Drug, and Cosmetic Act (FD&C Act) (21 U.S.C. 393(d)(2)(C)) authorizes FDA to conduct research relating to drugs and other FDA-regulated products in carrying out the provisions of the FD&C Act. The mission of the Office of Prescription Drug Promotion (OPDP) is to protect the public health by helping to ensure that prescription drug promotional material is truthful, balanced, and accurately communicated. OPDP’s research program provides scientific evidence to help ensure that our policies related to prescription drug promotion will have the greatest benefit to public health. Toward that end, we have consistently conducted research to evaluate the aspects of prescription drug promotion that are most central to our mission, focusing in particular on three main topic areas: advertising features, including content and format; target populations; and research quality. Through the evaluation of advertising features, we assess how elements such as graphics, format, and the characteristics of the disease and product impact the communication and understanding of prescription drug risks and benefits. Focusing on target populations allows us to evaluate how understanding of prescription drug risks and benefits may vary as a function of audience, and our focus on research quality aims at maximizing the quality of research data through analytical methodology development and investigation of sampling and response issues. This study will inform the first topic area, advertising features. Because we recognize that the strength of data and the confidence in the robust nature of the findings are improved through the results of multiple converging studies, we continue to develop evidence to inform our thinking. We evaluate the results from our studies within the broader context of research and findings from other sources, and this larger body of knowledge collectively informs our policies as well as our research program. Our research is documented on our home page at https://www.fda.gov/ VerDate Sep<11>2014 18:44 Apr 27, 2023 Jkt 259001 about-fda/center-drug-evaluation-andresearch-cder/office-prescription-drugpromotion-opdp-research. The website includes links to the latest Federal Register notices and peer-reviewed publications produced by our office. The objective of the present research is to conduct experimental studies to examine issues related to endorsers in direct-to-consumer (DTC) prescription drug promotion. This study complements one that has recently been completed (FDA–2019–N–5900, OMB control number 0910–0894, Expiration Date: March 31, 2023). As that study examined a number of different endorser types in print or internet settings and focused on examining how various disclosures of the payment status of the endorser influenced audience reactions, this proposed research extends the prior research by examining actual-use disclosures and a different medium, television ads. Prior research has shown that endorsements by expert physicians and pharmacists were the most likely to lead to purchase intentions, followed by endorsements by consumers, and lastly, by celebrities (Refs. 1 and 2). For healthcare providers (HCPs) endorsing a prescription drug product, guiding industry principles advise that advertisements should contain a disclosure that the HCP has been compensated for the endorsement (Ref. 3). Industry guiding principles further recommend that an advertisement disclose when an actor is being used as an HCP to promote DTC prescription drugs. Pharmaceutical firms also often use everyday people, either actual patients or actors portraying patients, in DTC promotion, relying on qualities of identification with the individual endorsing the product and perceived credibility (Ref. 4). While industry guidelines recommend that companies choosing to feature actors in the roles of HCPs in a DTC television or print ad acknowledge in the ad that actors are being used, the guidelines do not mention disclosures that the ‘‘patient’’ in an ad is being portrayed by an actor (Ref. 3). Some advertisers endeavor to gain credibility among viewers by using actual patients to endorse the product, with a disclosure that states they are actual users of the product (‘‘actual-use disclosure’’) (Ref. 5). The present research will specifically examine the influence of two independent variables—endorser type (patient, physician) and an actual-use disclosure (utilizer, actor, none)—in television advertisements. Dependent variables will include perceptions of the risks and benefits of the promoted PO 00000 Frm 00069 Fmt 4703 Sfmt 4703 prescription drug, attitudes toward and perceptions of the endorser, attention paid to the ad, and behavioral intentions. Because age and education level may affect perceptions of the ad, we plan to explore whether age and education level influence these effects. This research will involve two studies. Studies 1 and 2 will use a 2 × 3 factorial design run concurrently and independently with a sample of consumers who have been diagnosed with diabetes (Study 1) or rheumatoid arthritis (Study 2), each watching a DTC television ad for a fictitious drug indicated to treat the corresponding medical conditions. The ad will be manipulated to assess the impact of two categories of commonly used industry spokespeople: a patient and a physician. We will test three actual-use disclosure conditions: (1) an actual-use disclosure that indicates that the endorser either uses or prescribes the prescription drug in real life (i.e., utilizer), (2) an actualuse disclosure that specifies the endorser is an actor, and (3) a control with no actual-use disclosure. The design for Studies 1 and 2 is presented in table 1. TABLE 1—STUDY 1 AND STUDY 2 EXPERIMENTAL DESIGN Actual-use disclosure Endorser type Patient Physician Utilizer. Actor. None. In both studies, participants will be randomly assigned to one of six experimental conditions (see table 1), view their assigned stimulus, complete a survey, and provide feedback on one of the other ad versions. We will conduct pretests with 126 consumers who self-identify as having been diagnosed with diabetes and 126 consumers who self-identify as having been diagnosed with rheumatoid arthritis, recruited from a web-based research vendor. For the main study, we will then recruit 648 consumers who self-identify as having been diagnosed with diabetes and 648 consumers who self-identify as having been diagnosed with rheumatoid arthritis. Each participant will see one of six versions of a television ad for a fictitious prescription diabetes or rheumatoid arthritis treatment, as reflected in table 1. They will answer a questionnaire designed to take no more than 20 minutes. In the Federal Register of September 23, 2022 (87 FR 58099), FDA published E:\FR\FM\28APN1.SGM 28APN1 26318 Federal Register / Vol. 88, No. 82 / Friday, April 28, 2023 / Notices a 60-day notice requesting public comment on the proposed collection of information. FDA received no comments. FDA estimates the burden of this collection of information as follows: TABLE 2—ESTIMATED ANNUAL REPORTING BURDEN 1 Number of respondents Activity Study 1 Study 1 Pretest Screener Completes .......................... Study 1 Pretest Questionnaire Completes .................. Number of responses per respondent Study 2 Pretest Screener Completes .......................... Study 2 Pretest Questionnaire Completes .................. Study 1 Main Study Screener Completes ................... Study 1 Main Study Questionnaire Completes ........... 630 126 .03 (2 minutes) ...... .30 (18 minutes) ..... 18.9 38 1 1 420 126 .03 (2 minutes) ...... .30 (18 minutes) ..... 12.6 38 1 1 3,240 648 .03 (2 minutes) ....... .30 (18 minutes) ..... 97.2 194 Main Study 3,240 648 Study 2 1 1 Pretest 420 126 Study 1 Total hours Pretest 630 126 Study 2 Average burden per response (in hours) 2 Total annual responses Main Study Study 2 Main Study Screener Completes ................... Study 2 Main Study Questionnaire Completes ........... 2,160 648 1 1 2,160 648 .03 (2 minutes) ....... .30 (18 minutes) ..... 64.8 194 Total ...................................................................... ........................ ........................ ........................ ................................ 657.50 1 There are no capital costs or operating and maintenance costs associated with this collection of information. estimates of less than 1 hour are expressed as a fraction of an hour in the format ‘‘[number of minutes per response]/60.’’ 2 Burden ddrumheller on DSK120RN23PROD with NOTICES1 References The following references marked with an asterisk (*) are on display at the Dockets Management Staff (HFA–305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852 and are available for viewing by interested persons between 9 a.m. and 4 p.m., Monday through Friday; they also are available electronically at https:// www.regulations.gov. References without asterisks are not on public display at https://www.regulations.gov because they have copyright restriction. Some may be available at the website address, if listed. References without asterisks are available for viewing only at the Dockets Management Staff. FDA has verified the website addresses, as of the date this document publishes in the Federal Register, but websites are subject to change over time. 1. LaTour, C. and M. Smith, ‘‘A Study of Expert Endorsement of OTC Pharmaceutical Products,’’ Journal of Pharmaceutical Marketing & Management, Vol. 1, Issue 2, pp. 117– 128, 1986. 2. Bhutada, N.S. and B.L. Rollins, ‘‘DiseaseSpecific Direct-to-Consumer Advertising of Pharmaceuticals: An Examination of Endorser Type and Gender Effects on Consumers’ Attitudes and Behaviors,’’ Research in Social and Administrative Pharmacy, Vol. 11, Issue 6, pp. 891–900, 2015. 3. *Pharmaceutical Research and Manufacturers of America (PhRMA), ‘‘PhRMA Guiding Principles: Direct to VerDate Sep<11>2014 18:44 Apr 27, 2023 Jkt 259001 Consumer Advertisements About Prescription Medicines,’’ Pharmaceutical Research and Manufacturers of America, Washington, DC, https://www.phrma.org, revised October 2018, available at https:// phrma.org/-/media/Project/PhRMA/ PhRMA-Org/PhRMA-Org/PDF/P-R/ PhRMA_Guiding_Principles_2018.pdf (accessed May 18, 2022). 4. *Schouten, A.P., L. Janssen, and M. Verspaget, ‘‘Celebrity vs. Influencer Endorsements in Advertising: The Role of Identification, Credibility, and Product-Endorser Fit,’’ International Journal of Advertising, Vol. 39, Issue 2, pp. 258–281, 2020, https://doi.org/ 10.1080/02650487.2019.1634898. 5. *Bulik, B.S., ‘‘Merck Adds Real Patient to ‘TRU’ Keytruda TV Ad,’’ Fierce Pharma, September 27, 2017, available at https:// www.fiercepharma.com/marketing/newmerck-tv-ad-for-keytruda-continues-trutheme-but-now-features-real-patient (accessed May 18, 2022). Dated: April 24, 2023. Lauren K. Roth, Associate Commissioner for Policy. [FR Doc. 2023–08965 Filed 4–27–23; 8:45 am] BILLING CODE 4164–01–P PO 00000 Frm 00070 Fmt 4703 Sfmt 4703 DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2022–N–3208] Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Records and Reports Concerning Experiences With Approved New Animal Drugs: Adverse Event Reports AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA or we) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995. DATES: Submit written comments (including recommendations) on the collection of information by May 30, 2023. ADDRESSES: To ensure that comments on the information collection are received, OMB recommends that written comments be submitted to https:// www.reginfo.gov/public/do/PRAMain. Find this particular information collection by selecting ‘‘Currently under Review—Open for Public Comments’’ or by using the search function. The OMB SUMMARY: E:\FR\FM\28APN1.SGM 28APN1

