Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Expanded Access to Investigational Drugs for Treatment Use, 30131-30133 [2023-09982]

Download as PDF Federal Register / Vol. 88, No. 90 / Wednesday, May 10, 2023 / Notices Frequency of Response: On occasion reporting requirement. Obligation to Respond: Required to obtain or retain benefits. The statutory authority for this information collection is contained in 154(i) of the Communications Act of 1934, as amended. Total Annual Burden: 253 hours. Total Annual Cost: None. Needs and Uses: The information collection requirements contained under 47 CFR 73.1350(g) require licensees to submit a ‘‘letter of notification’’ to the FCC in Washington, DC, Attention: Audio Division (radio) or Video Division (television), Media Bureau, whenever a transmission system control point is established at a location other than at the main studio or transmitter within three days of the initial use of that point. The letter should include a list of all control points in use for clarity. This notification is not required if responsible station personnel can be contacted at the transmitter or studio site during hours of operation. Federal Communications Commission. Katura Jackson, Federal Register Liaison Officer. [FR Doc. 2023–09885 Filed 5–9–23; 8:45 am] BILLING CODE 6712–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living Intent To Award a Single-Source Supplement for the Amputee Coalition of America, Inc. for the National Limb Loss Resource Center Cooperative Agreement ACTION: Notice. The Administration for Community Living (ACL) announces the intent to award a single-source supplement to the current cooperative agreement held by the Amputee Coalition of America, Inc. for the National Limb Loss Resource Center (NLLRC). SUMMARY: For further information or comments regarding this program supplement, contact Elizabeth Leef, U.S. Department of Health and Human Services, Administration for Community Living, Administration on Disabilities, Office of Disability Services Innovation at (202) 475–2486 or Elizabeth.leef@acl.hhs.gov. SUPPLEMENTARY INFORMATION: The purpose of this project is to expand on current grant activities occurring across lotter on DSK11XQN23PROD with NOTICES1 FOR FURTHER INFORMATION CONTACT: VerDate Sep<11>2014 17:49 May 09, 2023 Jkt 259001 communities. These activities include programs that promote independence, community living, and the adoption of healthy behaviors that promote wellness and prevent and/or reduce chronic conditions associated with limb loss and increase partnerships and collaborations with ACL programs that will benefit all people living with limb loss or limb differences. The administrative supplement for FY 2023 will be for $667,048 bringing the total award for FY 2023 to $4,065,215. The additional funding will not be used to begin new projects. The funding will be used to enhance and expand existing programs that can serve an increased number of veterans and people living with limb loss and limb differences by providing increased technical assistance activities; promoting health and wellness programs; addressing healthcare access issues, including maternity care; promoting the adoption of healthy behaviors with the objective of preventing and/or reducing chronic conditions associated with limb loss; increasing partnerships and collaborations with ACL programs that will benefit all people living with limb loss or limb differences; enhancing and expanding the evaluation activities currently under way; and enhancing website capacities for improved information dissemination. Program Name: National Limb Loss Resource Center. Recipient: The Amputee Coalition of America, Inc. Period of Performance: The supplement award will be issued for the fifth year of the five-year project period of April 1, 2019, through March 29, 2024. Total Supplement Award Amount: $667,048 in FY 2023. Award Type: Cooperative Agreement Supplement. Statutory Authority: This program is authorized under Section 317 of the Public Health Service Act (42 U.S.C. 247(b–4)); Consolidated and Further Continuing Appropriations Act, 2015, Public Law 113–235 (Dec. 16, 2014). Basis for Award: The Amputee Coalition of America, Inc. is currently funded to carry out the objectives of this program, entitled The National Limb Loss Resource Center for the period of April 1, 2019, through March 29, 2024. Almost 2 million Americans have experienced amputations or were born with limb difference and another 28 million people in our country are at risk for amputation. The supplement will enable the grantee to carry their work even further, serving more people living with limb loss and/or limb differences PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 30131 and providing even more comprehensive training and technical assistance in the development of longterm supportive services. The additional funding will not be used to begin new projects or activities. The NLLRC will enhance and expand currently funded activities such as conducting national outreach for the development and dissemination of patient education materials, programs, and services; providing technical support and assistance to community based limb loss support groups; and raising awareness about the limb loss and limb differences communities. Establishing an entirely new grant project at this time would be potentially disruptive to the current work already well under way. More importantly, the people living with limb loss and limb differences currently being served by this program could be negatively impacted by a service disruption, thus posing the risk of not being able to find the right resources that could negatively impact on health and wellbeing. If this supplement were not provided, the project would be less able to address the significant unmet needs of additional limb loss survivors. Similarly, the project would be unable to expand its current technical assistance and training efforts in