[Federal Register Volume 85, Number 149 (Monday, August 3, 2020)] [Notices] [Pages 46641-46646] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2020-16852] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket Nos. FDA-2020-D-1106, FDA-2020-D-1136, FDA-2020-D-1137, FDA- 2020-D-1138, FDA-2020-D-1139, and FDA-2020-D-1140] Guidance Documents Related to Coronavirus Disease 2019; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice of availability. ----------------------------------------------------------------------- SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing the availability of FDA guidance documents related to the Coronavirus Disease 2019 (COVID-19) public health emergency (PHE). This notice of availability (NOA) is pursuant to the process that FDA announced, in the Federal Register of March 25, 2020, for making available to the public COVID-19-related guidances. The guidances identified in this notice address issues related to the COVID-19 PHE and have been issued in accordance with the process announced in the March 25, 2020, notice. The guidance documents have been implemented without prior comment, but they remain subject to comment in accordance with the Agency's good guidance practices. DATES: The announcement of the guidances is published in the Federal Register on August 3, 2020. The guidance documents have been implemented without prior comment, but they remain subject to comment in accordance with the Agency's good guidance practices. ADDRESSES: You may submit either electronic or written comments on Agency guidances at any time as follows: 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 [[Page 46642]] 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 name of the guidance document that the comments address and the docket number for the guidance (see table 1). Received comments will be placed in the docket(s) and, except for those submitted as ``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through Friday. Confidential Submissions--To submit a comment with confidential information that you do not wish to be made publicly available, submit your comments only as a written/paper submission. You should submit two copies total. One copy will include the information you claim to be confidential with a heading or cover note that states ``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will review this copy, including the claimed confidential information, in its consideration of comments. The second copy, which will have the claimed confidential information redacted/blacked out, will be available for public viewing and posted on https://www.regulations.gov. Submit both copies to the Dockets Management Staff. If you do not wish your name and contact information to be made publicly available, you can provide this information on the cover sheet and not in the body of your comments and you must identify this information as ``confidential.'' Any information marked 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 Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. You may submit comments on any guidance at any time (see 21 CFR 10.115(g)(5)). Submit written requests for single copies of these guidances to the address noted in table 1. Send two self-addressed adhesive labels to assist that office in processing your requests. See the SUPPLEMENTARY INFORMATION section for electronic access to the guidance document. FOR FURTHER INFORMATION CONTACT: Stephen Ripley, Center for Biologics Evaluation and Research (CBER), Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240- 402-7911; Kimberly Thomas, Center for Drug Evaluation and Research (CDER), Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6220, Silver Spring, MD 20993-0002, 301-796-2357; Erica Takai, Center for Devices and Radiological Health (CDRH), Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5456, HFZ-450, Silver Spring, MD 20993-0002, 301-796-6353; Phil Chao, Center for Food Safety and Applied Nutrition (CFSAN), CPK1 Rm 1C001, HFS-024, Food and Drug Administration, College Park, MD 20740, 240-402-2112; Diane Heinz, Center for Veterinary Medicine (CVM), Food and Drug Administration, MPN2 RME435 HFV-6, 7500 Standish Pl., Rockville, MD 20855, 240-402- 5692. SUPPLEMENTARY INFORMATION: I. Background On January 31, 2020, as a result of confirmed cases of COVID-19, and after consultation with public health officials as necessary, Alex M. Azar II, Secretary of Health and Human Services, pursuant to the authority under section 319 of the Public Health Service Act (PHS Act), determined that a PHE exists and has existed since January 27, 2020, nationwide.\1\ On March 13, 2020, President Donald J. Trump declared that the COVID-19 outbreak in the United States constitutes a national emergency, beginning March 1, 2020.