Guidance Documents Related to Coronavirus Disease 2019 (COVID-19); Availability

Published date26 May 2020
Citation85 FR 31513
Record Number2020-11238
SectionNotices
CourtFood And Drug Administration
Federal Register, Volume 85 Issue 101 (Tuesday, May 26, 2020)
[Federal Register Volume 85, Number 101 (Tuesday, May 26, 2020)]
                [Notices]
                [Pages 31513-31520]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2020-11238]
                -----------------------------------------------------------------------
                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Food and Drug Administration
                [Docket Nos. FDA-2020-D-1136, FDA-2020-D-1137, FDA-2020-D-1138, FDA-
                2020-D-1139]
                Guidance Documents Related to Coronavirus Disease 2019 (COVID-
                19); 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 guidances 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 May 26, 2020. The guidances 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 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(s) 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
                [[Page 31514]]
                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 any of
                these guidances to the addresses 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. 7268, Silver Spring, MD 20993-0002, 240-
                402-7911; Erica Takai, Center for Devices and Radiological Health
                (CDRH), Food and Drug Administration, 10903 New Hampshire Ave., Bldg.
                66, Rm. 5456, Silver Spring, MD 20993-0002, 301-796-6353; 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; 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.
                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 (42 U.S.C.
                247d) (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. 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 (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 guidances 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 guidances.
                Therefore, FDA will issue COVID-19-related guidances 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 entitled ``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 entitled ``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, FDA
                intends to publish periodically a consolidated NOA announcing the
                availability of certain COVID-19-related guidances 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 Guidances
                 Pursuant to the process described in the March 25, 2020, notice,
                FDA is announcing the availability of the following COVID-19-related
                guidances:
                 Table 1--Guidances Related to the COVID-19 Public Health Emergency
                ----------------------------------------------------------------------------------------------------------------
                 Contact information to
                 Docket No. Center/office Title of guidance request single copies
                ----------------------------------------------------------------------------------------------------------------
                FDA-2020-D-1137................... CBER Investigatory COVID-19 Office of Communication,
                 Convalescent Plasma Outreach and
                 (April 2020) (Updated Development, 10903 New
                 May 1, 2020). Hampshire Ave., Bldg.
                 71, Rm. 3128, Silver
                 Spring, MD 20993-0002, 1-
                 800-835-4709 or 240-402-
                 8010, email
                 [email protected].
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Clinical Electronic Please include the
                 Thermometers During the document number 20014
                 Coronavirus Disease 2019 and complete title of
                 (COVID-19) Public Health the guidance in the
                 Emergency (April 4, request.
                 2020).
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Infusion Pumps and Please include the
                 Accessories During the document number 20014
                 Coronavirus Disease 2019 and complete title of
                 (COVID-19) Public Health the guidance in the
                 Emergency (April 5, request.
                 2020).
                [[Page 31515]]
                
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Remote Ophthalmic Please include the
                 Assessment and document number 20014
                 Monitoring Devices and complete title of
                 During the Coronavirus the guidance in the
                 Disease 2019 (COVID-19) request.
                 Public Health Emergency
                 (April 6, 2020).
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Extracorporeal Membrane Please include the
                 Oxygenation and document number 20014
                 Cardiopulmonary Bypass and complete title of
                 Devices During the the guidance in the
                 Coronavirus Disease 2019 request.
                 (COVID-19) Public Health
                 Emergency (April 6,
                 2020).
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Digital Health Devices Please include the
                 for Treating document number 20014
                 Psychological Disorders and complete title of
                 During the Coronavirus the guidance in the
                 Disease 2019 (COVID-19) request.
                 Public Health Emergency
                 (April 14, 2020).
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Telethermographic Please include the
                 Systems During the document number 20014
                 Coronavirus Disease 2019 and complete title of
                 (COVID-19) Public Health the guidance in the
                 Emergency (April 16, request.
                 2020).
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Non-Invasive Fetal and Please include the
                 Maternal Monitoring document number 20014
                 Devices Used to Support and complete title of
                 Patient Monitoring the guidance in the
                 During the Coronavirus request.
                 Disease 2019 (COVID-19)
                 Public Health Emergency
                 (April 23, 2020).
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Imaging Systems During Please include the
                 the Coronavirus Disease document number 20014
                 2019 (COVID-19) Public and complete title of
                 Health Emergency (April the guidance in the
                 23, 2020). request.
                FDA-2020-D-1138................... CDRH Enforcement Policy for [email protected]
                 Remote Digital Pathology Please include the
                 Devices During the document number 20014
                 Coronavirus Disease 2019 and complete title of
                 (COVID-19) Public Health the guidance in the
                 Emergency (April 24, request.
