97-24730. Food Labeling; Requirements for Nutrient Content Claims, Health Claims, and Statements of Nutritional Support for Dietary Supplements  

  • [Federal Register Volume 62, Number 184 (Tuesday, September 23, 1997)]
    [Rules and Regulations]
    [Pages 49859-49868]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 97-24730]
    
    
    
    [[Page 49859]]
    
    -----------------------------------------------------------------------
    
    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Food and Drug Administration
    
    21 CFR Part 101
    
    [Docket No. 95N-0282]
    
    
    Food Labeling; Requirements for Nutrient Content Claims, Health 
    Claims, and Statements of Nutritional Support for Dietary Supplements
    
    AGENCY: Food and Drug Administration, HHS.
    
    ACTION: Final rule.
    
    -----------------------------------------------------------------------
    
    SUMMARY: The Food and Drug Administration (FDA) is amending its 
    nutrient content claims regulations to change the terminology used to 
    describe dietary supplements; provide for the use of statements that 
    characterize the percentage level of dietary ingredients that do not 
    have Reference Daily Intakes (RDI's) or Daily Reference Values (DRV's); 
    and withdraw the provision that dietary supplements of vitamins and 
    minerals may not give prominence to any ingredient that is not a 
    vitamin or a mineral on its label or in labeling. The agency is also 
    amending its regulations to specify how (i.e., text, placement, and 
    type size) the disclaimer that must be contained in statements made in 
    accordance with the Federal Food, Drug, and Cosmetic Act (the act) is 
    to be presented. Additionally, FDA is removing the definition of 
    ``dietary supplements,'' and revising the terminology used to describe 
    these products in the regulations on health claims for food products. 
    FDA is taking this action to implement, in part, the Dietary Supplement 
    Health and Education Act of 1994 (the DSHEA).
    
    EFFECTIVE DATE: March 23, 1999.
    
    FOR FURTHER INFORMATION CONTACT: Camille E. Brewer, Center for Food 
    Safety and Applied Nutrition (HFS-165), Food and Drug Administration, 
    200 C St. SW., Washington, DC 20204, 202-205-5483.
    
    SUPPLEMENTARY INFORMATION:
    
    I. Background
    
        On October 25, 1994, the President signed into law the DSHEA (Pub. 
    L. 103-417). The DSHEA, among other things, defined ``dietary 
    supplement'' by adding section 201(ff) to the act (21 U.S.C. 321(ff)); 
    made provision for statements that characterize the percentage level of 
    dietary ingredients that do not have RDI's or DRV's by adding section 
    403(r)(2)(F) to the act (21 U.S.C. 343(r)(2)(F)); and amended sections 
    411(b)(2) and (c)(1) of the act (21 U.S.C. 350(b)(2) and (c)(1)) on the 
    labeling of products that contain vitamins and minerals. In addition, 
    the DSHEA added section 403(r)(6) to the act, which states that 
    statements may be made for dietary supplements if:
        [t]he statement claims a benefit related to a classical nutrient 
    deficiency disease and discloses the prevalence of such disease in 
    the United States, describes the role of a nutrient or dietary 
    ingredient intended to affect the structure or function in humans, 
    characterizes the documented mechanism by which a nutrient or 
    dietary ingredient acts to maintain such structure or function, or 
    describes general well-being from consumption of a nutrient or 
    dietary ingredient * * *
    (section 403(r)(6)(A) of the act), and if certain other conditions are 
    met. The manufacturer of the dietary supplement must have 
    substantiation that the statement is truthful and not misleading 
    (section 403(r)(6)(B)), and the statement must prominently contain the 
    following:
        This statement has not been evaluated by the Food and Drug 
    Administration. This product is not intended to diagnose, treat, 
    cure, or prevent any disease.
    Section 403(r)(6)(C) of the act.
        In the Federal Register of December 28, 1995, FDA published a 
    proposed rule entitled ``Food Labeling; Requirements for Nutrient 
    Content Claims, Health Claims, and Statements of Nutritional Support 
    for Dietary Supplements'' (60 FR 67176)(hereinafter referred to as 
    ``the dietary supplement proposal''), in which the agency proposed to 
    conform its regulations on nutrient content claims and health claims to 
    the DSHEA. The proposed rule addressed how the statements provided for 
    in section 403(r)(6) of the act (referred to as ``statements of 
    nutritional support'' in the dietary supplement proposal) are to be 
    presented on the label or in labeling of a dietary supplement. In 
    addition, the proposal sought to provide for the use of statements that 
    characterize the percentage level of dietary ingredients that do not 
    have RDI's or DRV's on the labels and in the labeling of dietary 
    supplements.
        The agency received approximately 30 letters in response to the 
    proposed rule. Each letter contained one or more comments. Several 
    comments supported the proposal generally or supported aspects of the 
    proposal. Other comments addressed issues outside the scope of the 
    proposal (e.g., monitoring of adverse events, definition of fiber) and 
    will not be discussed here. Several comments suggested modifications or 
    revisions of various aspects of the proposal. A summary of these 
    comments, and a discussion of the agency's conclusions, follow.
    