\2\ --------------------------------------------------------------------------- \1\ On April 21, 2020, the PHE Determination was extended, effective April 26, 2020; on July 23, 2020, it was extended again, effective July 25, 2020. These PHE Determinations are available at https://www.phe.gov/emergency/news/healthactions/phe/Pages/default.aspx. \2\ Proclamation on Declaring a National Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak (March 13, 2020), available at https://www.whitehouse.gov/presidential-actions/proclamation-declaring-national-emergency-concerning-novel-coronavirus-disease-covid-19-outbreak/. --------------------------------------------------------------------------- In the Federal Register of March 25, 2020 (85 FR 16949, the March 25, 2020, notice) (available at https://www.govinfo.gov/content/pkg/FR-2020-03-25/pdf/2020-06222.pdf), FDA announced procedures for making available FDA guidance documents related to the COVID-19 PHE. These procedures, which operate within FDA's established good guidance practices regulations, are intended to allow FDA to rapidly disseminate Agency recommendations and policies related to COVID-19 to industry, FDA staff, and other stakeholders. The March 25, 2020, notice stated that due to the need to act quickly and efficiently to respond to the COVID-19 PHE, FDA believes that prior public participation will not be feasible or appropriate before FDA implements COVID-19-related guidance documents. Therefore, FDA will issue COVID-19-related guidance documents for immediate implementation without prior public comment (see section 701(h)(1)(C) of the Federal Food, Drug, and Cosmetic Act (FD&C Act) (21 U.S.C. 371(h)(1)(C) and 21 CFR 10.115(g)(2) (Sec. 10.115(g)(2))). The guidances are available at FDA's web page titled ``COVID-19-Related Guidance Documents for Industry, FDA Staff, and Other Stakeholders'' (https://www.fda.gov/emergency-preparedness-and-response/mcm-issues/covid-19-related-guidance-documents-industry-fda-staff-and-other-stakeholders) and through FDA's web page titled ``Search for FDA Guidance Documents'' available at https://www.fda.gov/regulatory-information/search-fda-guidance-documents. The March 25, 2020, notice further stated that, in general, rather than publishing a separate NOA for each COVID-19-related guidance document, FDA intends to publish periodically a consolidated NOA announcing the availability of certain COVID-19-related guidance documents that FDA issued during the relevant period, as included in Table 1. This notice announces COVID-19-related guidances that are posted on FDA's website. II. Availability of COVID-19-Related Guidance Documents Pursuant to the process described in the March 25, 2020, notice, FDA is announcing the availability of the following COVID-19-related guidance documents: [[Page 46643]] Table 1--Guidance Related to the COVID-19 Public Health Emergency ---------------------------------------------------------------------------------------------------------------- Contact information to Docket No. Center Title of guidance request single copies ---------------------------------------------------------------------------------------------------------------- FDA-2020-D-1106................... CDER................. Temporary Policy for [email protected]. Preparation of Certain Please include the Alcohol-Based Hand docket number FDA-2020-D- Sanitizer Products During 1106 and complete title the Public Health of the guidance in the Emergency (COVID-19) request. (March 2020) (Updated June 1, 2020). FDA-2020-D-1106................... CDER................. Policy for Temporary [email protected]. Compounding of Certain Please include the Alcohol-Based Hand docket number FDA-2020-D- Sanitizer Products During 1106 and complete title the Public Health of the guidance in the Emergency (March 2020) request. (Updated June 1, 2020). FDA-2020-D-1106................... CDER................. Temporary Policy for [email protected]. Manufacture of Alcohol Please include the for Incorporation Into docket number FDA-2020-D- Alcohol-Based Hand 1106 and complete title Sanitizer Products During of the guidance in the the Public Health request. Emergency (COVID-19) (March 2020) (Updated June 1, 2020). FDA-2020-D-1136................... CDER................. Temporary Policy on [email protected]. Prescription Drug Please include the Marketing Act docket number FDA-2020-D- Requirements for 1136 and complete title Distribution of Drug of the guidance in the Samples During the COVID- request. 