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2358 Federal Register / Vol. 74, No.

10 / Thursday, January 15, 2009 / Rules and Regulations

party listed in Appendix A to 31 CFR Public Law 108–11, 117 Stat. 559; 22 U.S.C. (c) License Exceptions. No license
Chapter V with the bracketed suffix 6004; 22 U.S.C. 7201 et seq.; 22 U.S.C. 7210; exceptions may be used for exports or
[NPWMD] of an item subject to the EAR. E.O. 12854, 58 FR 36587, 3 CFR, 1993 Comp., reexports to Iran.
If OFAC authorizes an export from the p. 614; E.O. 12918, 59 FR 28205, 3 CFR, 1994 (d) EAR Anti-terrorism controls. The
Comp., p. 899; E.O. 13222, 3 CFR, 2001
United States or an export or reexport Comp., p. 783; Presidential Determination
Secretary of State has designated Iran as
by a U.S. person to a party listed in 2003–23 of May 7, 2003, 68 FR 26459, May a country that has repeatedly provided
Appendix A to 31 CFR Chapter V with 16, 2003; Presidential Determination 2007–7 support for acts of international
the bracketed suffix [NPWMD], such of December 7, 2006, 72 FR 1899 (January 16, terrorism. Anti-terrorism license
authorization constitutes authorization 2007); Notice of July 23, 2008, 73 FR 43603 requirements and licensing policy
for purposes of the EAR as well. (July 25, 2008). regarding Iran are set forth in § 742.8 of
(ii) U.S. persons must seek the EAR.
authorization from BIS for the export or ■ 8. Revise § 746.7 to read as follows: (e) Prohibition on exporting or
reexport to a party listed in Appendix § 746.7 Iran. reexporting EAR items without required
A to 31 CFR Chapter V with the OFAC authorization. No person may
bracketed suffix [NPWMD] of any item The Treasury Department’s Office of export or reexport any item that is
subject to the EAR that is not subject to Foreign Assets Control (OFAC) subject to the EAR if such transaction is
OFAC’s regulatory authority pursuant to administers a comprehensive trade and prohibited by the Iranian Transactions
Executive Order 13382. investment embargo against Iran. This Regulations (31 CFR part 560) and not
(iii) Non-U.S. persons must seek embargo includes prohibitions on authorized by OFAC. The prohibition of
authorization from BIS for any export exports and certain reexport this paragraph (e) applies whether or
from abroad or reexport to a party listed transactions involving Iran, including not the EAR requires a license for the
in Appendix A to 31 CFR Chapter V transactions dealing with items subject export or reexport.
with the bracketed suffix [NPWMD] of to the EAR. These prohibitions are set
forth in OFAC’s Iranian Transactions Dated: January 9, 2009.
any item subject to the EAR.
(iv) Any export or reexport to a party Regulations (31 CFR part 560). In Christopher R. Wall,
listed in Appendix A to 31 CFR Chapter addition, BIS maintains licensing Assistant Secretary for Export
V with the bracketed suffix [NPWMD] of requirements on exports and reexports Administration.
any item subject to the EAR and not to Iran under the EAR as described in [FR Doc. E9–726 Filed 1–14–09; 8:45 am]
authorized by OFAC is a violation of the paragraph (a)(1) of this section or BILLING CODE 3510–33–P
EAR. elsewhere in the EAR (See, e.g.,
(v) Any export or reexport by a U.S. § 742.8—Anti-terrorism: Iran).
person to a party listed in Appendix A (a) License requirements. DEPARTMENT OF HEALTH AND
to 31 CFR Chapter V with the bracketed (1) EAR license requirements. A HUMAN SERVICES
suffix [NPWMD] of any item subject to license is required under the EAR to
the EAR that is not subject to regulation export or reexport to Iran any item on Food and Drug Administration
by OFAC and not authorized by BIS is the CCL containing a CB Column 1, CB
a violation of the EAR. Any export from Column 2, CB Column 3, NP Column 1, 21 CFR Part 56
abroad or reexport by a non-U.S. person NP Column 2, NS Column 1, NS [Docket No. FDA–2004–N–0117] (formerly
to a party listed in Appendix A to 31 Column 2, MT Column 1, RS Column 1, Docket No. 2004N–0242)
CFR Chapter V with the bracketed suffix RS Column 2, CC Column 1, CC Column
[NPWMD] of any item subject to the 2, CC Column 3, AT Column 1 or AT RIN 0910–AB88
EAR and not authorized by BIS is a Column 2 in the Country Chart Column
violation of the EAR. of the License Requirements section of Institutional Review Boards;
(3) Relation to other EAR license an ECCN or classified under ECCNs Registration Requirements
requirements. The license requirements 0A980, 0A982, 0A983, 0A985, 0E982, AGENCY: Food and Drug Administration,
in this section supplement any other 1C355, 1C395, 1C980, 1C981, 1C982, HHS.
requirements set forth elsewhere in the 1C983, 1C984, 2A994, 2D994, 2E994,
EAR. ACTION: Final rule.
5A980, 5D980, or 5E980.
(b) License exceptions. No license SUMMARY: The Food and Drug
(2) BIS authorization. To avoid
exceptions are available for the EAR Administration (FDA, we) is issuing a
duplication, exporters or reexporters are
license requirements imposed in this final rule to require institutional review
not required to seek separate
section. boards (IRBs) to register through a
authorization from BIS for an export or
(c) Licensing policy. Applications for
reexport subject both to the EAR and to system maintained by the Department of
EAR licenses required by this section
OFAC’s Iranian Transactions Health and Human Services (HHS). The
generally will be denied. You should
Regulations. Therefore, if OFAC registration information includes
consult with OFAC concerning
authorizes an export or reexport, such contact information (such as addresses
transactions subject to OFAC licensing
authorization is considered and telephone numbers), the number of
requirements.
authorization for purposes of the EAR as active protocols involving FDA-
(d) Contract sanctity. Contract
well. Transactions that are not subject to regulated products reviewed during the
sanctity provisions are not available for
OFAC regulatory authority may require preceding 12 months, and a description
license applications reviewed under this
BIS authorization. of the types of FDA-regulated products
section.
(b) Licensing Policy. Applications for involved in the protocols reviewed. The
PART 746—[AMENDED] licenses for transactions for IRB registration requirements will make
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humanitarian reasons or for the safety of it easier for FDA to inspect IRBs and to
■ 7. The authority citation for part 746 civil aviation and safe operation of U.S- convey information to IRBs.
continues to read as follows: origin aircraft will be considered on a DATES: This rule is effective July 14,
Authority: 50 U.S.C. app. 2401 et seq.; 50 case-by-case basis. Licenses for other 2009. This effective date is necessary to
U.S.C. 1701 et seq.; 22 U.S.C. 287c; Sec 1503, purposes generally will be denied. allow refinement of the electronic

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Federal Register / Vol. 74, No. 10 / Thursday, January 15, 2009 / Rules and Regulations 2359