    II. Revised Regulations
    
    A. Coverage
    
        1. A couple of comments maintained that there is no statutory basis 
    for the issuance of FDA's dietary supplement proposal. These comments 
    argued that the Nutrition Labeling and Education Act of 1990 
    (hereinafter referred to as ``the 1990 amendments'') limits the reach 
    of ``nutrient content claims'' to claims regarding nutrients of the 
    type required under section 403(q)(1) and (q)(2) of the act, that is, 
    according to these comments, the nutrients that are to be declared in 
    nutrition labeling. One comment maintained that the existence of the 
    alternative language in section 403(r)(5)(D) of the act suggests that 
    Congress was aware of the difference between ``nutrients'' and ``other 
    similar nutritional substances,'' and that it intentionally utilized 
    different language for nutrient content claims and health claims. 
    Similarly, another comment stated that there is no justification for 
    FDA to conclude that the phrase ``other similar nutritional 
    substances'' is applicable to nutrient content claims.
        The agency has addressed the question of the application of the 
    nutrient content claims provisions to nutrients without RDI's or DRV's 
    (59 FR 378, January 4, 1994; and 60 FR 67176, December 28, 1995). In 
    the dietary supplement proposal (60 FR 67176), the agency stated:
        Section 403(r)(1)(A) of the act states that a food intended for 
    human consumption is misbranded if it bears a claim that expressly 
    or by implication ``characterizes the level of any nutrient which is 
    of the type required by paragraph (q)(1) or (q)(2) to be in the 
    label or labeling of the food * * *.'' The statute uses the same 
    language in section 403(r)(1)(B) to describe the substances that 
    could be the subject of a health claim. A health claim is a claim 
    that ``characterizes the relationship of any nutrient which is of 
    the type required by paragraph (q)(1) or (q)(2) to be in the label 
    or labeling of the food to a disease or a health-related condition * 
    * *.'' Under section 403(r)(1)(B), a health claim may be made in 
    accordance with section 403(r)(5)(D) as well as section 403(r)(3). 
    Thus, because a statute must be read as a whole, the language in 
    both sections 403(r)(1)(A) and (r)(1)(B) of the act that describes 
    the substances that may be the subject of a nutrient content or of a 
    health claim must be read in conjunction with section 403(r)(5)(D), 
    which addresses health claims for vitamins, minerals, herbs, or 
    other similar nutritional substances that are components of dietary 
    supplements. Thus, the ``nutrients of the type required by paragraph 
    (q)(1) or (q)(2)'' that are the subject of sections 403(r)(1)(A) and 
    (r)(1)(B) of the act include vitamins, minerals, herbs, and other 
    similar nutritional substances.
        The agency also noted in the dietary supplement proposal (60 FR 
    67176) that the legislative history of ``other
    
    [[Page 49860]]
    