19 Public Health Emergency (June 8, 2020). FDA-2020-D-1136................... CDER................. Statistical Considerations [email protected]. CBER, CDRH, CVM...... for Clinical Trials Please include the During the COVID-19 docket number FDA-2020-D- Public Health Emergency 1136 and complete title Guidance for Industry of the guidance in the (June 2020). request. FDA-2020-D-1136................... CDER, CVM, CBER...... Good Manufacturing [email protected]. Practice Considerations Please include the for Responding to COVID- docket number FDA-2020-D- 19 Infection in Employees 1136 and complete title in Drug and Biological of the guidance in the Products Manufacturing request. (June 2020). FDA-2020-D-1137................... CBER................. Development and Licensure Office of Communication, of Vaccines to Prevent Outreach and COVID-19 (June 2020). Development, 10903 New Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993-0002. Phone 1-800-835-4709 or 240-402-8010, email [email protected]. FDA-2020-D-1138................... CDRH................. Enforcement Policy for Non- CDRH- Invasive Remote [email protected]. Monitoring Devices Used Please include the to Support Patient document number 20014 Monitoring During the and complete title of Coronavirus Disease 2019 the guidance in the (COVID-19) Public Health request. Emergency (Revised) (March 20, 2020) (Updated June 5, 2020). FDA-2020-D-1138................... CDRH................. Notifying CDRH of a CDRH- Permanent Discontinuance [email protected]. or Interruption in Please include the Manufacturing of a Device document number 20032 Under Section 506J of the and complete title of FD&C Act During the COVID- the guidance in the 19 Public Health request. Emergency (May 6, 2020) (Updated June 19, 2020). FDA-2020-D-1138................... CDRH, CBER........... Effects of the COVID-19 CDRH- Public Health Emergency [email protected]. on Formal Meetings and Please include the User Fee Applications for document number 20040 Medical Devices-- and complete title of Questions and Answers the guidance in the (June 2020). request. FDA-2020-D-1139................... CFSAN................ Reporting a Temporary INFOCenter- Closure or Significantly [email protected]. Reduced Production by a Please include the Human Food Establishment docket number, FDA-2020- and Requesting FDA D-1139, and complete Assistance During the title of the guidance in COVID-19 Public Health the request. Emergency (May 27, 2020). ---------------------------------------------------------------------------------------------------------------- Although these guidance documents have been implemented immediately without prior comment, FDA will consider all comments received and revise the guidances as appropriate (see Sec. 10.115(g)(3)). These guidances are being issued consistent with FDA's good guidance practices regulation (Sec. 10.115). The guidances represent the current thinking of FDA. They do not establish any rights for any person and are not binding on FDA or the public. You can use an alternative approach if it satisfies the requirements of the applicable statutes and regulations. III. Paperwork Reduction Act of 1995 A. CDER Guidances The guidances listed in the table below refer to previously approved collections of information. These collections of information are subject to review by the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3521). The collections of information in the following FDA regulations and guidance have been approved by OMB as listed in the following table: [[Page 46644]] Table 2--CDER Guidances and Collections ---------------------------------------------------------------------------------------------------------------- Another guidance COVID-19 guidance title CFR cite referenced referenced in COVID-19 OMB Control No(s). in COVID-19 guidance guidance ---------------------------------------------------------------------------------------------------------------- Good Manufacturing Practice 21 CFR 211, 211.22, (1) ICH Q7 Good 0910-0130 Considerations for Responding to 211.28(d), 211.100. Manufacturing Practice 0910-0139 COVID-19 Infections in Employees 21 CFR 212.20, Guidance for Active 0910-0667 in Drug and Biological Products 212.30, 212.50, Pharmaceutical 0910-0675 Manufacturing--June 2020. 212.70, 212.71. Ingredients. 0910-0759 21 CFR 600.10(c)(1).. (2) ICH Q5A Viral Safety 0910-0032 Evaluation of 0910-0669 biotechnology Products Derived From Cell Lines of Human or Animal Origin. (3) ICH Q9 Quality Risk Management. (4) Planning for the Effects of High Absenteeism to Ensure Availability of Medically Necessary Drug Products. (5) Enforcement Policy for Sterilizers, disinfectant Devices, and Air Purifiers During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency.. (6) Temporary Policy Regarding Non-Standard PPE Practices for Sterile Compounding by Pharmacy Compounders not Registered as Outsourcing Facilities During the COVID-19 Public Health Emergency.. (7) GFI #271 Reporting and Mitigating Animal Drug Shortages during the COVID-19 Public Health Emergency.. Temporary Policy on Prescription 21 CFR 203........... .......................... 0910-0435 Drug Marketing Act Requirements for Distribution of Drug Samples during the COVID-19 Public Health Emergency--Guidance for Industry. Temporary Policy for Preparation of 27 CFR Part 20 and 21 (1) Temporary Compounding 0910-0045 Certain Alcohol-Based Hand of Certain Alcohol-Based 0910-0139 Sanitizer Products During the Hand Sanitizer Products 0910-0230 Public Health Emergency (COVID- During the Public Health 0910-0291 19)--UPDATE of guidance announced Emergency (COVID-19). 