registration system so that it General (OIG) issued several reports on that all IRBs, regardless of whether they
corresponds to this final rule. All IRBs IRBs. The OIG sought to identify the review clinical investigations regulated
must comply with the initial registration challenges facing IRBs and to make by FDA or federally supported research,
requirement and, if necessary, make recommendations on improving Federal can use.
required revisions to their registrations oversight of IRBs. One recommendation
II. What Comments Did We Receive?
by September 14, 2009. was that all IRBs should register with
FOR FURTHER INFORMATION CONTACT: Erik the Federal Government on a regular A. How Many Comments Did We
Mettler, Office of Policy, Planning and basis as part of an effort to develop more Receive, and Who Submitted
Preparedness, Food and Drug streamlined, coordinated, and probing Comments?
Administration, WO1, rm. 4324, Silver means of assessing IRB performance and
We received over 15 comments in
Spring, MD 20993–0002, 301–796–4830. to enhance the Federal Government’s
response to the proposed rule.
ability to identify and respond to
SUPPLEMENTARY INFORMATION: Individuals, IRB members, IRB
emerging problems before they result in
associations, an IRB accreditation
I. Introduction ‘‘serious transgressions’’ (see Office of
association, government, health,
What Led Us to Issue This Rule? the Inspector General, Department of
academic or trade associations, a
IRBs are ‘‘boards, committees, or Health and Human Services,
university system, and drug companies
groups formally designated by an Institutional Review Boards: a Time for
submitted comments. In general, the
institution to review, to approve the Reform, pages 20 and 21, June 1998).
After reviewing the OIG’s comments supported IRB registration,
initiation of, and to conduct periodic although some disagreed with specific
recommendation, we concluded that
review of, biomedical research aspects of the proposal or with other
IRB registration would serve several
involving human subjects’’ (see 21 CFR issues that were discussed in the
important goals. IRB registration would:
56.102(g)). An IRB’s primary purpose • Enable us to identify more precisely preamble to the proposed rule. To make
during such reviews is to assure the those IRBs reviewing clinical it easier to identify comments and our
protection of the rights and welfare of investigations regulated by FDA. At responses, the word ‘‘Comment,’’ in
human subjects (id.). FDA’s general present, much of our knowledge about parentheses, will appear before the
regulations pertaining to IRBs are at part the identities and numbers of IRBs comment’s description, and the word
56 (21 CFR part 56). (While section reviewing clinical investigations ‘‘Response,’’ in parentheses, will appear
520(g) of the Federal Food, Drug, and regulated by FDA is based on before our response. We have also
Cosmetic Act (‘‘the act’’) (21 U.S.C. information from persons conducting or numbered each comment to help
360j(g)) refers to ‘‘institutional review sponsoring clinical investigations rather distinguish between different
committees’’ rather than IRBs, FDA than from IRBs themselves. This comments. The number assigned to each
considers institutional review information may be obsolete (because comment is purely for organizational
committees to be IRBs and to be subject there may be no obligation to update the purposes and does not signify the
to the IRB regulations.) information) or incomplete (because the comment’s value or importance or the
Even though IRBs play an important requirements to report the names and order in which it was received.
role in the conduct of clinical addresses of IRBs are not uniform across
investigations regulated by FDA, we B. Who Must Register? (Section
all FDA-regulated products); 56.106(a))
have never compiled a comprehensive • Enable us to send educational
list of IRBs involved in reviewing information and other information to Proposed § 56.106(a) would require
clinical investigations regulated by IRBs. Because we lack an accurate list the following IRBs to register:
FDA. Existing FDA regulations have of IRBs, our outreach and educational • Each IRB in the United States that
required some, but not all, clinical efforts are not as efficient as they might reviews clinical investigations regulated
investigators or sponsors of clinical be. Changes in IRB addresses result in by FDA under sections 505(i) (21 U.S.C.
investigations to provide IRB names and returned mail, and newly formed IRBs 355(i)) or 520(g) of the act; and
addresses to FDA, and the requirements may not appear in FDA’s mailing lists; • Each IRB in the United States that
differ slightly among the different types and reviews clinical investigations that are
of products regulated by FDA. For • Help us identify IRBs for intended to support applications for
example, for human drug products, the inspection, because we would have a research or marketing permits for FDA-
sponsor must disclose the name and more accurate list of IRBs. regulated products.
address of ‘‘each reviewing’’ IRB (see 21 Consequently, FDA, in consultation The preamble to the proposed rule
CFR 312.23(a)(6)(iii)(b)). For medical with the Department of Health and invited comment on whether there are
devices, the sponsor must disclose the Human Services, Office for Human circumstances in which foreign IRBs
names and addresses of IRBs that ‘‘have Research Protections (OHRP), published should be required or invited to register
been asked or will be asked’’ to review a proposed rule in the Federal Register (see 69 FR 40556 at 40558).
the investigation (see 21 CFR of July 6, 2004 (69 FR 40556), that (Comment 1) One comment stated
812.20(b)(7)) (emphasis added). For would require IRB registration for IRBs that foreign IRBs are not needed in
other types of clinical investigations reviewing clinical investigations America.
regulated by FDA (such as food additive involving FDA-regulated products. (Response) The comment may have
studies involving human subjects), the OHRP issued a companion proposed misinterpreted the preamble. The issue
regulations do not expressly require the rule which appeared in the Federal is not whether foreign IRBs should or
sponsor or the clinical investigator to Register of July 6, 2004 (69 FR 40584) should not review studies, but rather
disclose or keep records showing an that would require registration for IRBs whether foreign IRBs should be
IRB’s name and address, and they make reviewing federally supported research. included in the IRB registration system.
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no distinction between ‘‘reviewing The final OHRP IRB registration rule is (Comment 2) Several comments
IRBs’’ and IRBs that have been asked or published elsewhere in this issue of the differed as to whether foreign IRBs
will be asked to review a study. Federal Register. should have to register. One comment
In 1998, the Department of Health and The goal of the two rules is to create would require foreign IRBs to register if
Human Services’ Office of the Inspector a simple, electronic registration system they review research conducted in the

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2360 Federal Register / Vol. 74, No. 10 / Thursday, January 15, 2009 / Rules and Regulations

United States; the same comment would all investigational devices in a clinical Another comment said the proposed
give foreign IRBs the option to register investigation. registration information is appropriate.
if they review research conducted (Response) The reference to section One comment urged us to reexamine
outside the United States that may be 520(g) of the act encompasses all the registration information to assure
used to support a future marketing investigational devices in a clinical that the information is necessary to
application in the United States. investigation, regardless of whether support the rule’s stated goals.
Several comments would allow for FDA approval of an IDE is needed in (Response) We coordinated our rule
voluntary registration of foreign IRBs or accordance with 21 CFR part 812 for the with OHRP and tailored our respective
ethical review committees. Two clinical investigation. registration information elements to be
comments explained that registering (Comment 4) One comment asked us as consistent as possible and to use the
foreign IRBs would enable them to have to clarify whether the rule applied to same internet-based registration system.
access to educational materials and ‘‘non-local’’ or ‘‘commercial’’ IRBs. We agree that the IRB registration
other information. However, one (Response) The comment did not system should specify whether certain
comment would limit such registration explain what it meant by the terms registration information is optional or
to foreign IRBs reviewing research ‘‘non-local’’ or ‘‘commercial’’ IRB. For not required for IRBs subject only to our
conducted in the United States, and purposes of this response, we will jurisdiction. The preamble to the
another comment noted that local assume that a ‘‘non-local’’ IRB is one proposed rule stated that, ‘‘In those
privacy laws in foreign countries might that is physically located away from the instances where the Internet registration
affect a foreign IRB’s ability to provide clinical trial site(s) and that a site would seek more information than
certain registration information. ‘‘commercial’’ IRB is one that is paid to FDA would require under this proposal,
In contrast, one comment said that we review research. the site would clarify that IRBs
should respect oversight of ethical If the ‘‘non-local’’ or ‘‘commercial’’ regulated solely by FDA may, but are
review committees by foreign IRB is located in the United States and: not required to, provide the additional
authorities and that we should not • Reviews clinical investigations information’’ (69 FR 40556 at 40558).
impose ‘‘additional bureaucracy.’’ regulated by FDA under sections 505(i) The Internet registration site will be
Similarly, another comment opposed or 520(g) of the act; or structured so that required information
registering foreign IRBs, stating that • Reviews clinical investigations that will be identified or marked as such,
such registration could pose ‘‘significant are intended to support applications for and IRBs indicating that they are
difficulties’’ for clinical investigators research or marketing permits for FDA- registering pursuant to FDA’s regulation
and sponsors and that foreign laws and regulated products, then the non-local also will be directed to questions
regulations might make it difficult for or commercial IRB must register under requesting information required only
foreign IRBs to register. § 56.106(a). If the non-local or under FDA’s regulation.
(Response) We agree in part with the commercial IRB does not perform any of (Comment 6) Proposed § 56.106(b)(1)
comments. We agree that foreign IRBs the reviews described immediately would require IRBs to provide the name
would benefit from educational and above or is outside the United States, and mailing address of the institution
other materials that would be sent to then it may register voluntarily. operating the IRB and the name, mailing
registered IRBs. Therefore, we have address, phone number, facsimile
C. What Information Must an IRB
revised § 56.106(a) to allow for number, and electronic mail address of
Register? (Section 56.106(b))
voluntary registration by foreign IRBs the ‘‘senior officer of that institution
and by any domestic IRB that is not Proposed § 56.106(b) would describe who is responsible for overseeing
otherwise required to register. the information that IRBs would provide activities performed by the IRB.’’ The
We decline to require registration by as part of the registration process. For preamble to the proposed rule explained
foreign IRBs that review research to be example, proposed § 56.106(b)(1) would that the senior officer ‘‘must not be an
conducted in the United States. We do require the name and mailing address of IRB member, IRB staff, or a sponsor or
not believe a significant number of the institution operating the IRB and the investigator participating in an
foreign IRBs review research that is to name, mailing address, phone number, investigation under review by that IRB’’
be conducted in the United States. facsimile number, and electronic mail (see 69 FR 40556 at 40558).
Furthermore, requiring registration by address of the senior officer of that Several comments addressed this
foreign IRBs that review research institution who is responsible for provision. Two comments supported the
conducted in the United States could overseeing the IRB’s activities. (A proposed requirement, but two other
lead to arguments over the validity of facsimile number also is known more comments stated that our interpretation
our regulatory authority when applied commonly as a ‘‘fax number.’’) of ‘‘senior officer’’ was too prohibitive
to actions occurring in a foreign (Comment 5) Several comments or too restrictive. These comments said
country. addressed the registration information that if a senior officer is on the IRB, his
As for possible problems foreign IRBs in proposed § 56.106(b) generally. Two or her membership should not
might encounter in registering comments said that the registration invalidate registration or subject the IRB
information due to foreign laws and information that OHRP and FDA would to enforcement action.
regulations, the comments did not require should either be the same or that Another comment questioned what
identify specific registration elements information required by OHRP, but not we meant when we referred to ‘‘IRB
that would be a problem. Consequently, by FDA, should be clearly delineated staff.’’ The comment said that some IRBs
we lack sufficient information to and marked as optional for IRBs that are distinguish staff from IRB members to
determine whether we should modify subject to FDA regulation. Similarly, ensure the IRB’s integrity and
certain IRB registration elements to one comment said that questions independence. The comment suggested
accommodate foreign IRBs. relating to research funded by HHS, that we list persons who cannot be a
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(Comment 3) One comment asked us which were part of OHRP’s proposed ‘‘senior officer’’ and that we delete ‘‘IRB
to clarify whether the reference to registration system, should be identified staff’’ from that list.
section 520(g) of the act was limited to clearly so IRBs that do not review HHS- (Response) We agree, in part, with the
research done under an investigational funded research are not obliged to comments. We recognize that, in some
device exemption (IDE) or encompassed answer those questions. cases, it may not be feasible to identify