NLLRC concepts and approaches, let alone reach beyond traditional providers of services to this population to train more ‘‘mainstream’’ providers of disability services. Dated: May 4, 2023. Alison Barkoff, Acting Administrator and Assistant Secretary for Aging. [FR Doc. 2023–09910 Filed 5–9–23; 8:45 am] BILLING CODE 4154–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2023–N–1661] Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Expanded Access to Investigational Drugs for Treatment Use 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 SUMMARY: E:\FR\FM\10MYN1.SGM 10MYN1 30132 Federal Register / Vol. 88, No. 90 / Wednesday, May 10, 2023 / Notices (OMB) for review and clearance under the Paperwork Reduction Act of 1995. DATES: Submit written comments (including recommendations) on the collection of information by June 9, 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 control number for this information collection is 0910–0814. Also include the FDA docket number found in brackets in the heading of this document. FOR FURTHER INFORMATION CONTACT: Amber Sanford, Office of Operations, Food and Drug Administration, Three White Flint North, 10A–12M, 11601 Landsdown St., North Bethesda, MD 20852, 301–796–8867, PRAStaff@ fda.hhs.gov. SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA has submitted the following proposed collection of information to OMB for review and clearance. Expanded Access to Investigational Drugs for Treatment Use OMB Control Number 0910–0814— Revision Sometimes called ‘‘compassionate use,’’ expanded access (EA) is a potential pathway for a patient with a serious or immediately life-threatening disease or condition to gain access to an investigational medical product (drug, biologic, or medical device) for treatment outside of clinical trials when no comparable or satisfactory alternative therapy options are available. Agency regulations in 21 CFR part 312 provide for individual patient EA and associated procedures for those submitting EA requests to FDA. We provide resource information on our website at https:// www.fda.gov/news-events/publichealth-focus/expanded-access regarding our EA program, including information for patients, physicians, and industry. We also provide information pertaining to forms and processes for submitting EA requests to FDA. Specifically, we have developed electronic Form FDA 3926 ‘‘Individual Patient Expanded Access Investigational New Drug Application (IND).’’ Upon accessing the online form, users may need to follow certain technical instructions to save the document in a portable document format (PDF). Form FDA 3926 requires the completion of data fields that enable FDA to uniformly collect the minimum information necessary from licensed physicians who want to request EA as prescribed in the applicable regulations. Description of Respondents: Respondents to the collection of information are licensed physicians who request individual patient access to investigational drugs. In the Federal Register of December 14, 2021 (86 FR 71069), we published a 60-day notice requesting public comment on the proposed collection of information. No comments were received. However, on our own initiative, we are proposing the following revisions to associated Form FDA 3926: TABLE 1—SUMMARY OF PROPOSED DATA FIELD CHANGES TO FORM FDA 3926 Current field: Includes proposed changes to: Becoming new field: With accompanying instruction to: 8. Physician Name, Address, and Contact Information. Delete ‘‘Physician’s IND number, if known’’ from this field and move to proposed Field 4.a. Add ‘‘Name of Institution or Clinical Practice’’ to the title of the field. Add ‘‘enter the Physician’s IND Number, if previously issued by FDA,’’. 1. Physician Name, Name of Institution or Clinical Practice, Address, and Contact Information. Remaining fields become renumbered. 4.a. Initial Submission .................. b Select this box if this form is an initial submission for an individual patient expanded access IND, enter the Physician’s IND Number, if previously issued by FDA, and complete only fields 5 through 8, and fields 10 and 11. 5. Clinical Information .................. Brief Clinical History (Patient’s age, gender, weight, allergies or sensitivities, race and ethnicity (optional), diagnosis, prior therapy, response to prior therapy, reason for request, including an explanation of why the patient lacks other therapeutic options). Ethnicity (check one) b Hispanic/Latino b Not Hispanic/Latino Race (check all that apply) b American Indian/Alaska Native b Asian b Black or African American b Native Hawaiian/Other Pacific Islander b White Enter the physician’s name, name of institution or clinical practice, and the physician’s contact information, including the physical address, email address, telephone number, and facsimile (FAX) number. lotter on DSK11XQN23PROD with NOTICES1 3.a. Initial Submission. 4. Clinical Information. Brief Clinical History (Patient’s age, gender, weight, allergies, diagnosis, prior therapy, response to prior therapy, reason for request, including an explanation of why the patient lacks other therapeutic options). VerDate Sep<11>2014 Add ‘‘or sensitivities, race and ethnicity (optional)’’ after allergies. Add ‘‘Ethnicity (check one)’’ and list choice options (Hispanic/ Latino or Not Hispanic/Latino). Add ‘‘Race (check all that apply)’’ and list choice options (American Indian/Alaska Native or Asian or Black/African American or Native Hawaiian/Other Pacific Islander or White). 