0910-0340 in March 2020. (2) Temporary Policy for 0910-0641 Manufacture of Alcohol 0910-0645 for Incorporation Into 0910-0800 Alcohol-Based Hand Sanitizer Products During the Public Health Emergency (COVID-19). (3) Adverse Event Reporting Requirements. Temporary Policy for Manufacture of 27 CFR Part 20 and 21 None...................... 0910-0045 Alcohol for Incorporation Into 0910-0139 Alcohol-Based Hand Sanitizer 0910-0230 Products During the Public Health 0910-0291 Emergency (COVID-19)--UPDATE of 0910-0340 guidance announced in March 2020. 0910-0641 0910-0645 0910-0800 Policy for Temporary Compounding of ..................... (1) Temporary Policy for 0910-0045 Certain Alcohol-Based Hand Preparation of Certain 0910-0139 Sanitizer Products During the Alcohol-Based Hand 0910-0230 Public Health Emergency Sanitizer Products During 0910-0291 Immediately in Effect Guidance for the Public Health 0910-0340 Industry--UPDATE of guidance Emergency (COVID-19). 0910-0641 announced in March 2020. (2) Temporary Policy for 0910-0645 Manufacture of Alcohol 0910-0800 for Incorporation into Alcohol-Based Hand Sanitizer Products During the Public Health Emergency (COVID-19). ---------------------------------------------------------------------------------------------------------------- The guidance, Statistical Considerations for Clinical Trials during the COVID-19 Public Health Emergency, contains no collection of information. Therefore, clearance by OMB under the PRA is not required. B. CBER Guidances The guidance listed in the table below refer to previously approved collection of information. This collection of information is subject to review by the OMB under the PRA. The collection of information in the following FDA regulations and guidance have been approved by OMB as listed in the following table: [[Page 46645]] Table 3--CBER Guidances and Collections ---------------------------------------------------------------------------------------------------------------- Another guidance title COVID-19 guidance title CFR cite referenced in referenced in COVID- OMB Control No(s). COVID-19 guidance 19 guidance ---------------------------------------------------------------------------------------------------------------- Development and Licensure of 21 CFR part 312........ ...................... 0910-0114 Vaccines to Prevent COVID-19. 21 CFR part 58......... ...................... 0910-0119 21 CFR part 50......... ...................... 0910-0130 21 CFR parts 210, 211, ...................... 0910-0139 and 610. 221 CFR part 600....... ...................... 0910-0308 221 CFR part 601....... ...................... 0910-0338 --Form FDA 3500A...... 0910-0291 --Establishment and 0910-0581 Operation of Clinical 0910-0595 Trial Data Monitoring Committees. --Emergency Use Authorization of Medical Products and Related Authorities. ---------------------------------------------------------------------------------------------------------------- C. CDRH Guidances The guidances listed in the table below refer to previously approved collections of information. These collections of information are subject to review by OMB under the PRA. The collections of information in the following FDA regulations and guidance have been approved by OMB as listed in the following table: Table 4--CDRH Guidances and Collections ---------------------------------------------------------------------------------------------------------------- Another guidance title COVID-19 guidance title CFR cite referenced in referenced in COVID- OMB Control No(s). COVID-19 guidance 19 guidance ---------------------------------------------------------------------------------------------------------------- Enforcement Policy for Non-Invasive 807, subpart E......... ...................... 0910-0120 Remote Monitoring Devices Used to 800, 801, and 809...... ...................... 0910-0485 Support Patient Monitoring During the Coronavirus Disease 2019 (COVID- 19) Public Health Emergency (Revised) (March 20, 2020) (Updated June 5, 2020). Effects of the COVID-19 Public ....................... Requests for Feedback 0910-0756 Health Emergency on Formal Meetings and Meetings for and User Fee Applications for Medical Device Medical Devices--Questions and Submissions: The Q- Answers (June 22, 2020). Submission Program: Guidance for Industry and Food and Drug Administration Staff. Emergency Use 0910-0595 Authorization of Medical Products and Related Authorities; Guidance for Industry and Other Stakeholders. 814, subparts A through ...................... 0910-0231 E. 807, subpart E......... ...................... 