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Federal Register / Vol. 74, No. 10 / Thursday, January 15, 2009 / Rules and Regulations 2361

a ‘‘senior officer’’ who is not also an IRB (Response) We agree, in part, and explained that a ‘‘substantial number’’
member or IRB staff. However, our disagree, in part, with the comment’s of organizations oversee thousands of
experience indicates that IRBs suggestion that we require the same protocols and that these organizations
sometimes form subcommittees or other information as OHRP’s rule. We decline operate differently compared to those
groups and that the institutions to revise the rule as requested by the that review 500 protocols.
overseeing the IRBs may not be aware of comment. Unlike OHRP, we have never • Another comment expressed
these subcommittees or other groups. required IRBs to give us the names, concern about the protocol numbers,
Thus, when we said that the ‘‘senior educational background, and stating that it was unclear how useful or
officer’’ should not be an IRB member qualifications of all IRB members. Our accurate the data would be due to
or IRB staffer, our goal was to ensure rule does not include this information complexities in IRB review and
that the institution overseeing the IRB’s because our regulatory emphasis has ‘‘protocol driven research activities,’’
activities is truly aware of those been on the IRB’s overall composition. the level of IRB review (such as full IRB
activities. For these reasons, where Consequently, our final rule does not review or expedited review), and
feasible, we recommend that the senior require such information about frequent or daily changes in protocol
officer not be an IRB member or an IRB individual IRB members. review numbers.
staffer. We have, however, revised Similarly, another comment stated
Additionally, as the preamble to the § 56.106(b)(2) to replace ‘‘chair person’’ that protocols are neither uniform nor
proposed rule stated, information with ‘‘chairperson.’’ This change reflects uniformly complex, so that protocol
regarding the institution will enable us the common spelling for this noun and activity is not a reasonable basis for
to identify the institution and to does not alter the application or determining IRB activity. A third
determine whether problems that might interpretation of § 56.106(b)(2). comment said that we should consider
exist for one IRB at that institution exist Additionally, we have revised the protocol ranges to be only
at other IRBs affiliated with that § 56.106(b)(2) to require the phone approximations of IRB workloads and
institution (see 69 FR 40556 at 40558). number and electronic mail address for use the information carefully and
Additionally, on our own initiative, the IRB chairperson; this will enable us cautiously in evaluating or
to communicate with the IRB characterizing IRBs.
we have revised § 56.106(b)(1) to require
chairperson quickly if such a need • Another comment disputed the
the street address for the institution if
arises. need for protocol review information,
the street address is different from the arguing that compliance with regulatory
On our own initiative, we have
institution’s mailing address. requirements is an issue regardless of
revised § 56.106(b)(2) to delete the
(Comment 7) One comment said we the number of protocols reviewed by an
parenthetical of ‘‘(if one exists)’’ after
should ensure that any addresses and IRB.
‘‘the contact person’s name’’ and to
telephone numbers are current and are require and the name, mailing address, (Response) The preamble to the
kept current. The comment suggested phone number, facsimile number, and proposed rule explained that
that we issue fines and penalties if IRBs electronic mail address of the contact information regarding the number of
fail to keep such information current. person providing the registration protocols reviewed would enable us to
(Response) Section 56.106(e) requires information. This information will determine how active an IRB is and to
IRBs to revise their registration enable us to communicate with the assign our inspection resources based
information within 90 days if a contact contact person if any questions arise on IRB activity levels (see 69 FR 40556
person or chairperson information regarding the IRB or its registration at 40558). Our intent was not to get an
changes; this would encompass changes information, and the information now exact or precise figure, and the
in the contact person’s or chairperson’s required is similar to that required for proposal’s use of ‘‘small,’’ ‘‘medium,’’
telephone number. the contact person under OHRP’s rule. and ‘‘large’’ protocol ranges reflected
As for the comment’s suggestion of We also have reorganized the provision that intent.
imposing fines and penalties, we do not to make it easier to understand what Consequently, we decline to revise
have legal authority to impose fines for information is required. the rule to define ‘‘protocol’’ in the final
failure to maintain IRB registration (Comment 9) Proposed § 56.106(b)(3) rule. Webster’s II—New Riverside
information. As for other penalties, we would require IRBs to provide the University Dictionary defines
discuss the consequences of failing to ‘‘number of active protocols (small, ‘‘protocol,’’ in relevant part, as ‘‘the plan
register in comment 24 of this medium, or large) involving FDA- for a scientific experiment or treatment’’
document. regulated products reviewed.’’ The (see Webster’s II—New Riverside
(Comment 8) Proposed § 56.106(b)(2) proposal explained that a ‘‘small’’ University Dictionary at page 947
would require IRBs to provide the IRB’s number of protocols is 1 to 25 protocols; (1988)). Thus, in the comment’s
name, the names of each IRB chair ‘‘medium’’ is 26 to 499 protocols, and scenario, if an IRB conducts one review
person and each contact person (if one ‘‘large’’ is 500 protocols or more. for a multi-site study, that single review
exists) for the IRB, and the IRB’s mailing Several comments interpreted this could be considered as one ‘‘protocol.’’
address, street address (if different from provision in different ways or sought If an IRB conducts separate reviews for
the mailing address), phone number, clarification as to its meaning. In brief: individual study sites, then it
facsimile number, and electronic mail • One comment asked us to define conceivably could have reviewed
address. ‘‘protocol’’ because it said questions multiple ‘‘protocols’’ notwithstanding
One comment supported the proposal. would arise regarding multi-site studies the fact that the study plan remains
However, another comment noted that involving a single protocol. essentially the same for all sites.
the OHRP proposal would require IRBs • Another comment would redefine However, on our own initiative, we
to provide the name, gender, degree, the numerical ranges so that ‘‘small’’ have amended § 56.106(b)(3) to define
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scientific or nonscientific specialty, and would be 1 to 99 protocols, ‘‘medium’’ what the term ‘‘active protocol’’ means.
affiliation of each IRB member and would be 100 to 499 protocols, ‘‘large’’ The final rule defines ‘‘active protocol’’
suggested that we revise our rule to would be 500 to 1,999 protocols, and as ‘‘any protocol for which an IRB
require the same information as the ‘‘very large,’’ a new category, would be conducted an initial review or a
OHRP rule. 2,000 protocols or more. The comment continuing review at a convened