17:49 May 09, 2023 Jkt 259001 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 If the submission is an initial (original) submission for an individual patient expanded access IND (including for emergency use), select the box provided in field 4.a., enter the physician’s IND number, if previously issued by FDA, and complete only fields 5 through 8, and fields 10 and 11. Do not include commercial sponsor’s IND number. Provide the indication (proposed treatment use) and a brief clinical history of the patient. The clinical history includes age, gender, weight, allergies or sensitivities (general (e.g., soy) and drug specific) and other optional demographic and clinical information (e.g., race (as reported by the patient; you may choose multiple answers) and ethnicity (choose only one response)), diagnosis (e.g., a brief summary (with dates) of relevant past medical and surgical history, diagnostic procedures, current stage/severity of disease, and functional status), prior therapy, response to prior therapy (e.g., patient was treated with drug X and subsequently developed lung metastasis), and the reason for requesting the proposed treatment, including an explanation of why the patient lacks other therapeutic options (e.g., patient has failed or is intolerant to currently available therapy, or is not eligible for any clinical trials registered at ClinicalTrials.gov). E:\FR\FM\10MYN1.SGM 10MYN1 Federal Register / Vol. 88, No. 90 / Wednesday, May 10, 2023 / Notices 30133 TABLE 1—SUMMARY OF PROPOSED DATA FIELD CHANGES TO FORM FDA 3926—Continued Current field: Includes proposed changes to: Becoming new field: With accompanying instruction to: 5: Treatment Information. Add ‘‘(including rationale for dose)’’. Add ‘‘(e.g., assessment criteria/ procedure(s) for monitoring and frequency)’’. Add ‘‘(e.g., criteria for adjusting dose if dose reduction or escalation is planned, criteria for stopping the treatment),’’. Add ‘‘(e.g., concomitant medication)’’. Add ‘‘You may choose to attach an Investigator Brochure, scientific publication(s), or other supporting documents, if needed.’’. Field 6 .......................................... None .................... Add a box option for ‘‘Request for Withdrawal’’ under ‘‘Summary of Expanded Access Use (treatment completed)’’. 9. Contents of Submission ........... None .................... Add ‘‘When a waiver is requested in this manner, the physician does not receive notice from FDA indicating that the waiver is granted.’’. Field 10.b.: Request for Authorization to Use Alternative IRB Review Procedures. None .................... Add ‘‘Information on where and how to submit this form is available at Expanded Access— How to Submit’’. Insert a statement ‘‘Information on where and how to submit this form is available at Expanded Access—How to Submit a Request (Forms)’’ under ‘‘Signature of Physician’’ after Field 11. Field 11: Certification Statement and Signature of the Physician. Provide treatment information, including the investigational drug’s name and the name of the entity supplying the drug (generally the manufacturer), the applicable FDA review division (if known), and a concise statement regarding the treatment plan. This includes the planned dose, route and schedule of administration of the investigational drug (including rationale for dose), planned duration of treatment, monitoring procedures (e.g., assessment criteria/procedure(s) for monitoring and frequency), planned modifications to the treatment plan in the event of toxicity (e.g., criteria for adjusting dose if dose reduction or escalation is planned, criteria for stopping the treatment), and other relevant information (e.g., concomitant medication). The information should be entered within the space provided. You may choose to attach an Investigator Brochure, scientific publication(s), or other supporting documents, if needed. Field 9: Contents of Submission (Follow-up/Additional Submissions Only). Request for Withdrawal: A submission describing the intent to withdraw an effective IND (21 CFR 312.38). Select this box to request under 21 CFR 56.105, authorization to obtain concurrence by the IRB chairperson or by a designated IRB member, instead of at a convened IRB meeting, before the treatment use begins, in order to comply with FDA’s requirements for IRB review and approval. When a waiver is requested in this manner, the physician does not receive notice from FDA indicating that the waiver is granted. Field 11: Certification Statement and Signature of the Physician Information on where and how to submit this form is available at Expanded Access—How to Submit. Information on where and how to submit this form is available at Expanded Access—How to Submit a Request (Forms). lotter on DSK11XQN23PROD with NOTICES1 [General Instruction?]. b Request for Withdrawal. [General Instruction?] ................... We retain the currently approved burden estimate of 13,910 responses and 255,326 hours annually for the information collection. We anticipate no adjustment as a result of the proposed form updates and have posted a draft of revised Form FDA 3926 to the docket, available for public inspection through https://www.regulations.gov. DEPARTMENT OF HEALTH AND HUMAN SERVICES Dated: May 5, 2023. Lauren K. Roth, Associate Commissioner for Policy. AGENCY: [FR Doc. 2023–09982 Filed 5–9–23; 8:45 am] SUMMARY: BILLING CODE 4164–01–P VerDate Sep<11>2014 17:49 May 09, 2023 Jkt 259001 Food and Drug Administration [Docket No. FDA–2022–E–0675] Determination of Regulatory Review Period for Purposes of Patent Extension; Detectnet Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA or the Agency) has determined the regulatory review period for Detectnet and is publishing this notice of that determination as required by law. FDA has made the determination because of the submission of an application to the PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 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. Anyone with knowledge that any of the dates as published (see SUPPLEMENTARY INFORMATION) are incorrect must submit either electronic or written comments and ask for a redetermination by July 10, 2023. 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 November 6, 2023. See ‘‘Petitions’’ in the SUPPLEMENTARY INFORMATION section for more information. ADDRESSES: You may submit comments as follows. Please note that late, DATES: E:\FR\FM\10MYN1.SGM 10MYN1

