Notice2026-02386

Agency Information Collection Activities; Proposed Collection; Comment Request; Expedited Programs for Serious Conditions-Accelerated Approval of Drugs and Biologics

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Published
February 6, 2026

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA or Agency) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This notice solicits comments on information collection relating to the draft guidance, "Expedited Program for Serious Conditions--Accelerated Approval of Drugs and Biologics."

Full Text

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<title>Federal Register, Volume 91 Issue 25 (Friday, February 6, 2026)</title>
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[Federal Register Volume 91, Number 25 (Friday, February 6, 2026)]
[Notices]
[Pages 5491-5494]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-02386]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2024-D-2033]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Expedited Programs for Serious Conditions--Accelerated 
Approval of Drugs and Biologics

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
an opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(PRA), Federal Agencies are required to publish notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension of an existing collection of information, and 
to allow 60 days for public comment in response to the notice. This 
notice solicits comments on information collection relating to the 
draft guidance, ``Expedited Program for Serious Conditions--Accelerated 
Approval of Drugs and Biologics.''

DATES: Either electronic or written comments on the collection of 
information must be submitted by April 7, 2026.

ADDRESSES: You may submit comments as follows. Please note that late, 
untimely filed comments will not be considered. The <a href="https://www.regulations.gov">https://www.regulations.gov</a> electronic filing system will accept comments until 
11:59 p.m. Eastern Time at the end of April 7, 2026. Comments received 
by mail/hand delivery/courier (for written/paper submissions) will be 
considered timely if they are received on or before that date.

Electronic Submissions

    Submit electronic comments in the following way:
    <bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to <a href="https://www.regulations.gov">https://www.regulations.gov</a> 
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 <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
    <bullet> 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:
    <bullet> 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.
    <bullet> 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 Docket No. 
FDA-2024-D-2033 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; Expedited Programs for Serious 
Conditions--Accelerated Approval of Drugs and Biologics.'' Received 
comments, those filed in a timely manner (see ADDRESSES), will be 
placed in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at <a href="https://www.regulations.gov">https://www.regulations.gov</a> or at 
the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through 
Friday, 240-402-7500.
    <bullet> Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on <a href="https://www.regulations.gov">https://www.regulations.gov</a>. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and

[[Page 5492]]

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: <a href="https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf">https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf</a>.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to <a href="https://www.regulations.gov">https://www.regulations.gov</a> 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, 240-402-7500.

FOR FURTHER INFORMATION CONTACT: Anne Taylor, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 240-402-5683, 
<a href="/cdn-cgi/l/email-protection#29797b686b5b48474a41694f4d480741415a074e465f"><span class="__cf_email__" data-cfemail="9acac8dbd8e8fbf4f9f2dafcfefbb4f2f2e9b4fdf5ec">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3521), Federal 
Agencies must obtain approval from the Office of Management and Budget 
(OMB) for each collection of information they conduct or sponsor. 
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes Agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) 
requires Federal Agencies to provide a 60-day notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension of an existing collection of information, 
before submitting the collection to OMB for approval. To comply with 
this requirement, FDA is publishing notice of the proposed collection 
of information set forth in this document.
    With respect to the following collection of information, FDA 
invites comments on these topics: (1) whether the proposed collection 
of information is necessary for the proper performance of FDA's 
functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.

Expedited Programs for Serious Conditions--Accelerated Approval of 
Drugs and Biologics