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2362 Federal Register / Vol. 74, No. 10 / Thursday, January 15, 2009 / Rules and Regulations

meeting or under an expedited review food additives, human drugs, or medical added that accreditation information
procedure during the preceding 12 devices, involved in the protocols that would help us evaluate the value of IRB
months.’’ We have made this change to they review. accreditation. In contrast, one comment
be consistent with changes made by Two comments addressed this said that IRB accreditation information
OHRP in its final rule. provision. One comment stated that it will not give FDA new information that
With respect to the proposal’s had no objection to the requirement will be useful in assessing
numerical ranges and their usefulness to provided that the description could be accreditation’s value;
us, we reiterate that our intent was to simple or generic without numerical • FDA should refer to accreditation of
get a general—rather than a precise— ranges associated with each product human research protection programs
sense of how active IRBs are and to type. Another comment said the rather than accreditation of IRBs;
assign our limited inspectional descriptions would be appropriate only • FDA should require information
resources more efficiently and if we used the information for purposes about the name of the accrediting
effectively. We recognize that there are of sending useful and targeted organization under which the IRB
different types of IRB review and that information to IRBs. The comment also functions or collect information about
changes in an IRB’s workload could said that the description should be accreditation type or level. One
make an IRB’s protocol estimate generic and without numerical ranges comment explained that one body has
outdated or obsolete at a later point in associated with product types. two different accreditation categories;
time. However, given the protocol (Response) We agree with the • The additional reporting burden
ranges were created simply to give us an comments. Section 56.106(b)(4) merely should not be passed on to the
idea about an IRB’s activity, we have seeks a generic description of the FDA- institution;
revised the rule to eliminate the regulated products in the protocols
• FDA should delete the provision
‘‘small,’’ ‘‘medium,’’ and ‘‘large’’ ranges. reviewed by the IRB. So, for example, if
because accreditation information can
Instead, the final rule requires an the IRB reviews protocols for human
be collected without the need for a
approximate number of active protocols drug studies, the description, to satisfy
regulation or is publicly available from
reviewed, but we neither expect nor § 56.106(b)(4), could simply be ‘‘human
accrediting organizations. One comment
want IRBs to constantly change or drugs.’’ If the IRB reviews protocols for
added that accreditation information, if
update their protocol numbers human drug and medical device studies,
it were part of the IRB registration
whenever their protocol numbers the description would be ‘‘human
requirement, might be unreliable
fluctuate. If the approximate number of drugs’’ and ‘‘medical devices.’’ We also
because our rule would require re-
protocols changes after initial IRB note that the electronic registration
system will list the types of FDA- registration every 3 years; and
registration, the IRB should report the
regulated products and allow • Accreditation does not accurately
new protocol number as part of the re-
individuals to check the appropriate represent a measure of compliance with
registration process which takes place
boxes relating to those products and to human subject protection requirements.
every 3 years.
As for compliance activities, we check ‘‘other’’ and explain what the Similarly, an IRB’s lack of accreditation
believe the comment may have ‘‘other’’ FDA-regulated products are. could be misconstrued as reflecting on
misinterpreted the preamble to the Furthermore, § 56.106(b)(4) does not the quality of the IRB’s human subject
proposed rule. We did not state that we require IRBs to assign numerical values protection program. In contrast, one
would base inspections solely on an to the FDA-regulated product types. As comment strongly encouraged IRBs to
IRB’s self-reported level of ‘‘small,’’ the comments noted, our intent is to use become accredited, and another
‘‘medium,’’ or ‘‘large’’ numbers of this information to send product- comment said that accreditation implies
protocols reviewed. We simply said that specific information to IRBs, and we can that a certain standard has been
the information would help us assign do so with a simple description of achieved.
inspection resources based on IRB product types. (Response) The final rule omits
activity levels. (Comment 11) Proposed § 56.106(b)(5) accreditation information from the IRB
To put it another way, we have would require an indication whether the registration requirements. We agree that,
limited inspectional resources, and our IRB is accredited and, if so, the date of if necessary, we can obtain accreditation
field staffs that inspect IRBs are also the last accreditation and the name of information from the accreditation
responsible for many other types of the accrediting body or organization. organizations themselves and that the
inspections and activities. We must The preamble to the proposed rule resulting information may be more
prioritize our routine IRB inspections in stated that we recognized that IRB reliable or accurate, given that the rule
some manner to make the most efficient accreditation is a developing concept does not require certain registration
use of our resources. Such prioritization and invited comment on ‘‘the perceived information to be updated until re-
of IRB inspections is not tantamount to value of collecting information on the registration. We also agree that, as a
declaring, as the comment suggests, that accreditation status of IRBs’’ (see 69 FR general matter, accreditation does not
IRBs reviewing ‘‘small’’ or ‘‘medium’’ 40556 at 40558). ensure or demonstrate that a particular
numbers of protocols do not have to We received more than 10 comments action was done correctly; instead,
comply with FDA regulations or that we on IRB accreditation issues, and the accreditation may increase one’s
enforce our requirements differently comments reflected a considerable confidence that the accredited body is
depending on whether an IRB reviews a difference of opinion regarding IRB capable of performing a particular
‘‘small,’’ ‘‘medium,’’ or ‘‘large’’ number accreditation and whether we should action correctly.
of protocols. Nevertheless, given that require information about such Furthermore, we continue to believe
the final rule does not contain the accreditation. In brief, the comments that accreditation, insofar as human
‘‘small,’’ ‘‘medium,’’ or ‘‘large’’ protocol stated: subject protection is concerned, is still
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ranges, the issue is largely moot. • IRB accreditation information may a developing concept. Consequently, we
(Comment 10) Proposed § 56.106(b)(4) give FDA useful information in deciding will continue to follow such
would require IRBs to describe the types which IRBs to inspect and may help us accreditation activities, but will not
of FDA-regulated products, such as decide whether to focus educational require accreditation information as part
biological products, color additives, activities on certain areas. One comment of IRB registration.

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Finally, because the final rule does correspond to changes made by OHRP E. Where Can an IRB Register? (Section
not require accreditation information, in its final rule which is published 56.106(e))
the comment regarding reporting elsewhere in this issue of the Federal Proposed § 56.106(e) would direct
burdens is moot. Register. OHRP revised a comparable IRBs to register at a specific Internet
provision in its rule to clarify when IRB address or, if an IRB lacked the ability
D. When Must an IRB Register? (Section
56.106(c)) registration would become effective. to register electronically, to send its
For IRBs that submit their registration registration information to a specific
Proposed § 56.106(c) would have IRBs information in writing, our experience
register once and to renew their mail address. We indicated that we
with written forms in other contexts would provide the Internet address and
registrations every 3 years. Initial IRB suggests that some individuals will not
registration would occur within 30 days mail address in the final rule. We also
complete the forms or omit required invited comment on whether we should
before the date when the IRB intends to information. As a result, we may need
review clinical investigations regulated discontinue written IRB registration
to contact individuals to obtain the procedures after some time period has
by FDA. IRB registration would become missing information. Therefore, it
effective upon HHS posting of the elapsed, because we did not know how
would be more practical for us to widespread Internet access is among
registration information on its Web site. consider IRBs who submit their
(Comment 12) One comment would IRBs (see 69 FR 40556 at 40558).
registration information in writing to be (Comment 14) Several comments
have us consider IRBs to be registered
registered only after they have pertained to the registration site(s). One
as soon as they complete submitting the
submitted all required registration comment said we should maintain one
registration information regardless of
information, we have entered that common registration site with OHRP
whether the IRB submitted the
information into the electronic and that the registration system should
information electronically or in writing.
registration system, and the information automatically include currently
Another comment suggested that the
is reviewed and accepted by HHS. registered IRBs. The comment said the
electronic registration system
acknowledge or document that the IRB As for the comments concerning the registration system should also allow
has registered. Another comment stated 30-day timeframe and the suggestion such IRBs to retain their assigned
that, if IRB registration is to identify that we amend the rule so that IRBs numbers. The comment acknowledged
IRBs for future inspections, there is no cannot issue decisions on FDA- the intent to create a single registration
need for a 30-day ‘‘waiting’’ period. regulated research until they have site, but implied that the proposed
A different comment said that the 30- registered, we have decided to eliminate rule’s omission of a specific Internet
day time period might interfere with the 30-day timeframe from the final address created concern. Another
IRB review, particularly expedited rule. We note that IRB registration, comment supported creation of a
reviews and full IRB reviews that take alone, does not address issues regarding simple, electronic registration system.
less than 30 days. The comment an IRB’s competence or expertise, nor (Response) We agree that a single
suggested that we revise the rule so that does it require IRBs to meet a particular Internet registration site should be used
IRBs may not issue a determination on standard in order to conduct a review. for electronic registrations and have
FDA-regulated research until they have However, because it is important to FDA always worked with OHRP towards that
registered. to assemble an accurate IRB database, end. We were unable to provide a
Another comment asked us to clarify we have revised § 56.106(c) to state that: specific Internet address at the time of
when IRBs must register. The comment ‘‘Each IRB must submit an initial the proposed rule because the electronic
explained that the codified provision registration. The initial registration must registration system was still under
directed IRBs to submit an initial occur before the IRB begins to review a development. The final rule now states
registration within 30 days before the clinical investigation described in that the Internet registration address is
date when the IRB intends to review paragraph (a) of this section. Each IRB http://ohrp.cit.nih.gov/efile.
clinical investigations regulated by must renew its registration every 3 Additionally, as we stated in the
FDA. The comment said that the word years. IRB registration becomes effective preamble to the proposed rule, OHRP
‘‘within’’ could mean that an IRB could after review and acceptance by HHS.’’ will continue to recognize previous IRB
register ‘‘anytime between one and 30 (Comment 13) One comment would registrations (see 69 FR 40556 at 40558).
days before reviewing a protocol,’’ but require IRBs to renew their registration (Comment 15) One comment asked
that the preamble to the proposed rule every year instead of every 3 years. The whether entities that have more than
interpreted proposed § 56.106(c) as comment said that 3 years would be too one IRB at the same location need to
requiring registration at least 30 days long a time period. register more than once or whether they
before reviewing the protocol. The (Response) We decline to revise the could register once and provide
comment preferred giving IRBs the rule as suggested by the comment. IRB multiple pieces of information in
ability to register any time between 1 registration does not confer any connection with a single registration.
and 30 days before reviewing protocols particular status on IRBs, nor does (Response) The electronic registration
in FDA-regulated research. registration, alone, reflect upon an IRB’s system will assign an organization
(Response) We agree, in part, with the competence or capabilities. Moreover, number to each entity, and this will
comments. For IRBs that register given that the information we seek enable the entity to register several IRBs
electronically, the registration system through IRB registration is quite basic without having to enter the same data
will notify them that they are registered. (as in names and addresses) and that repeatedly for each IRB.
This notification will be sent to the § 56.106(e) describes how and when (Comment 16) Two comments
electronic mail address that the IRB IRBs are to revise their registration encouraged us to have the electronic
provides as part of the registration information, annual registration would registration system consider IRBs to be
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process. The IRB’s registration will be not appear to confer any advantages or registered automatically once an IRB
effective after review and acceptance by make registration information more completes the electronic registration
HHS. We have amended § 56.106(c) accurate or reliable. Consequently, we process or to send acknowledgements to
regarding the time at which IRB decline to require IRBs to register the IRBs once they complete the
registration becomes effective to annually. electronic registration process.