    nutritional substances'' reveals that its coverage is broad and could, 
    in appropriate circumstances, include dietary ingredients without RDI's 
    or DRV's (136 Congressional Record S16609 (October 24, 1990)). In a 
    discussion between Senators Metzenbaum and Symms before the passage of 
    the 1990 amendments, Senator Symms stated:
        * * * What follows is a list of a few of the items and foods 
    that I believe would fall under the ``other similar nutritional 
    substances'' category established by this bill:
        Primrose oil, black currant seed oil, coldpressed flax seed oil, 
    ``Barleygreen'' and similar nutritional powdered drink mixes, 
    Coenzyme Q 10, enzymes such as bromelain and quercetin, amino acids, 
    pollens, propolis, royal jelly, garlic, orotates, calcium-EAP 
    (colamine phosphate), glandulars, hydrogen peroxide 
    (H2O2), nutritional antioxidants such a 
    superoxide dismutase (SOD), and herbal tinctures.
    Based on this colloquy, the agency interprets the list of dietary 
    ingredients that fall under the definition of ``dietary supplement'' in 
    section 201(ff) of the act as an explication of ``other similar 
    nutritional substances.'' The comments to this rulemaking ignored the 
    identity of language between 403(r)(1)(A) and 403(r)(1)(B) of the act 
    and that the 403(r)(5)(D) language (i.e., ``other similar nutritional 
    substances'') is subsumed under the ``nutrients of the type'' language 
    that appears in 403(r)(1)(B) as well as in 430(r)(1)(A) of the act.
        The comments to this rulemaking did not provide any information to 
    persuade the agency to modify its tentative conclusions. The comments 
    construed the language in section 403(1)(A) and (1)(B) of the act too 
    narrowly. As the discussion from the proposal quoted above makes clear, 
    the structure of the law itself compels FDA's conclusion with respect 
    to the coverage of the language in question. Nor is there anything in 
    the DSHEA that would suggest a different result with regard to the 
    coverage of these provisions. FDA therefore rejects the comments that 
    disagreed with the proposal on the coverage of the nutrient content 
    claim provisions.
        2. Several comments from the conventional food industry expressed 
    concern that the statutory requirements for claims on dietary 
    supplements can result in claims that give the misleading impression 
    that dietary supplements provide more health benefits than conventional 
    foods, as well as the erroneous impression that the presence of a 
    dietary ingredient in a supplement is superior to the same ingredient 
    provided in a matrix of conventional food by allowing dietary 
    supplements to make claims that foods cannot. To illustrate these 
    points, one comment stated that powdered, dehydrated cranberries sold 
    in capsule form could bear a claim stating that they are beneficial for 
    urinary tract health, while cranberry juice cocktail may not. The 
    comment argued that such a claim is denied cranberry juice despite the 
    fact that it has been demonstrated in clinical trials to prevent 
    recurrence of urinary tract infections in women.
        Other comments stated that the percentage claim provisions are an 
    example of inequality in the regulatory treatment of conventional foods 
    and dietary supplements. One comment stated that under the proposal, 
    comparative percentage claims (e.g. ``as much as,'' ``twice the amount 
    of * * *,'' ``500 percent of * * *'') for dietary ingredients that do 
    not have RDI's or DRV's are forbidden to conventional food marketers, 
    because the 1990 amendments prohibit claims that ``characterize'' the 
    level of these dietary ingredients unless such claims have been defined 
    by the agency in a regulation, but not to dietary supplement marketers. 
    The comment argued that this situation is inequitable and internally 
    inconsistent because it permits dietary supplement marketers to make, 
    by circuitous language, claims that they cannot make directly. As an 
    example, the comment stated that the effect of the agency's proposal is 
    to lay down for dietary supplement marketers the following two rules: 
    (1) You cannot claim that your product has ``more'' of a dietary 
    ingredient than ``x'' product; but (2) you can claim that your product 
    has ``twice as much'' of a dietary ingredient as ``x'' product. The 
    comment argued that virtually every consumer will understand the latter 
    claim to communicate the impermissible message contained in the former 
    claim.
        Another comment from a trade association for conventional food 
    manufacturers stated that accurate statements describing the quantity 
    of a dietary ingredient for which there is no RDI or DRV would be more 
    appropriate than percentage claims. The comment stated that should FDA 
    allow quantitative declarations for dietary ingredients without RDI's 
    or DRV's, equity and fairness require that such statements also be 
    allowed on conventional foods. The comment stated that such 
    quantitative statements will be meaningful to consumers, and that 
    conventional foods will be placed at a competitive disadvantage if 
    prohibited from using these statements.
        One comment stated that labeling claims for which there is no 
    scientific basis are not in the public interest. The comment maintained 
    that such statements undermine the public's confidence in the 
    government's ability to protect consumers from products that may pose 
    health risks. Further, the comment stated that the proposed regulations 
    will undermine the credibility of FDA's regulations on nutrient content 
    and health claims for foods.
        On the other hand, a comment from a trade association for dietary 
    supplement manufacturers stated that dietary supplements should be 
    treated differently than conventional foods because the supplement 
    industry thrives on open competition and does not seek government 
    regulation to limit competition. The comment also stated that the 
    dietary supplement industry wants to be able to make content claims for 
    its products without FDA's approval because consumers are protected 
    under the agency's general misbranding authority.
        FDA acknowledges that there are some differences between dietary 
    supplements and conventional foods with respect to the types of claims 
    that can be made on their product labels, and that the content claims 
    that can be made on both types of products without FDA authorization 
    are limited. These differences and limitations, however, are created by 
    the statute itself. FDA has no authority to modify the regulatory 
    regime that is established by the act.
        Section 201(g)(1)(B) of the act states that the term ``drug'' means 
    articles intended for use in diagnosis, cure, mitigation, treatment, or 
    prevention of disease. FDA points out that the claim that cranberry 
    juice cocktail prevents the recurrence of urinary tract infections 
    mentioned by one of the comments is a claim that brings the product 
    within the ``drug'' definition whether it appears on a conventional 
    food or on a dietary supplement because it is a claim that the product 
    will prevent disease. However, a claim that cranberry products help to 
    maintain urinary tract health may be permissible on both cranberry 
    products in conventional food form and dietary supplement form if it is 
    truthful, not misleading, and derives from the nutritional value of 
    cranberries. If the effect derives from the nutritive value of 
    cranberries, the claim would describe an effect of a food on the 
    structure or function of the body and thus fall under one exception to 
    the definition for the term ``drug'' found in 201(g)(1)(C) of the act. 
    The claim is not a health claim because no disease is mentioned 
    explicitly or implicitly (see section 403(r)(1)(B) of the act).
        Only if the claimed benefit did not derive from the nutritional 
    value of cranberries would it be true that the
    