0910-0120 De Novo Classification 0910-0844 Process (Evaluation of Automatic Class III Designation): Guidance for Industry and Food and Drug Administration Staff. 814, subpart H......... ...................... 0910-0332 812.................... ...................... 0910-0078 ---------------------------------------------------------------------------------------------------------------- The guidance indicated in the table below refers to previously approved collections of information. These collections of information are subject to review by the OMB under the PRA. The collections of information in the following FDA regulations and guidance have been approved by OMB as listed in the table. This guidance also contains a new collection of information not approved under a current collection. This new collection of information has been granted a PHE waiver from the PRA by the Department of Health and Human Services (HHS) on March 19, 2020, under section 319(f) of the PHS Act. Information concerning the PHE PRA waiver can be found on the HHS website at https://aspe.hhs.gov/public-health-emergency-declaration-pra-waivers. [[Page 46646]] Table 5--CDRH Guidances and Collections ---------------------------------------------------------------------------------------------------------------- CFR cite Another guidance New collection COVID-19 guidance title referenced in referenced in OMB Control No(s). covered by PHE COVID-19 guidance COVID-19 guidance PRA waiver ---------------------------------------------------------------------------------------------------------------- Notifying CDRH of Permanent 807, subparts A 0910-0625 Discontinuance or Interruption through D. Emergency Use 0910-0595 in Manufacturing of a Device Authorization of Under Section 506J of the FD&C Medical Products Act During the COVID-19 Public and Related Health Emergency (Revised) Authorities; (May 6, 2020) (Updated June Guidance for 19, 2020). Industry and Other Stakeholders. Notifications to FDA about changes in the production of certain medical device products that will help the Agency prevent or mitigate shortages of such devices during the COVID- 19 public health emergency. Updates to FDA every two weeks after initial notification on the shortage situation, including the expected timeline for recovery. Voluntary submission of other information that enables FDA to work more effectively with manufacturers and other entities to prevent or limit any negative impact on patients or healthcare providers during the COVID-19 public health emergency. ---------------------------------------------------------------------------------------------------------------- D. CFSAN Guidances The guidance indicated in the table below refers to previously approved collections of information. These collections of information are subject to review by the OMB under the PRA. The collections of information in the following FDA regulations and guidance have been approved by OMB as listed in the table. This guidance also contains a new collection of information not approved under a current collection. This new collection of information has been granted a PHE waiver from the PRA by HHS on March 19, 2020, under section 319(f) of the PHS Act. Information concerning the PHE PRA waiver can be found on the HHS website at https://aspe.hhs.gov/public-health-emergency-declaration-pra-waivers. Table 6--CFSAN Guidances and Collections ---------------------------------------------------------------------------------------------------------------- CFR cite Another guidance New Collection COVID-19 guidance title referenced in referenced in OMB Control No(s). covered by PHE COVID-19 guidance COVID-19 guidance PRA waiver ---------------------------------------------------------------------------------------------------------------- Reporting a Temporary Closure 21 CFR part 1, .................. 0910-0502 Establishments or Significantly Reduced subpart H. have the option Production by a Human Food to report to FDA Establishment and Requesting temporary FDA Assistance During the closures or COVID-19 Public Health significant Emergency. reductions of production and to request assistance from FDA. ---------------------------------------------------------------------------------------------------------------- IV. Electronic Access Persons with access to the internet may obtain COVID-19-related guidances at: The FDA web page entitled ``COVID-19-Related Guidance Documents for Industry, FDA Staff, and Other Stakeholders,'' available at https://www.fda.gov/emergency-preparedness-and-response/mcm-issues/covid-19-related-guidance-documents-industry-fda-staff-and-other-stakeholders; the FDA web page entitled ``Search for FDA Guidance Documents'' available at https://www.fda.gov/regulatory-information/search-fda-guidance-documents; or https://www.regulations.gov. Dated: July 28, 2020. Lauren K. Roth, Associate Commissioner for Policy. [FR Doc. 2020-16852 Filed 7-31-20; 8:45 am] BILLING CODE 4164-01-P