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(Response) As we stated in our F. How Does an IRB Revise Its to revise their registration information
response to comment 12 of this Registration Information? (Section within 30 days of a decision to disband
document, when an IRB completes the 56.106(e)) would put an ‘‘undue burden’’ on IRBs
electronic registration process and HHS Proposed § 56.106(e) would have IRBs and the institutions responsible for the
has reviewed and accepted the revise their registration information IRBs.
information, the electronic registration within specific timeframes if certain (Response) We agree in part, and
system will notify IRBs that they are changes occurred. For example, if the disagree in part with the comment. We
registered. IRB’s contact or chair person agree that, in some cases, closing an IRB
(Comment 17) Several comments information changes, proposed may take more than 30 days, but, in
responded to our question whether we § 56.106(e) would require the IRB to other cases, the process may take less
should discontinue written IRB change its registration information time. In other words, IRBs vary in size,
registrations after some time period has within 90 days of the change. If the IRB resources, organization, and complexity,
elapsed. One comment supported decided to disband or to discontinue and, as a result, different IRBs will take
conversion to electronic registration as reviewing FDA-regulated clinical different amounts of time to perform the
soon as possible, but said it is important investigations, it would report that same or similar functions.
to allow small organizations the time to change within 30 days. All other The comment also may have
acquire the necessary technology. The information changes would be reported misinterpreted the proposed rule.
comment agreed that not all institutions when the IRB renews its registration. Proposed § 56.106(e) stated that an IRB’s
have electronic capabilities or Internet (Comment 18) Two comments pointed decision to disband or to discontinue
access. out a discrepancy between the proposed reviewing FDA-regulated clinical
Another comment supported giving rule and its preamble. The comments investigations is a change that must be
IRBs the option to submit registration noted that the preamble to the proposed reported within 30 days of that change;
information in writing for a rule said that if an IRB reviews new thus, the proposal would begin the time
predetermined period of time, but did types of FDA-regulated products, it period when IRB decides to close, not
not suggest any time period. A different would revise its registration information when the IRB finally closes.
comment also supported the written within 30 days (see 69 FR 40556 at Nevertheless, for consistency with
registration option, but suggested that it 40559), yet proposed § 56.106(e) was OHRP’s final rule (which appears
be available only for 2 years. silent regarding such changes. The elsewhere in this issue of the Federal
Another comment opposed comments suggested that we reconcile Register), we have revised § 56.106(e) to
discontinuing written IRB registration. the codified text with the preamble. state that an IRB’s decision to disband
The comment said that there are adverse (Response) The comments were is a change that must be reported
consequences to both the IRB and any correct. We inadvertently omitted ‘‘within 30 days of permanent cessation
sponsor or investigator that might use changes in the IRB’s review of FDA- of the IRB’s review of research.’’ In the
an unregistered IRB (which appeared to regulated research from proposed preamble to the OHRP final rule, OHRP
be a reference to a later discussion, in § 56.106(e), and we have revised the states that ‘‘the date of permanent
the preamble to the proposed rule, about rule so that IRBs must revise their cessation of the IRB’s review of * * *
‘‘What Happens if an IRB Does Not registration information within 30 days research would occur on or after the
Register?’’ (see 69 FR 40556 at 40559)), if they review new types of FDA- IRB’s decision to disband, but not before
so we should continue to make written regulated products. Additionally, on our the IRB’s decision to disband was
IRB registration possible. own initiative, we have added a made.’’
(Response) While we continue to parenthetical phrase to clarify that a Furthermore, given the simplicity of
believe that most IRBs will use the decision to review ‘‘new types of FDA- the electronic registration system, we do
electronic registration system, we do not regulated products’’ should be not believe that IRBs or their
know how many IRBs will use the interpreted as a decision to review a institutions will find it ‘‘unduly’’
written registration option, and the different category of FDA-regulated burdensome to report the IRB’s decision
administrative record for this products, such as a decision to review to disband.
rulemaking does not give us sufficient studies pertaining to food additives (Comment 20) One comment would
basis to set a deadline at which we when the IRB previously reviewed shorten the time period for reporting
would end the written registration studies pertaining to drug products. We changes in the IRB’s contact or chair
option. (We realize that one comment do not want IRBs to revise their person information from 90 days to 60
suggested a 2-year period, but, given registration information if they decide to days.
that IRBs have 3 years to renew review studies pertaining to (Response) We decline to revise the
registrations, discontinuing written subcategories within the same class of rule as suggested by the comment. The
registrations after 2 years would not give FDA-regulated products; for example, if comment did not identify any advantage
IRBs the opportunity to renew their an IRB previously reviewed studies in shortening the timeframe, and we do
registrations in writing.) Consequently, pertaining to drugs intended to treat not believe that reducing the timeframe
until we become more experienced with cardiac conditions and then decided to by 30 days will confer any significant
IRB registrations, we will continue to review studies pertaining to drugs benefit.
offer written registration as an intended to treat cancer, both types of G. What Other Comments Did We
alternative to electronic registration, and studies would still pertain to drug Receive?
the final rule states that IRBs that lack products, so there would be no ‘‘new
the ability to register electronically must type’’ of FDA-regulated product within 1. What Information Will Be Publicly
send their registration information, in § 56.106(e). Available?
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writing, to the Good Clinical Practice (Comment 19) One comment The preamble to the proposed rule
Program (HF–34), Office of Science and addressed IRBs that have decided to referred to the OHRP proposal for
Health Coordination, Food and Drug disband. The comment said that the information regarding public disclosure
Administration, 5600 Fishers Lane, process of closing an IRB may take of IRB registration information, the
Rockville, MD 20857. longer than 30 days, so requiring IRBs Freedom of Information Act (FOIA), and