Agencies

[Federal Register Volume 88, Number 82 (Friday, April 28, 2023)]
[Notices]
[Pages 26316-26318]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-08965]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2022-N-1886]


Agency Information Collection Activities; Submission for Office 
of Management and Budget Review; Comment Request; Endorser Status and 
Actual Use in Direct-to-Consumer Television Ads

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing that a 
proposed collection of information has been submitted to the Office of 
Management and Budget (OMB) for review and clearance under the 
Paperwork Reduction Act of 1995.

DATES: Submit written comments (including recommendations) on the 
collection of information by May 30, 2023.

ADDRESSES: To ensure that comments on the information collection are 
received, OMB recommends that written comments be submitted to https://www.reginfo.gov/public/do/PRAMain. Find this particular information 
collection by selecting ``Currently under Review--Open for Public 
Comments'' or by using the search function. The title of this 
information collection is ``Endorser Status and Actual Use in Direct-
to-Consumer Television Ads.'' Also include the FDA docket number found 
in brackets in the heading of this document.

FOR FURTHER INFORMATION CONTACT: PRA Staff, Office of Operations, Food 
and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 301-796-7726, 
[email protected].

SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA

[[Page 26317]]

has submitted the following proposed collection of information to OMB 
for review and clearance.

Endorser Status and Actual Use in Direct-to-Consumer Television Ads

OMB Control Number 0910--New

    Section 1701(a)(4) of the Public Health Service Act (42 U.S.C. 
300u(a)(4)) authorizes FDA to conduct research relating to health 
information. Section 1003(d)(2)(C) of the Federal Food, Drug, and 
Cosmetic Act (FD&C Act) (21 U.S.C. 393(d)(2)(C)) authorizes FDA to 
conduct research relating to drugs and other FDA-regulated products in 
carrying out the provisions of the FD&C Act.
    The mission of the Office of Prescription Drug Promotion (OPDP) is 
to protect the public health by helping to ensure that prescription 
drug promotional material is truthful, balanced, and accurately 
communicated. OPDP's research program provides scientific evidence to 
help ensure that our policies related to prescription drug promotion 
will have the greatest benefit to public health. Toward that end, we 
have consistently conducted research to evaluate the aspects of 
prescription drug promotion that are most central to our mission, 
focusing in particular on three main topic areas: advertising features, 
including content and format; target populations; and research quality. 
Through the evaluation of advertising features, we assess how elements 
such as graphics, format, and the characteristics of the disease and 
product impact the communication and understanding of prescription drug 
risks and benefits. Focusing on target populations allows us to 
evaluate how understanding of prescription drug risks and benefits may 
vary as a function of audience, and our focus on research quality aims 
at maximizing the quality of research data through analytical 
methodology development and investigation of sampling and response 
issues. This study will inform the first topic area, advertising 
features.
    Because we recognize that the strength of data and the confidence 
in the robust nature of the findings are improved through the results 
of multiple converging studies, we continue to develop evidence to 
inform our thinking. We evaluate the results from our studies within 
the broader context of research and findings from other sources, and 
this larger body of knowledge collectively informs our policies as well 
as our research program. Our research is documented on our home page at 
https://www.fda.gov/about-fda/center-drug-evaluation-and-research-cder/office-prescription-drug-promotion-opdp-research. The website includes 
links to the latest Federal Register notices and peer-reviewed 
publications produced by our office.
    The objective of the present research is to conduct experimental 
studies to examine issues related to endorsers in direct-to-consumer 
(DTC) prescription drug promotion. This study complements one that has 
recently been completed (FDA-2019-N-5900, OMB control number 0910-0894, 
Expiration Date: March 31, 2023). As that study examined a number of 
different endorser types in print or internet settings and focused on 