Agencies

[Federal Register Volume 88, Number 90 (Wednesday, May 10, 2023)]
[Notices]
[Pages 30131-30133]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-09982]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2023-N-1661]


Agency Information Collection Activities; Submission for Office 
of Management and Budget Review; Comment Request; Expanded Access to 
Investigational Drugs for Treatment Use

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: 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

[[Page 30132]]

(OMB) for review and clearance under the Paperwork Reduction Act of 
1995.

DATES: Submit written comments (including recommendations) on the 
collection of information by June 9, 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 control number for 
this information collection is 0910-0814. Also include the FDA docket 
number found in brackets in the heading of this document.

FOR FURTHER INFORMATION CONTACT: Amber Sanford, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 301-796-8867, 
[email protected].

SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA has 
submitted the following proposed collection of information to OMB for 
review and clearance.

Expanded Access to Investigational Drugs for Treatment Use

OMB Control Number 0910-0814--Revision

    Sometimes called ``compassionate use,'' expanded access (EA) is a 
potential pathway for a patient with a serious or immediately life-
threatening disease or condition to gain access to an investigational 
medical product (drug, biologic, or medical device) for treatment 
outside of clinical trials when no comparable or satisfactory 
alternative therapy options are available. Agency regulations in 21 CFR 
part 312 provide for individual patient EA and associated procedures 
for those submitting EA requests to FDA. We provide resource 
information on our website at https://www.fda.gov/news-events/public-health-focus/expanded-access regarding our EA program, including 
information for patients, physicians, and industry. We also provide 
information pertaining to forms and processes for submitting EA 
requests to FDA. Specifically, we have developed electronic Form FDA 
3926 ``Individual Patient Expanded Access Investigational New Drug 
Application (IND).'' Upon accessing the online form, users may need to 
follow certain technical instructions to save the document in a 
portable document format (PDF). Form FDA 3926 requires the completion 
of data fields that enable FDA to uniformly collect the minimum 
information necessary from licensed physicians who want to request EA 
as prescribed in the applicable regulations.
    Description of Respondents: Respondents to the collection of 
information are licensed physicians who request individual patient 
access to investigational drugs.
    In the Federal Register of December 14, 2021 (86 FR 71069), we 
published a 60-day notice requesting public comment on the proposed 
collection of information. No comments were received. However, on our 
own initiative, we are proposing the following revisions to associated 
Form FDA 3926:

                        Table 1--Summary of Proposed Data Field Changes to Form FDA 3926
----------------------------------------------------------------------------------------------------------------
                                   Includes proposed                              With accompanying instruction
        Current field:                changes to:         Becoming new field:                  to:
----------------------------------------------------------------------------------------------------------------
8. Physician Name, Address,     Delete ``Physician's    1. Physician Name,      Enter the physician's name, name
 and Contact Information.        IND number, if          Name of Institution     of institution or clinical
                                 known'' from this       or Clinical Practice,   practice, and the physician's
                                 field and move to       Address, and Contact    contact information, including
                                 proposed Field 4.a.     Information.            the physical address, email
                                Add ``Name of           Remaining fields         address, telephone number, and
                                 Institution or          become renumbered.      facsimile (FAX) number.
                                 Clinical Practice''
                                 to the title of the
                                 field.
3.a. Initial Submission.......  Add ``enter the         4.a. Initial            If the submission is an initial
                                 Physician's IND         Submission.             (original) submission for an
                                 Number, if previously  [ballot] Select this     individual patient expanded
                                 issued by FDA,''.       box if this form is     access IND (including for
                                                         an initial submission   emergency use), select the box
                                                         for an individual       provided in field 4.a., enter
                                                         patient expanded        the physician's IND number, if
                                                         access IND, enter the   previously issued by FDA, and
                                                         Physician's IND         complete only fields 5 through
                                                         Number, if previously   8, and fields 10 and 11. Do not
                                                         issued by FDA, and      include commercial sponsor's
                                                         complete only fields    IND number.
                                                         5 through 8, and
                                                         fields 10 and 11.
4. Clinical Information.......  Add ``or                5. Clinical             Provide the indication (proposed
Brief Clinical History           sensitivities, race     Information.            treatment use) and a brief
 (Patient's age, gender,         and ethnicity          Brief Clinical History   clinical history of the
 weight, allergies, diagnosis,   (optional)'' after      (Patient's age,         patient. The clinical history
 prior therapy, response to      allergies.              gender, weight,         includes age, gender, weight,
 prior therapy, reason for      Add ``Ethnicity (check   allergies or            allergies or sensitivities
 request, including an           one)'' and list         sensitivities, race     (general (e.g., soy) and drug
 explanation of why the          choice options          and ethnicity           specific) and other optional
 patient lacks other             (Hispanic/Latino or     (optional),             demographic and clinical
 therapeutic options).           Not Hispanic/Latino).   diagnosis, prior        information (e.g., race (as
                                Add ``Race (check all    therapy, response to    reported by the patient; you
                                 that apply)'' and       prior therapy, reason   may choose multiple answers)
                                 list choice options     for request,            and ethnicity (choose only one
                                 (American Indian/       including an            response)), diagnosis (e.g., a
                                 Alaska Native or        explanation of why      brief summary (with dates) of
                                 Asian or Black/         the patient lacks       relevant past medical and
                                 African American or     other therapeutic       surgical history, diagnostic
                                 Native Hawaiian/Other   options).               procedures, current stage/
                                 Pacific Islander or    Ethnicity (check one).   severity of disease, and
                                 White).                [ballot] Hispanic/       functional status), prior
                                                         Latino.                 therapy, response to prior
                                                        [ballot] Not Hispanic/   therapy (e.g., patient was
                                                         Latino.                 treated with drug X and
                                                        Race (check all that     subsequently developed lung
                                                         apply).                 metastasis), and the reason for
                                                        [ballot] American        requesting the proposed
                                                         Indian/Alaska Native.   treatment, including an
                                                        [ballot] Asian........   explanation of why the patient
                                                        [ballot] Black or        lacks other therapeutic options
                                                         African American.       (e.g., patient has failed or is
                                                        [ballot] Native          intolerant to currently
                                                         Hawaiian/Other          available therapy, or is not
                                                         Pacific Islander.       eligible for any clinical
                                                        [ballot] White........   trials registered at
                                                                                 ClinicalTrials.gov).