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the Privacy Act of 1974 (see 69 FR (Comment 23) One comment said we the same as any other breach of an
40556 at 40557). It also stated that, should establish a link to the publicly investigator’s responsibilities, but others
insofar as FDA’s registration system was available IRB registration information said that IRBs, rather than sponsors or
concerned, the name of the institution from the portion of our own Web site investigators, should be responsible for
operating the IRB and the IRB’s name that pertains to ‘‘Good Clinical Practices any failure to register. One comment
will be publicly accessible, and all other in FDA-Regulated Clinical Trials,’’ also opposed placing an investigation
IRB registration information would be located at http://www.fda.gov/oc/gcp/ on clinical hold because, the comment
subject to public disclosure under FOIA default.htm. argued, clinical holds are appropriate
and our public information regulations (Response) We agree with the when the rights and/or safety of human
at part 20 (21 CFR part 20) (see id.). comment and have modified our Web subjects are in jeopardy or other
(Comment 21) One comment said site accordingly. material, noncompliance concerns are
that, in addition to the institution’s 2. What Happens if an IRB Does Not evident; the comment said that failure to
name and the IRB’s name, we should Register? register does not mean improper
make the following information publicly oversight by the IRB or by the sponsor.
available: The preamble to the proposed rule Some comments argued that sponsors
stated that sponsors and investigators and investigators should not be obliged
• The name, address, and telephone
who used unregistered IRBs might be to monitor an IRB’s registration status.
number of the IRB contact; and
using IRBs that ‘‘would not have had the In contrast, one comment would have us
• For accredited IRBs, information
benefit of receiving educational amend the investigational new drug
relating to that accreditation.
materials from FDA and would not have (IND) application regulations to
Another comment asked us to clarify
been identified on an FDA IRB authorize us to place a study on clinical
what information would be publicly registration list for future inspection’’
available under FOIA. hold if the sponsor or investigator uses
(see 69 FR 40556 at 40559). Thus, the an unregistered IRB. The same comment
(Response) All registration preamble to the proposed rule added
information required under this rule suggested that we consider additional
that, ‘‘to the extent that any existing enforcement options, such as ‘‘refusing
will be subject to FOIA and any other FDA regulation requires a sponsor or
applicable statutes and regulations to consider information from an
investigator to comply with [part 56] or application for a research permit for a
pertaining to public disclosure. Please to use an IRB that complies with part
note that certain information may be clinical investigation that is reviewed or
56, FDA will consider sponsors and is to be reviewed by an unregistered
withheld from public disclosure or may investigators using an unregistered IRB
require an individual’s consent to IRB.’’
to be in conflict with their regulatory • Several comments, mostly from
public disclosure (see, e.g., § 20.63(e) obligations’’ (id.). pharmaceutical firms or trade
(stating that a request for all records The preamble to the proposed rule associations, opposed any changes
relating to a specific individual will be also noted how we considered other outside the IRB regulations. The
denied as a clearly unwarranted options to require sponsors and comments, in general, felt that the
invasion of personal privacy unless investigators to use only registered IRBs, existing IND regulations were sufficient
accompanied by the written consent of such as refusing to consider information and clear regarding a sponsor’s or
the individual named)). from an application for a research investigator’s obligation to use IRBs that
As for accreditation information, permit for a clinical investigation that is comply with part 56. Some comments
accreditation status is not required reviewed or is to be reviewed by an said we should not expend resources on
under the final rule, so that information unregistered IRB (id.). The preamble to revising the IND regulations but should
will not be publicly available from us or the proposed rule also invited comment promote awareness of the IRB
from OHRP. on what sanctions or administrative registration requirements instead.
(Comment 22) One comment mechanisms, if any, should or might be Another comment, from an association
suggested that sponsors and used against sponsors and investigators of medical colleges, also opposed
investigators have access to the IRB who use unregistered IRBs and whether revisions to the IND regulations, stating
registration database. The comment said any additional changes to our that clinical holds would be unworkable
that sponsors and investigators regulations were necessary. because, if an unregistered IRB had
currently have access to Federal-wide (Comment 24) We received many reviewed a clinical study and the
assurances data and suggested that, if comments relating to sanctions, other clinical study had proceeded,
sponsors and investigators could not regulatory changes, and ensuring that retroactive review of the study would be
have access to the IRB registration sponsors and investigators use only impermissible. The comment said we
database, we or OHRP should issue a registered IRBs. The comments reflected should refuse to consider information
report of IRB registrations or issue a considerable difference of opinion. For from an application for a research
certificates to individual IRBs. example: permit that is reviewed or is to be
(Response) OHRP currently posts all • One comment said we should reviewed by an unregistered IRB.
registered IRBs on its Web site, impose and enforce ‘‘high fines’’ for • One comment suggested a
including the name and location of the failure to follow human subject ‘‘flexible’’ approach whereby we would
organization operating the IRB(s) and protection regulations; start by sending a certified letter to an
the name and location of each IRB. • Several comments said that the unregistered IRB regarding its failure to
We decline to issue reports on IRB forms investigators currently use (Form register and include registration
registration or certificates to show that FDA 1572) could be used to reinforce or instructions. If the IRB remained
an IRB is registered. As we stated in our otherwise highlight the need to use only unregistered, the comment suggested
response to comment 12 of this registered IRBs, but the comments that we inspect the IRB. The comment
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document, IRB registration, alone, does differed as to whether investigators said that this approach would allow us
not address issues regarding an IRB’s should be subject to any sanctions if to take appropriate action against
competence or expertise, nor does it they use an unregistered IRB. For unregistered IRBs without
require IRBs to meet a particular example, one comment said failure to ‘‘unnecessarily penalizing’’ sponsors
standard in order to conduct a review. use a registered IRB should be treated and investigators who have attempted to

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follow our regulations in good faith. sufficient for purposes of conducting (Response) This rulemaking does not
Similarly, another comment advocated inspections. affect how we conduct IRB inspections.
sending letters to IRBs or notices to (Response) We disagree with the We may, however, use IRB registration
sponsors rather than imposing comment. As we stated in the preamble information to help us prioritize
sanctions. to the proposed rule, existing FDA inspections. Additionally, our receipt of
• One comment agreed with us that regulations have required some, but not more accurate IRB addresses and
an IRB’s failure to register would not all, clinical investigators and sponsors contact information due to IRB
justify disqualification of the IRB under to provide IRB names and addresses to registration should make it easier and
§ 56.121 absent the extreme us, and those regulatory requirements more efficient to schedule IRB
circumstances described in differ slightly (see 69 FR 40556 at inspections.
§ 56.121(b)(1) (the IRB has refused or 40557). Consequently, because of
differences within our own regulations, H. What Other Amendment Did We
repeatedly failed to comply with Propose?
regulatory requirements) or we do not have a comprehensive list of
§ 56.121(b)(2) (the noncompliance IRBs that review FDA-regulated The proposal would also make a non-
adversely affects the rights or welfare of research. Additionally, because our pre- substantive amendment to part 56. The
the human subjects in a clinical existing regulations do not require proposal would revise the definition of
investigation). sponsors and investigators to revise or ‘‘An Application for an Investigational
(Response) We agree in part and update IRB information if and when the Device Exemption,’’ at § 56.102(b)(12),
disagree in part with the comments. We IRB changes its address, contact person, to eliminate its reference to 21 CFR part
agree that the existing IND regulations, or chair person, or even, in some cases, 813. The preamble to the proposed rule
as well as the IDE regulations, are to provide addresses, contact explained that this change is necessary
sufficient and clear regarding a information, or chair person information because we removed the regulations at
sponsor’s or investigator’s obligation to to us, the IRB information we do have part 813 (which had pertained to
use IRBs that comply with part 56. We is not as detailed as the information we intraocular lenses) in 1997 (see 62 FR
also agree that an IRB’s failure to seek under this rule. 4164, January 29, 1997).
As for institutions that have filed We received no comments on this
register, alone, should not lead to
assurances with OHRP under 45 CFR aspect of the proposal. Consequently,
disqualification proceedings under
part 46, the IRBs associated with such the final rule deletes a reference to part
§ 56.121 absent extreme circumstances.
institutions are not necessarily identical 813.
We intend to educate IRBs, sponsors, to those that review FDA-regulated
and investigators about the IRB research. OHRP’s regulations apply to III. Implementation
registration requirements and to institutions that are engaged in human This rule is effective July 14, 2009.
encourage sponsors and investigators to subjects research conducted or This protracted effective date is
use registered IRBs for the same reasons supported by HHS. In contrast, our IRB necessary to allow refinement of the
we stated in the preamble to the regulations apply to clinical electronic registration system so that it
proposed rule. investigations regulated by us, corresponds to this final rule and to
Given the existing IND and IDE regardless of whether those OHRP’s final rule.
regulations and our intent to pursue investigations are conducted or
educational efforts, we disagree with supported by HHS. Thus, the fact that IV. Legal Authority
those comments that would have us OHRP has operated an assurance system In general, the act authorizes us to
impose fines or place clinical for decades does not necessarily mean issue regulations pertaining to
investigations on clinical hold if the that the OHRP list of institutions that investigational uses of FDA-regulated
sponsor or investigator used an have filed assurances can serve as a list products (see, e.g., sections 409(j) (21
unregistered IRB. We believe that it of IRBs that review FDA-regulated U.S.C. 348(j)) (investigations involving
would be premature for us to consider research. food additives); 505(i) (investigations
the use of such sanctions before we and (Comment 26) One comment said that involving human drugs); 520(g)
the regulated community have gained registration and re-registration fees (investigations involving devices); and
sufficient experience with the IRB should be set at $5,000 to cover costs. 721(f) (21 U.S.C. 379e(f)) of the act
registration program. The comment said that taxpayers should (investigations involving color
3. What Other Issues Did the Comments not have to pay the fees or fund the additives)).
Raise? costs of ‘‘profiteers,’’ and that The act also requires the submission
pharmaceutical companies should not of a petition or application to FDA (see,
Several comments addressed issues ‘‘get away’’ with low fees when ‘‘they e.g., sections 409(b) (food additive
that were either not part of the can pay their executives $150,000,000 at petitions); 505(b) (new drug
rulemaking or not material to the retirement.’’ applications); 505(j) (abbreviated new
proposed codified text. (Response) We decline to revise the drug applications); 513(f) (premarket
(Comment 25) One comment rule as suggested by the comment. We notification for devices); 515(c)
disagreed with the preamble to the have no express authority to impose (premarket approval applications for
proposed rule when we stated that our registration or re-registration fees on devices); 520(m) (humanitarian device
knowledge about the identities and IRBs. Additionally, the rule is directed exemption applications); and 721(b) of
numbers of IRBs reviewing FDA- at IRBs themselves rather than the act (color additive petitions)) before
regulated clinical research is obsolete or pharmaceutical firms, so issues relating marketing begins.
incomplete (see 69 FR 40556 at 40557). to pharmaceutical executives’ salaries To implement these provisions of the
The comment said that we require are not relevant to this rulemaking. act, section 701(a) of the act gives us the
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sponsors to identify IRBs and that, for (Comment 27) One comment asked us authority to issue regulations for the
20 years, OHRP has maintained a list of to confirm that our IRB inspections will efficient enforcement of the act. By
IRBs that have filed assurances (under adhere to the guidelines described in requiring IRB registration, the final rule
45 CFR part 46). The comment said that the ‘‘Guidance for Institutional Review will aid in the efficient enforcement of
such past practices were apparently Boards and Clinical Investigators.’’ the act’s provisions regarding the