examining how various disclosures of the payment status of the endorser 
influenced audience reactions, this proposed research extends the prior 
research by examining actual-use disclosures and a different medium, 
television ads. Prior research has shown that endorsements by expert 
physicians and pharmacists were the most likely to lead to purchase 
intentions, followed by endorsements by consumers, and lastly, by 
celebrities (Refs. 1 and 2).
    For healthcare providers (HCPs) endorsing a prescription drug 
product, guiding industry principles advise that advertisements should 
contain a disclosure that the HCP has been compensated for the 
endorsement (Ref. 3). Industry guiding principles further recommend 
that an advertisement disclose when an actor is being used as an HCP to 
promote DTC prescription drugs.
    Pharmaceutical firms also often use everyday people, either actual 
patients or actors portraying patients, in DTC promotion, relying on 
qualities of identification with the individual endorsing the product 
and perceived credibility (Ref. 4). While industry guidelines recommend 
that companies choosing to feature actors in the roles of HCPs in a DTC 
television or print ad acknowledge in the ad that actors are being 
used, the guidelines do not mention disclosures that the ``patient'' in 
an ad is being portrayed by an actor (Ref. 3). Some advertisers 
endeavor to gain credibility among viewers by using actual patients to 
endorse the product, with a disclosure that states they are actual 
users of the product (``actual-use disclosure'') (Ref. 5).
    The present research will specifically examine the influence of two 
independent variables--endorser type (patient, physician) and an 
actual-use disclosure (utilizer, actor, none)--in television 
advertisements. Dependent variables will include perceptions of the 
risks and benefits of the promoted prescription drug, attitudes toward 
and perceptions of the endorser, attention paid to the ad, and 
behavioral intentions. Because age and education level may affect 
perceptions of the ad, we plan to explore whether age and education 
level influence these effects.
    This research will involve two studies. Studies 1 and 2 will use a 
2 x 3 factorial design run concurrently and independently with a sample 
of consumers who have been diagnosed with diabetes (Study 1) or 
rheumatoid arthritis (Study 2), each watching a DTC television ad for a 
fictitious drug indicated to treat the corresponding medical 
conditions. The ad will be manipulated to assess the impact of two 
categories of commonly used industry spokespeople: a patient and a 
physician. We will test three actual-use disclosure conditions: (1) an 
actual-use disclosure that indicates that the endorser either uses or 
prescribes the prescription drug in real life (i.e., utilizer), (2) an 
actual-use disclosure that specifies the endorser is an actor, and (3) 
a control with no actual-use disclosure. The design for Studies 1 and 2 
is presented in table 1.

            Table 1--Study 1 and Study 2 Experimental Design
------------------------------------------------------------------------
                                               Endorser type
      Actual-use disclosure       --------------------------------------
                                         Patient           Physician
------------------------------------------------------------------------
Utilizer.........................
Actor............................
None.............................
------------------------------------------------------------------------

    In both studies, participants will be randomly assigned to one of 
six experimental conditions (see table 1), view their assigned 
stimulus, complete a survey, and provide feedback on one of the other 
ad versions. We will conduct pretests with 126 consumers who self-
identify as having been diagnosed with diabetes and 126 consumers who 
self-identify as having been diagnosed with rheumatoid arthritis, 
recruited from a web-based research vendor. For the main study, we will 
then recruit 648 consumers who self-identify as having been diagnosed 
with diabetes and 648 consumers who self-identify as having been 
diagnosed with rheumatoid arthritis. Each participant will see one of 
six versions of a television ad for a fictitious prescription diabetes 
or rheumatoid arthritis treatment, as reflected in table 1. They will 
answer a questionnaire designed to take no more than 20 minutes.
    In the Federal Register of September 23, 2022 (87 FR 58099), FDA 
published