                 2020).
                FDA-2020-D-1136................... CDER Temporary Policy [email protected]
                 Regarding Non-Standard Please include the docket
                 PPE Practices for number FDA-2020-D-1136
                 Sterile Compounding by and complete title of
                 Pharmacy Compounders not the guidance in the
                 Registered as request.
                 Outsourcing Facilities
                 During the COVID-19
                 Public Health Emergency
                 (April 10, 2020).
                FDA-2020-D-1136................... CDER Policy for the Temporary [email protected]
                 Use of Portable Please include the docket
                 Cryogenic Containers Not number FDA-2020-D-1136
                 in Compliance With 21 and complete title of
                 CFR 211.94(e)(1) For the guidance in the
                 Oxygen and Nitrogen request.
                 During the COVID-19
                 Public Health Emergency
                 (April 2020) (Updated
                 April 20, 2020).
                FDA-2020-D-1136................... CDER Temporary Policy for [email protected]
                 Compounding of Certain Please include the docket
                 Drugs for Hospitalized number FDA-2020-D-1136
                 Patients by Outsourcing and complete title of
                 Facilities During the the guidance in the
                 COVID-19 Public Health request.
                 Emergency (April 16,
                 2020) (Updated May 8,
                 2020).
                FDA-2020-D-1136................... CDER Temporary Policy for [email protected]
                 Compounding of Certain Please include the docket
                 Drugs for Hospitalized number FDA-2020-D-1136
                 Patients by Pharmacy and complete title of
                 Compounders not the guidance in the
                 Registered as request.
                 Outsourcing Facilities
                 During the COVID-19
                 Public Health Emergency
                 Guidance for Industry
                 (April 20, 2020)
                 (Updated May 8, 2020).
                FDA-2020-D-1136................... CDER Temporary Policy on [email protected]
                 Repackaging or Combining Please include the docket
                 Propofol Drug Products number FDA-2020-D-1136
                 During the COVID-19 and complete title of
                 Public Health Emergency the guidance in the
                 (April 22, 2020). request.
                FDA-2020-D-1139................... CFSAN Temporary Policy on Office of Nutrition and
                 Regulatory Enforcement Food Labeling, Food
                 of 21 CFR Part 118 (the Labeling and Standards
                 Egg Safety Rule) During Staff, Center for Food
                 the COVID-19 Public Safety and Applied
                 Health Emergency (April Nutrition, Food and Drug
                 6, 2020). Administration, 5001
                 Campus Dr., College
                 Park, MD 20740.
                ----------------------------------------------------------------------------------------------------------------
                 Although these guidances 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. CBER
                 The guidance indicated below refers 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
                [[Page 31516]]
                Act of 1995 (44 U.S.C. 3501-3521) (PRA). The collections of information
                in the following FDA regulations and guidance have been approved by OMB
                as listed in the following table:
                 Table 2--CBER Guidance
                ----------------------------------------------------------------------------------------------------------------
                 Another guidance title
                 COVID-19 guidance title CFR cite referenced in referenced in COVID-19 OMB control
                 COVID-19 guidance guidance No(s).
                ----------------------------------------------------------------------------------------------------------------
                Investigatory COVID-19 Convalescent 21 CFR part 312........... N/A....................... 0910-0014
                 Plasma. >21 CFR 606.121........... .......................... 0910-0116
                 21 CFR part 630........... .......................... 0910-0116
                 Form FDA 3926............. .......................... 0910-0814
                ----------------------------------------------------------------------------------------------------------------
                B. CDRH
                 The guidances listed 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:
                BILLING CODE 4164-01-P
                [[Page 31517]]
                [GRAPHIC] [TIFF OMITTED] TN26MY20.026
                [[Page 31518]]
                [GRAPHIC] [TIFF OMITTED] TN26MY20.027
                BILLING CODE 4164-01-C
                C. CDER
                 The guidances listed 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 guidances have been approved by OMB as listed in
                the following table:
                 Table 4--Guidances and Regulations
                ----------------------------------------------------------------------------------------------------------------
                 CFR or FD&C Act cite
                 COVID-19 guidance title referenced in COVID-19 Another guidance title OMB control
                 guidance referenced in COVID-19 No(s).
                --------------------------------------------------------------------------------guidance------------------------
                Policy for Temporary Use of Portable 21 CFR parts 201, 210, Current Good Manufacturing 0910-0139
                 Cryogenic Containers Not in Compliance 211.84, 211.94, and Practice for Medical Gases
                 With 21 CFR 211.94 for Oxygen and 211.100. Medical Gas Containers and
                 Nitrogen During COVID-19 Public Health Closures; Current Good
                 Emergency. Manufacturing Practice
                 Requirements.