    [[Page 49861]]
    
    claim could appear on a dietary supplement but not a conventional food. 
    This result is dictated by section 403(r)(6) of the DSHEA.
        With regard to percentage claims, section 7(c) of the DSHEA amends 
    section 403(r)(2) of the act by adding clause (F) which reads:
        Subclause (i) clause (A) does not apply to a statement in the 
    labeling of a dietary supplement that characterizes the percentage 
    level of a dietary ingredient for which the Secretary has not 
    established a reference daily intake, daily recommended value, or 
    other recommendation for daily consumption.
        This new provision refers to section 403(r)(2)(A)(i) of the act, 
    which states that nutrient content claims may be made only if the 
    characterization of the level made in the claim uses terms which are 
    defined in regulations of the Secretary. The effect of section 
    403(r)(2)(F) of the act is to permit, on dietary supplement labels or 
    in dietary supplement labeling, the use of statements that have not 
    been defined by FDA but that, nonetheless, characterize the percentage 
    level of a dietary ingredient for which an RDI or DRV has not been 
    established.
        In the dietary supplement proposal (60 FR 67176), the agency 
    interpreted section 403(r)(2)(F) of the act as permitting percentage 
    claims for substances for which an RDI or DRV has not been established 
    on labels or labeling of dietary supplements but not on conventional 
    foods. Significantly, while comments objected to FDA doing so, no 
    comments argued that the agency had misinterpreted this aspect of 
    section 403(r)(2)(F). The limited legislative history does not make 
    clear why Congress chose to differentiate between these two types of 
    food in this way.
        However, the structure of the DSHEA suggests that Congress 
    recognized that dietary supplements are not necessarily like other 
    foods. Where other foods are consumed for taste, aroma, or nutritive 
    value, some dietary supplements are consumed for none of these reasons. 
    Congress apparently concluded that the labeling of dietary supplements 
    should be able to accommodate this fact. Thus, Congress provided for 
    the inclusion in the nutrition label of dietary ingredients for which 
    no daily consumption recommendations have been established, as well as 
    for the use of percentage claims about such ingredients. Congress did 
    not make similar provision for such ingredients in conventional foods, 
    presumably because it saw no reason to distract consumers from the 
    traditional reasons why they choose particular conventional foods.
        In the percentage claims provisions in Sec. 101.13(q)(3)(ii) (21 
    CFR 101.13(q)(3)(ii)), the agency sought to interpret section 
    403(r)(2)(F) of the act in a flexible manner. Giving section 
    403(r)(2)(F) of the act a significantly broader or different 
    application must be accomplished through the legislative process. For 
    now, however, it remains the case that, except for the provisions for 
    amount or percentage statements under Sec. 101.13(i)(3), statements 
    that characterize the level of a dietary ingredient without an 
    established RDI or DRV will misbrand a conventional food.
        It is important to note that the use of defined nutrient content 
    claims, such as ``more'' and ``high,'' remains limited, for both 
    conventional foods and dietary supplements, to those dietary 
    ingredients that have RDI's or DRV's. Consumer research shows that the 
    defined nutrient content claims are widely recognized and used by 
    consumers, and that consumers understand that the defined claims have 
    specific meanings (Ref. 1). The agency is not convinced that consumers 
    will automatically associate comparative percentage statements on 
    dietary supplements with these defined nutrient content claims. 
    Consumer research shows that public confidence in the food label is 
    high (Ref. 2), and FDA has no reason to believe that the comparative 
    percentage claims provisions for dietary supplements will undermine 
    public confidence in the agency's regulations.
        Moreover, as the agency has previously stated (60 FR 67175 at 
    67177), FDA is not without recourse to curtail percentage claims that 
    are misleading on the labels and in the labeling of dietary 
    supplements. Percentage statements on the label or in labeling of 
    dietary supplements that characterize the percentage level of a dietary 
    ingredient for which there is no established RDI or DRV in relation to 
    an equivalent or increased/decreased amount of the dietary ingredient 
    in another food, would be misleading under sections 403(a) and 201(n) 