[[Page 26318]]

a 60-day notice requesting public comment on the proposed collection of 
information. FDA received no comments.
    FDA estimates the burden of this collection of information as 
follows:

                                                     Table 2--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Number of
                   Activity                       Number of     responses per   Total annual    Average burden  per response  (in hours)    Total hours
                                                 respondents     respondent       responses                       \2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                     Study 1 Pretest
--------------------------------------------------------------------------------------------------------------------------------------------------------
Study 1 Pretest Screener Completes...........             630               1             630  .03 (2 minutes)..........................            18.9
Study 1 Pretest Questionnaire Completes......             126               1             126  .30 (18 minutes).........................              38
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                     Study 2 Pretest
--------------------------------------------------------------------------------------------------------------------------------------------------------
Study 2 Pretest Screener Completes...........             420               1             420  .03 (2 minutes)..........................            12.6
Study 2 Pretest Questionnaire Completes......             126               1             126  .30 (18 minutes).........................              38
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Study 1 Main Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Study 1 Main Study Screener Completes........           3,240               1           3,240  .03 (2 minutes)..........................            97.2
Study 1 Main Study Questionnaire Completes...             648               1             648  .30 (18 minutes).........................             194
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Study 2 Main Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Study 2 Main Study Screener Completes........           2,160               1           2,160  .03 (2 minutes)..........................            64.8
Study 2 Main Study Questionnaire Completes...             648               1             648  .30 (18 minutes).........................             194
                                              ----------------------------------------------------------------------------------------------------------
    Total....................................  ..............  ..............  ..............  .........................................          657.50
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.
\2\ Burden estimates of less than 1 hour are expressed as a fraction of an hour in the format ``[number of minutes per response]/60.''

References

    The following references marked with an asterisk (*) are on display 
at the Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852 and 
are available for viewing by interested persons between 9 a.m. and 4 
p.m., Monday through Friday; they also are available electronically at 
https://www.regulations.gov. References without asterisks are not on 
public display at https://www.regulations.gov because they have 
copyright restriction. Some may be available at the website address, if 
listed. References without asterisks are available for viewing only at 
the Dockets Management Staff. FDA has verified the website addresses, 
as of the date this document publishes in the Federal Register, but 
websites are subject to change over time.

1. LaTour, C. and M. Smith, ``A Study of Expert Endorsement of OTC 
Pharmaceutical Products,'' Journal of Pharmaceutical Marketing & 
Management, Vol. 1, Issue 2, pp. 117-128, 1986.
2. Bhutada, N.S. and B.L. Rollins, ``Disease-Specific Direct-to-
Consumer Advertising of Pharmaceuticals: An Examination of Endorser 
Type and Gender Effects on Consumers' Attitudes and Behaviors,'' 
Research in Social and Administrative Pharmacy, Vol. 11, Issue 6, 
pp. 891-900, 2015.
3. *Pharmaceutical Research and Manufacturers of America (PhRMA), 
``PhRMA Guiding Principles: Direct to Consumer Advertisements About 
Prescription Medicines,'' Pharmaceutical Research and Manufacturers 
of America, Washington, DC, https://www.phrma.org, revised October 
2018, available at https://phrma.org/-/media/Project/PhRMA/PhRMA-Org/PhRMA-Org/PDF/P-R/PhRMA_Guiding_Principles_2018.pdf (accessed 
May 18, 2022).
4. *Schouten, A.P., L. Janssen, and M. Verspaget, ``Celebrity vs. 
Influencer Endorsements in Advertising: The Role of Identification, 
Credibility, and Product-Endorser Fit,'' International Journal of 
Advertising, Vol. 39, Issue 2, pp. 258-281, 2020, https://doi.org/10.1080/02650487.2019.1634898.
5. *Bulik, B.S., ``Merck Adds Real Patient to `TRU' Keytruda TV 
Ad,'' Fierce Pharma, September 27, 2017, available at https://www.fiercepharma.com/marketing/new-merck-tv-ad-for-keytruda-continues-tru-theme-but-now-features-real-patient (accessed May 18, 
2022).

    Dated: April 24, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2023-08965 Filed 4-27-23; 8:45 am]
BILLING CODE 4164-01-P


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