                Temporary Policy for Compounding of 21 CFR 314.81, 21 CFR Current Good Manufacturing 0910-0777
                 Certain Drugs for Hospitalized 600.82, Section Practice--Guidance for Human 0910-0338
                 Patients by Outsourcing Facilities 503B(b)(1)(A)(i) of the Drug Compounding Outsourcing 0910-0001
                 During the COVID-19 Public Health FD&C Act (21 U.S.C. Facilities Under Section 503B 0910-0139
                 Emergency. 353b(b)(1)(A)(i). of the FD&C Act.
                [[Page 31519]]
                
                Temporary Policy for Compounding of .......................... Compounded Drug Products That 0910-0001
                 Certain Drugs for Hospitalized are Essentially Copies of a 0910-0139
                 Patients by Pharmacy Compounders not Commercially Available Drug 0910-0338
                 Registered as Outsourcing Facilities Product under Section 503A of
                 During the COVID-19 Public Health the Federal Food, Drug and
                 Emergency. Cosmetic Act.
                 Temporary Policy for
                 Compounding of Certain Drugs
                 for Hospitalized Patients by
                 Outsourcing Facilities During
                 the COVID-19 Public Health
                 Emergency.
                 Prescription Requirement Under
                 Section 503A of the Federal
                 Food, Drug, and Cosmetic Act.
                 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.
                Temporary Policy on Repackaging or .......................... Repackaging of Certain Human 0910-0139
                 Combining Propofol Drug Products Drugs by Pharmacies and 0910-0572
                 During the COVID-19 Public Health Outsourcing Facilities. 0910-0777
                 Emergency. Temporary Policy for 0910-0800
                 Compounding of Certain Drugs
                 for Hospitalized Patients by
                 Pharmacy Compounders not
                 Registered as Outsourcing
                 Facilities During the COVID-
                 19 Public Health Emergency.
                 Temporary Policy for
                 Compounding of Certain Drugs
                 for Hospitalized Patients by
                 Outsourcing Facilities During
                 the COVID-19 Public Health
                 Emergency.
                ----------------------------------------------------------------------------------------------------------------
                 The guidance indicated below refers 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 below 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 5--New PRA Information Collection
                ----------------------------------------------------------------------------------------------------------------
                 CFR cite Another guidance
                 COVID-19 guidance title referenced in referenced in COVID-19 OMB control New collection covered
                 COVID-19 guidance guidance No. by PHE PRA waiver
                ----------------------------------------------------------------------------------------------------------------
                Temporary Policy Regarding Non- 21 CFR parts 210 Enforcement Policy for 0910-0139 Recordkeeping of
                 Standard PPE Practices for and 211. Face Masks and compounding without
                 Sterile Compounding by Respirators During standard PPE;
                 Pharmacy Compounders not the Coronavirus recordkeeping of any
                 Registered as Outsourcing Disease (COVID-19) change of
                 Facilities During the COVID-19 Public Health sterilization/aseptic
                 Public Health Emergency. Emergency (Revised). processing methods;
                 Enforcement Policy for documentation of
                 Gowns, Other Apparel, mitigation strategies
                 and Gloves During the for sterile
                 Coronavirus Disease compounding without
                 (COVID-19) Public standard PPE.
                 Health Emergency.
                 Electronic Drug
                 Product Reporting for
                 Human Drug
                 Compounding
                 Outsourcing
                 Facilities Under
                 Section 503B of the
                 Federal Food, Drug,
                 and Cosmetic Act.
                ----------------------------------------------------------------------------------------------------------------
                D. CFSAN
                 The guidance indicated below refers 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:
                [[Page 31520]]
                 Table 6--CFSAN Guidance
                ----------------------------------------------------------------------------------------------------------------
                 Another guidance title
                 COVID-19 guidance title CFR cite referenced in referenced in COVID-19 OMB control
                 COVID-19 guidance guidance No.
                ----------------------------------------------------------------------------------------------------------------
                Temporary Policy Regarding Enforcement of 21 CFR part 118............ ........................... 0910-0660
                 21 CFR Part 118 (the Egg Safety Rule)
                 During the COVID-19 Public Health
                 Emergency.
                ----------------------------------------------------------------------------------------------------------------
                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: May 19, 2020.
                Lowell J. Schiller,
                Principal Associate Commissioner for Policy.
                [FR Doc. 2020-11238 Filed 5-22-20; 8:45 am]
                BILLING CODE 4164-01-P
                

VLEX uses login cookies to provide you with a better browsing experience. If you click on 'Accept' or continue browsing this site we consider that you accept our cookie policy. ACCEPT