OMB Control Number 0910-0765--Revision

    This information collection supports the implementation of section 
506 of the FD&C Act (21 U.S.C. 356) and agency guidance. In the 
Consolidated Appropriations Act, 2023 (CAA), Congress amended section 
506(c) of the Federal Food, Drug, and Cosmetic Act (FD&C Act) (21 
U.S.C. 356(c)), to provide FDA additional authorities and to impose on 
FDA additional obligations regarding the accelerated approval pathway.
    In the Federal Register of December 6, 2024 (89 FR 97011), FDA 
announced the availability of a draft guidance for industry entitled 
``Expedited Program for Serious Conditions--Accelerated Approval of 
Drugs and Biologics.'' The guidance is available from our website at 
<a href="https://www.fda.gov/media/184120/download">https://www.fda.gov/media/184120/download</a>. The guidance provides 
information on FDA's policies and procedures for the accelerated 
approval program. FDA issued this guidance to satisfy a mandate under 
the CAA. This guidance discusses which products may be candidates for 
accelerated approval, the standards for granting accelerated approval, 
and the procedures for withdrawing accelerated approval. Statutory 
requirements in section 506(c) of the FD&C Act are discussed in the 
draft guidance document, including the recently added procedures for 
the expedited withdrawal of approval of a product approved under 
accelerated approval (guidance Section V).
    The expedited procedures for withdrawing accelerated approval 
require FDA to provide the sponsor with (1) due notice, (2) an 
explanation for the proposed withdrawal, (3) an opportunity to meet 
with the Commissioner or a designee of the Commissioner (Commissioner/
designee), (4) an opportunity for written appeal to the Commissioner, 
or to a designee who has not participated in the proposed withdrawal of 
approval and is not a subordinate of an individual (other than the 
Commissioner) who participated in such proposed withdrawal, and (5) the 
opportunity for an advisory committee meeting on issues related to the 
proposed withdrawal if requested by the sponsor and an advisory 
committee has not previously advised FDA on such issues with respect to 
the withdrawal of the product prior to the sponsor's request. In 
addition, FDA must provide an opportunity for public comment on the 
proposal to withdraw approval and publish on FDA's website a summary of 
public comments received and FDA's response to such comments. We 
anticipate there will be information collection burdens associated with 
participating in an advisory committee meeting or submitting a written 
appeal.
    If FDA is considering whether to propose withdrawing approval of a 
drug that has been granted accelerated approval, in general, FDA should 
convene an advisory committee to request the committee's advice on 
whether one or more of the criteria for withdrawal in section 506(c) of 
the FD&C Act has been met and any other issues that may be relevant to 
whether approval should be withdrawn. The guidance recommends that a 
sponsor submit, if it had not already, any data and evidence and any 
objections to withdrawal that the sponsor considers relevant so that 
they may be considered at this stage (guidance Section V.C). Sponsors 
should follow the submission requirements specified in the meeting 
notice for the advisory committee using the appropriate docket number, 
or submit via email or postal mail if specified in the Federal Register 
notice.
    In the event that FDA utilizes the expedited procedures for 
withdrawing accelerated approval and the sponsor seeks to submit a 
written appeal of the proposed withdrawal of approval, the guidance 
recommends that the sponsor should present its objections to the 
proposal to withdraw approval and may submit any supporting data, 
information, or evidence on which the sponsor relies for its appeal. 
With respect to such information, the guidance notes that the sponsor 
may seek to incorporate by reference any data, information, or evidence 
submitted to the new drug application (NDA) or biologics license 
application (BLA) file or presented in briefing materials to an 
advisory committee convened to provide advice to the Agency on whether 
to withdraw the accelerated approval (guidance Section V.C.3.a). The 
appeal and any other response, including supporting materials, should 
be submitted to the docket opened for the written notice, with a copy 
provided to the Center. Additional instructions, for example, on 
submitting redacted materials, will

[[Page 5493]]

come from the Commissioner/designee should the sponsor elect to pursue 
its opportunity for an appeal or meeting.
    The information that respondents submit to us in preparation for an 
Advisory Committee meeting and in a written appeal is needed to allow 
us to efficiently administer the expedited withdrawal procedures in 
section 506(c)(3) of the FD&C Act and to support our efforts to protect 
the health of users of drugs approved under accelerated approval. We 
use the information collected in preparation for an Advisory Committee 
meeting to facilitate discussion among the advisory committee members. 
We use the information collected in a written appeal to evaluate 
whether the Center's proposal to withdraw approval should be finalized. 
We are requesting approval to revise the statutory authority reference 
in approved OMB control number 0910-0765 to include section 3210 of the 
CAA and to revise the burden estimates approved in that control number 
to include the following burden hours.
    Description of Respondents: Respondents to this information 
collection are sponsors of drugs and biologics that have been granted 
accelerated approval designations.
    We estimate the burden of this collection of information as 
follows:

                                  Table 1--Estimated Annual Reporting Burden \1\
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                                                                  Number of       Total       Average
                    Activity                       Number of    responses per     annual     burden per   Total
                                                  respondents    respondent     responses     response    hours
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Advisory Committee meeting; Draft Guidance,                 2               1            2          400      800
 section V.B...................................
Appeal to the Commissioner; Draft Guidance,                 1               1            1           40       40
 section V.C.3.a...............................
                                                ----------------------------------------------------------------
    Total......................................  ............  ..............            3  ...........      840
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\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.