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investigational use of various FDA- assessment of anticipated costs and substantial number of small entities.
regulated products (because then we benefits, before proposing ‘‘any rule that Therefore, the rule is not a ‘‘significant
would be able to conduct IRB includes any Federal mandate that may regulatory action’’ under Executive
inspections more efficiently) as well as result in the expenditure by State, local, Order 12866 and does not require a
those provisions regarding marketing and tribal governments, in the aggregate, Regulatory Flexibility Act analysis.
applications (because marketing or by the private sector, of $100,000,000 Additionally, assuming that an
applications usually depend on clinical or more (adjusted annually for inflation) estimated 5,000 IRBs would register, the
investigations involving human in any one year.’’ The current threshold final rule will result in a 1-year
subjects, and IRBs are supposed to after adjustment for inflation is $127 expenditure of $220,000 (5,000 IRBs x
provide protections for the rights and million, using the most current (2006) $44 registration wage costs per IRB).
welfare of such human subjects). Implicit Price Deflator for the Gross Because the total expenditure under the
Moreover, by requiring IRBs to register, Domestic Product. FDA does not expect rule will not result in a 1-year
the final rule will enable FDA to contact this final rule to result in any 1-year expenditure of $100 million or more, we
IRBs more quickly and efficiently on expenditure that would meet or exceed are not required to perform a cost-
various issues, such as adverse reactions this amount. benefit analysis under the Unfunded
that may be attributed to a particular The final rule requires most IRBs to Mandates Reform Act.
product, new regulatory requirements or register with FDA. The information
policies, or problems associated with a VI. Environmental Impact
sought through the registration process
particular protocol or clinical is minimal, consisting largely of names We have determined under 21 CFR
investigator. Consequently, we conclude and addresses for a contact person, the 25.30(h) that this action is of a type that
that we have sufficient legal authority to institution operating the IRB (if an does not individually or cumulatively
issue the final rule. institution exists), the head of the have a significant effect on the human
V. Economic Impact Analysis institution, the IRB, and the IRB environment. Therefore, neither an
chairperson. The registration would also environmental assessment nor an
We have examined the impacts of the indicate the approximate number of environmental impact statement is
final rule under Executive Order 12866, required.
active protocols reviewed and the types
the Regulatory Flexibility Act (5 U.S.C.
of FDA-regulated products involved. We
601–612), and the Unfunded Mandates VII. Paperwork Reduction Act of 1990
estimate that initial IRB registration may
Reform Act of 1995 (Public Law 104–4). This rule contains information
require 1 hour. The average loaded wage
Executive Order 12866 directs agencies collection requirements that are subject
rate for administrators at public
to assess all costs and benefits of to review by the Office of Management
institutions is about $44 per hour.1 This
available regulatory alternatives and, and Budget (OMB) under the Paperwork
means that each IRB would spend $44
when regulation is necessary, to select Reduction Act of 1995 (PRA) (44 U.S.C.
for an initial registration ($44 per hour
regulatory approaches that maximize 3501–3520). The title, description, and
x 1 hour per initial registration).
net benefits (including potential
We estimate that re-registration would respondent description of the
economic, environmental, public health
require less time, especially if the IRB information collection provisions are
and safety, and other advantages;
verifies existing information. If re- shown below with an estimate of the
distributive impacts; and equity). The
registration requires 30 minutes, then annual reporting and recordkeeping
agency believes that this final rule is not
the cost of re-registration to each IRB burden. Included in the estimate is the
a significant regulatory action as defined
would be approximately $22 ($44 per time for reviewing instructions,
by the Executive Order.
The Regulatory Flexibility Act hour x 0.5 hours per re-registration). searching existing data sources,
requires agencies to analyze regulatory Revising an IRB’s registration gathering and maintaining the data
options that would minimize any information would probably involve needed, and completing and reviewing
significant impact of a rule on small costs similar to re-registration costs. If each collection of information.
entities. Because the required the revision requires 30 minutes, then Title: Institutional Review Boards:
registration information is minimal and the cost of revising an IRB’s registration Registration Requirements.
the costs associated with registration are information would be approximately Description: The final rule requires
low, the agency certifies that the final $22 per IRB. IRBs to register with FDA.
rule will not have a significant Given the minimal registration Description of Respondents:
economic impact on a substantial information that would be required and Businesses and individuals.
number of small entities. the low costs associated with The estimated burden associated with
Section 202(a) of the Unfunded registration, this final rule is not a the information collection requirements
Mandates Reform Act of 1995 requires significant regulatory action, and we of this rule is 8,750 hours.
that agencies prepare a written certify that the final rule does not have We estimate the burden of this
statement, which includes an a significant economic impact on a collection of information as follows:

TABLE 1.—ESTIMATED ANNUAL REPORTING BURDEN1


No. of Annual Frequency Total Annual Hours per
21 CFR Section Total Hours
Respondents per Response Responses Response

56.106(c) (initial registration) 5,000 1 5,000 1 5,000


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56.106(c) (re-registration) 2,500 1 2,500 0.5 1,250

1 Source: United States Department of Labor, States for administrators and officials, public rounded to the nearest whole dollar. Data accessed
Bureau of Labor Statistics; National Compensation administration, is $31.54. To account for benefits, on August 31, 2006, at http://data.bls.gov.
Survey, June 2005. Overall hourly rate in the United the hourly rate was increased by 40 percent and

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2368 Federal Register / Vol. 74, No. 10 / Thursday, January 15, 2009 / Rules and Regulations

TABLE 1.—ESTIMATED ANNUAL REPORTING BURDEN1—Continued


No. of Annual Frequency Total Annual Hours per
21 CFR Section Total Hours
Respondents per Response Responses Response

56.106(e) 5,000 1 5,000 0.5 2,500

Total 8,750
1 There are no capital costs or operating and maintenance costs associated with this collection of information.