[[Page 30133]]

 
5: Treatment Information......  Add ``(including        Field 6...............  Provide treatment information,
                                 rationale for dose)''.                          including the investigational
                                Add ``(e.g.,                                     drug's name and the name of the
                                 assessment criteria/                            entity supplying the drug
                                 procedure(s) for                                (generally the manufacturer),
                                 monitoring and                                  the applicable FDA review
                                 frequency)''.                                   division (if known), and a
                                Add ``(e.g., criteria                            concise statement regarding the
                                 for adjusting dose if                           treatment plan. This includes
                                 dose reduction or                               the planned dose, route and
                                 escalation is                                   schedule of administration of
                                 planned, criteria for                           the investigational drug
                                 stopping the                                    (including rationale for dose),
                                 treatment),''.                                  planned duration of treatment,
                                Add ``(e.g.,                                     monitoring procedures (e.g.,
                                 concomitant                                     assessment criteria/
                                 medication)''.                                  procedure(s) for monitoring and
                                Add ``You may choose                             frequency), planned
                                 to attach an                                    modifications to the treatment
                                 Investigator                                    plan in the event of toxicity
                                 Brochure, scientific                            (e.g., criteria for adjusting
                                 publication(s), or                              dose if dose reduction or
                                 other supporting                                escalation is planned, criteria
                                 documents, if                                   for stopping the treatment),
                                 needed.''.                                      and other relevant information
                                                                                 (e.g., concomitant medication).
                                                                                 The information should be
                                                                                 entered within the space
                                                                                 provided. You may choose to
                                                                                 attach an Investigator
                                                                                 Brochure, scientific
                                                                                 publication(s), or other
                                                                                 supporting documents, if
                                                                                 needed.
None..........................  Add a box option for    9. Contents of          Field 9: Contents of Submission
                                 ``Request for           Submission.             (Follow-up/Additional
                                 Withdrawal'' under     ......................   Submissions Only).
                                 ``Summary of Expanded  [ballot] Request for    Request for Withdrawal: A
                                 Access Use (treatment   Withdrawal.             submission describing the
                                 completed)''.                                   intent to withdraw an effective
                                                                                 IND (21 CFR 312.38).
None..........................  Add ``When a waiver is  Field 10.b.: Request    Select this box to request under
                                 requested in this       for Authorization to    21 CFR 56.105, authorization to
                                 manner, the physician   Use Alternative IRB     obtain concurrence by the IRB
                                 does not receive        Review Procedures.      chairperson or by a designated
                                 notice from FDA                                 IRB member, instead of at a
                                 indicating that the                             convened IRB meeting, before
                                 waiver is granted.''.                           the treatment use begins, in
                                                                                 order to comply with FDA's
                                                                                 requirements for IRB review and
                                                                                 approval. When a waiver is
                                                                                 requested in this manner, the
                                                                                 physician does not receive
                                                                                 notice from FDA indicating that
                                                                                 the waiver is granted.
None..........................  Add ``Information on    Field 11:               Field 11: Certification
                                 where and how to        Certification           Statement and Signature of the
                                 submit this form is     Statement and           Physician Information on where
                                 available at Expanded   Signature of the        and how to submit this form is
                                 Access--How to          Physician.              available at Expanded Access--
                                 Submit''.                                       How to Submit.
[General Instruction?]........  Insert a statement      [General Instruction?]  Information on where and how to
                                 ``Information on                                submit this form is available
                                 where and how to                                at Expanded Access--How to
                                 submit this form is                             Submit a Request (Forms).
                                 available at Expanded
                                 Access--How to Submit
                                 a Request (Forms)''
                                 under ``Signature of
                                 Physician'' after
                                 Field 11.
----------------------------------------------------------------------------------------------------------------

    We retain the currently approved burden estimate of 13,910 
responses and 255,326 hours annually for the information collection. We 
anticipate no adjustment as a result of the proposed form updates and 
have posted a draft of revised Form FDA 3926 to the docket, available 
for public inspection through https://www.regulations.gov.

    Dated: May 5, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2023-09982 Filed 5-9-23; 8:45 am]
BILLING CODE 4164-01-P


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