    We base our estimates of the number of respondents and the average 
burden per response on our experience with Advisory Committee meetings 
and written appeals to the Commissioner. We estimate that, on average 
over the next three years, two sponsors will request Advisory 
Committees per year, across the entire Agency. As discussed, the 
sponsors will submit data and evidence and any objections to withdrawal 
that the sponsor considers relevant. Part of the information submitted 
will have been developed for the NDA or BLA file. Based on our 
experience, we estimate that it will take approximately 400 hours for 
the sponsor to prepare the submission for the Advisory Committee.
    We estimate that, on average over the next three years, one or 
fewer sponsors will submit a written appeal of the proposed withdrawal 
of approval, across the entire Agency. As discussed, we expect that 
each sponsor will present its objections to the proposal to withdraw 
approval and will submit any supporting data, information, or evidence 
on which the sponsor relies for its appeal. Part of the information 
submitted will have been developed for the NDA or BLA file or presented 
in briefing materials to an advisory committee. Based on our 
experience, we estimate that it will take approximately 40 hours for 
the sponsor to prepare the submission for the written appeal.
    The draft guidance ``Expedited Program for Serious Conditions--
Accelerated Approval of Drugs and Biologics'' also refers to previously 
approved FDA collections of information. The collections of information 
in 21 CFR parts 10, 12-16, and 19 relating to administrative practice 
and procedures have been approved under OMB control number 0910-0191. 
The collections of information in 21 CFR part 312 relating to clinical 
trials associated with accelerated approval pathways have been approved 
under OMB control number 0910-0014. The collections of information in 
21 CFR part 314 relating to the submission of new drug applications, 
including accelerated approval of new drugs for serious or life-
threatening conditions, have been approved under OMB control number 
0910-0001. The collections of information in 21 CFR part 601 relating 
to the submission of biologics license applications have been approved 
under OMB control number 0910-0338.
    In addition, section 3210 of the CAA provides statutory authority 
to help ensure timely completion of confirmatory trials of accelerated 
approval products, including that FDA may require as appropriate, a 
confirmatory study or studies to be underway prior to approval or 
within a specified time period after the date of approval of the 
product. The CAA also requires sponsors to submit postmarketing reports 
to FDA on the progress of required confirmatory trials approximately 
every 180 days. The draft guidance, ``Accelerated Approval and 
Considerations for Determining Whether a Confirmatory Trial is 
Underway'' (January 2025) describes FDA's policies for implementing 
this statutory authority. As described in the Notice of Availability 
for that guidance, published January 7, 2025 (90 FR 1171), FDA will use 
the reports to monitor the progress of confirmatory trials and take 
action, if necessary.
    With regard to information collection relating to postmarketing 
study commitments, we reviewed the statutory authority granted by 
section 3210 of the CAA as well as our existing statutory authority and 
regulations. Section 506B of the FD&C Act (21 U.S.C. 356b), and 
implementing regulations in Sec. Sec.  312.20, 314.81 and 601.70 (21 
CFR 312.20, 314.81 and 601.70), provide for the submission of 
postmarket study reports, requiring sponsors of approved drugs and 
biological products to report to FDA on the progress of their 
postmarketing study commitments, including reports on required studies, 
clinical trials, and agreed upon commitments. We tentatively concluded 
that the change in our statutory authority with regard to postmarketing 
study commitments adds no further information collection requirements 
and imposes no further burden beyond what is already required in our 
statutes and regulations and included in the approved ICRs for 
reporting the status of postmarketing study commitments (90 FR 1171, at 
1173).
    Our estimated burden for the revised information collection 
reflects an overall increase of 840 hours and a corresponding increase 
of three responses, which we attribute to the proposed reporting 
provisions in the draft guidance ``Expedited Program for

[[Page 5494]]

Serious Conditions--Accelerated Approval of Drugs and Biologics.''

Brian Fahey,
Associate Commissioner for Legislation.
[FR Doc. 2026-02386 Filed 2-5-26; 8:45 am]
BILLING CODE 4164-01-P


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Indexed from Federal Register on February 6, 2026.

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