Our estimates are based on the in Executive Order 13132. We have the act is usually known as an
following considerations. According to a determined that the rule does not investigational device exemption (IDE).)
1998 OIG report, there are 3,000 to 5,000 contain policies that have substantial An individual authorized to act on the
IRBs in the United States, and most are direct effects on the States, on the IRB’s behalf must submit the
associated with hospitals and academic relationship between the National registration information. All other IRBs
centers (see Department of Health and Government and the States, or on the may register voluntarily.
Human Services, Office of the Inspector distribution of power and (b) What information must an IRB
General, Institutional Review Boards: A responsibilities among the various register? Each IRB must provide the
Time for Reform, page 3, June 8, 1998). levels of government. Accordingly, we following information:
While not all IRBs are involved in have concluded that the rule does not (1) The name, mailing address, and
clinical investigations regulated by contain policies that have federalism street address (if different from the
FDA, for purposes of the PRA, we will implications as defined in the order mailing address) of the institution
use 5,000 as the maximum number of and, consequently, a federalism operating the IRB and the name, mailing
IRBs subject to the final rule. summary impact statement isnot address, phone number, facsimile
Additionally, because the final rule required. number, and electronic mail address of
requires basic information about an IRB List of Subjects in 21 CFR Part 56 the senior officer of that institution who
(such as names and addresses) and is responsible for overseeing activities
because registration would, in most Human research subjects, Reporting performed by the IRB;
cases, be done electronically, we will and recordkeeping requirements, Safety. (2) The IRB’s name, mailing address,
assume that registration will take only 1 ■ Therefore, under the Federal Food, street address (if different from the
hour per IRB. Thus, the total burden Drug, and Cosmetic Act and under mailing address), phone number,
hours would be 5,000 hours (5,000 IRBs authority delegated to the facsimile number, and electronic mail
x 1 hour per IRB). Commissioner, part 56 is amended as address; each IRB chairperson’s name,
Re-registration and revisions to follows: phone number, and electronic mail
existing registration information should address; and the name, mailing address,
require less time than initial PART 56—INSTITUTIONAL REVIEW phone number, facsimile number, and
registration. We will assume that re- BOARDS electronic mail address of the contact
registration and revisions will take only ■ 1. The authority citation for 21 CFR person providing the registration
30 minutes per IRB. We will also part 10 continues to read as follows: information.
assume, based on OHRP’s experience (3) The approximate number of active
Authority: 21 U.S.C. 321, 343, 346, 346a, protocols involving FDA-regulated
with its IRB registration program, that 348, 350a, 350b, 351, 352, 353, 355, 360,
50 percent of IRBs (2,500) will re- 360c–360f, 360h–360j, 371, 379e, 381; 42
products reviewed. For purposes of this
register and that all (5,000) will revise U.S.C. 216, 241, 262, 263b–263n. rule, an ‘‘active protocol’’ is any
their registration information. Therefore, protocol for which an IRB conducted an
the total burden hours for re-registration § 56.102 [Amended] initial review or a continuing review at
will be 1,250 hours (2,500 IRBs x 0.5 ■ 2. Amend § 56.102 in paragraph a convened meeting or under an
hours per IRB), and the total burden (b)(12) by removing the phrase ‘‘parts expedited review procedure during the
hours for revisions will be 2,500 hours 812 and 813’’ and by adding in its place preceding 12 months; and
(5,000 IRBs x 0.5 hours per IRB). the phrase ‘‘part 812’’. (4) A description of the types of FDA-
Prior to the effective date of this final ■ 3. Add § 56.106 to subpart A to read regulated products (such as biological
rule, FDA will publish a notice in the as follows: products, color additives, food
Federal Register announcing OMB’s additives, human drugs, or medical
decision to approve, modify, or § 56.106 Registration. devices) involved in the protocols that
disapprove the information collection (a) Who must register? Each IRB in the the IRB reviews.
provisions in this final rule. In United States that reviews clinical (c) When must an IRB register? Each
compliance with the PRA (44 U.S.C. investigations regulated by FDA under IRB must submit an initial registration.
3507(d)), we have submitted the sections 505(i) or 520(g) of the act and The initial registration must occur
information collection requirements of each IRB in the United States that before the IRB begins to review a
this rule to OMB for review. An agency reviews clinical investigations that are clinical investigation described in
may not conduct or sponsor, and a intended to support applications for paragraph (a) of this section. Each IRB
person is not required to respond to, a research or marketing permits for FDA- must renew its registration every 3
collection of information unless it regulated products must register at a site years. IRB registration becomes effective
displays a currently valid OMB control maintained by the Department of Health after review and acceptance by HHS.
mstockstill on PROD1PC66 with RULES

number. and Human Services (HHS). (A research (d) Where can an IRB register? Each
permit under section 505(i) of the act is IRB may register electronically through
VIII. Federalism usually known as an investigational http://ohrp.cit.nih.gov/efile. If an IRB
We have analyzed this final rule in new drug application (IND), while a lacks the ability to register
accordance with the principles set forth research permit under section 520(g) of electronically, it must send its

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Federal Register / Vol. 74, No. 10 / Thursday, January 15, 2009 / Rules and Regulations 2369

registration information, in writing, to DATES: Effective Date: This rule is DEPARTMENT OF HOUSING AND
the Good Clinical Practice Program (HF– effective on January 15, 2009. URBAN DEVELOPMENT
34), Office of Science and Health
FOR FURTHER INFORMATION CONTACT: 24 CFR Parts 203 and 3500
Coordination, Food and Drug
Administration, 5600 Fishers Lane, Lauren Prosnik, Legislation and
Regulations Division, Visa Services, [Docket No. FR–5180–F–04]
Rockville, MD 20857.
(e) How does an IRB revise its Department of State, Washington, DC RIN 2502–AI61
registration information? If an IRB’s 20520–0106, (202) 663–1202, e-mail
contact or chair person information (prosnikla@state.gov). Real Estate Settlement Procedures Act
changes, the IRB must revise its (RESPA): Rule To Simplify and
SUPPLEMENTARY INFORMATION: Improve the Process of Obtaining
registration information by submitting
any changes in that information within Mortgages and Reduce Consumer
Why is the Department promulgating
90 days of the change. An IRB’s decision Settlement Costs; Deferred
this rule?
to review new types of FDA-regulated Applicability Date for the Revised
products (such as a decision to review The Department published an interim Definition of ‘‘Required Use’’
studies pertaining to food additives rule, Public Notice 4446 at 68 FR 49353, AGENCY: Office of the Assistant
whereas the IRB previously reviewed Aug. 18, 2003, with a request for Secretary for Housing-Federal Housing
studies pertaining to drug products), or comments. The comment period expired Commissioner, HUD.
to discontinue reviewing clinical on October 17, 2003. No public ACTION: Final rule.
investigations regulated by FDA is a comments were received during the
change that must be reported within 30 comment period. SUMMARY: This final rule delays the
days of the change. An IRB’s decision to effective date of the definition of
disband is a change that must be What did the rule do? ‘‘required use’’ as revised by HUD’s
reported within 30 days of permanent November 17, 2008, final rule amending
The rule amended the Department’s
cessation of the IRB’s review of its RESPA regulations. The November
regulations at 22 CFR 42.33 to establish 17, 2008, final rule provides that the
research. All other information changes
an entirely electronic system utilizing a revised definition is applicable
may be reported when the IRB renews
its registration. The revised information specifically designated Internet Web commencing January 16, 2009, the
must be sent to FDA either site, by which aliens can petition for the effective date of the final rule. As a
electronically or in writing in opportunity to participate in the result of recently initiated litigation,
accordance with paragraph (d) of this Diversity Visa Program. HUD has determined to delay the
section. Why was the petitioning process effective date of the revised definition of
Dated: January 7, 2009. changed? ‘‘Required use’’ until April 16, 2009.
Jeffrey Shuren, DATES: This correction is effective
Associate Commissioner for Policy and There are three main benefits to January 16, 2009, The definition of
Planning. changing the mail-in process to an ‘‘Required use’’ in § 3500.2, as revised
[FR Doc. E9–682 Filed 1–14–09; 8:45 am] electronic format. First, it helps by HUD’s final rule published on
eliminate multiple applications, November 17, 2008, at 73 FR 68204, is
BILLING CODE 4160–01–S
prohibited under INA Section delayed until April 16, 2009.
204(a)(1)(I). Secondly, it greatly reduces FOR FURTHER INFORMATION CONTACT: Ivy
DEPARTMENT OF STATE the cost of administering the system. Jackson, Director, or Barton Shapiro,
Finally, it benefits the petitioners by Deputy Director, Office of RESPA and
22 CFR Part 42 immediately notifying them of the Interstate Land Sales, Office of Housing,
receipt of the petition, impossible under Department of Housing and Urban
[Public Notice: 6457] Development, 451 7th Street, SW.,
the mail-in system.
RIN 1400–AB84 Room 9158, Washington, DC 20410–
PART 42—VISAS: DOCUMENTATION 8000; telephone 202–708–0502 (this is
Visas: Documentation of Immigrants OF IMMIGRANTS UNDER THE not a toll-free telephone number).
Under the Immigration and Nationality IMMIGRATION AND NATIONALITY Persons with hearing or speech
Act, as Amended: Electronic Petition ACT, AS AMENDED impairments may access this number
for Diversity Immigrant Status through TTY by calling the toll-free
AGENCY: State Department. ■ Accordingly, the interim rule Federal Information Relay Service at
amending 22 CFR part 42 which was 800–877–8339.
ACTION: Final rule.
published at 68 FR 49353 on August 18, SUPPLEMENTARY INFORMATION: On
SUMMARY: This rule makes final an November 17, 2008 (73 FR 68204), HUD
2003, is adopted as final without
interim rule published in the Federal change. published a final rule amending its
Register on August 18, 2003, amending regulations to further the purposes of
the Department’s regulations pertaining Dated: January 2, 2009. the Real Estate Settlement Procedures
to the manner in which aliens may Janice L. Jacobs, Act (12 U.S.C. 2601–2617) by requiring
petition for the opportunity to Assistant Secretary for Consular Affairs, more timely and effective disclosures
participate in the Diversity Visa Department of State. related to mortgage settlement costs for
Program. The rule changed the standard [FR Doc. E9–698 Filed 1–14–09; 8:45 am] federally related mortgage loans to
mail-in system previously used to an consumers. The final rule followed
mstockstill on PROD1PC66 with RULES

BILLING CODE 4710–06–P


entirely electronic system for the publication of a March 14, 2008,
purpose of making the process less proposed rule (73 FR 14030) and made
prone to fraud, improve efficiency and changes in response to public comment
significantly reduce the processing costs and in further consideration of certain
to the Government. issues by HUD. Additional information

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