    of the act if there is not a meaningful amount of the dietary 
    ingredient in either of the foods being compared, or if there is not a 
    meaningful difference in the level of the dietary ingredient between 
    the two foods.
        The agency recognizes that it cannot provide a completely 
    satisfying resolution for the differences in the types of percentage 
    claims that can be made on the labels and in labeling of dietary 
    supplements as opposed to conventional foods. FDA is committed, 
    however, to as much parity between dietary supplements and conventional 
    foods as is possible within the statute. The agency rejects the comment 
    that dietary supplements should be treated differently than 
    conventional foods because differences in treatment are in the interest 
    of a free market in dietary supplements. The agency has an obligation 
    to implement the law that Congress has enacted in a fair and equitable 
    manner. FDA is doing exactly that in its regulation of content claims 
    for dietary supplements as well as for conventional foods.
        3. One comment from a food manufacturer interpreted the proposal to 
    mean that food companies may no longer make percentage statements about 
    ingredients contained in their products (e.g., ``70% milk,'' ``twice as 
    much milk as the leading brand'') because FDA has not adopted RDI's or 
    DRV's for these ingredients. The manufacturer argued that there is 
    nothing in any statute or regulation that prohibits a food manufacturer 
    from stating that its product contains a particular ingredient, or from 
    comparing the amount of the ingredient to the amount present in another 
    food.
        FDA concludes that this comment misconstrues the statute. The 
    agency proposed to implement section 403(r)(2)(F) of the act, which, as 
    stated above, applies only to claims in the labeling of a dietary 
    supplement that characterize the percentage of a dietary ingredient for 
    which FDA has not established an RDI or DRV (e.g., omega-3 fatty acids, 
    amino acids, phytochemicals). This provision has no application to 
    conventional foods.
        As for the milk claims that the comment cites, the agency advises 
    that it has no intention of limiting percentage statements on 
    conventional foods that clearly describe ingredients in a manner that 
    relates to their organoleptic properties or that presents them as 
    adding value to the product. Manufacturers of conventional foods may 
    continue to state that products contain particular ingredients and to 
    compare the amounts of such ingredients to the amounts present in other 
    foods (see 21 CFR 101.65(b)(3)). However, the agency will continue to 
    evaluate the context in which claims such as ``70% milk'' and ``twice 
    as much milk as a leading brand'' are made to determine whether they 
    fall under the nutrient content claims regime. Such claims can be, in 
    some cases, implied nutrient content claims about the level of calcium 
    in the product that bears the claim. If such statements are found to be 
    implied nutrient content claims for calcium by the agency, they may be 
    used as long as they meet the criteria for the claim (see 21 CFR 
    101.54). If they are not implied claims, nothing in the regulations 
    precludes the use of such
    
    [[Page 49862]]
    
    statements so long as they are truthful and nonmisleading.
        4. One comment argued that the new definition of ``dietary 
    supplement'' is ambiguous and would include products marketed in 
    ``traditional food form.'' The comment requested that the agency 
    clarify whether conventional food products that contain high levels of 
    nutrients, such as breakfast cereals and fruits and vegetables can be 
    marketed as supplements.
        The distinction between dietary supplements and conventional foods 
    becomes more apparent when the act is read carefully. The DSHEA added 
    section 201(ff)(2) which provides that a ``dietary supplement'' is a 
    product that is not represented for use as a conventional food. It also 
    struck the provision that excluded products that simulate conventional 
    foods from the coverage of section 411 of the act (see section 3(c)(2) 
    of the DSHEA). Thus, under the act, as amended by the DSHEA, a dietary 
    supplement may be ``in conventional food form.'' In other words, a 
    dietary supplement may be a product with physical attributes (e.g., 
    product size, shape, taste, packaging) that are essentially the same as 
    a conventional food, so long as it is not represented for use as a 
    conventional food.
        Thus, whether a product is a dietary supplement or a conventional 
    food will depend on how it is labeled. To be a dietary supplement, a 
    product must bear the term ``dietary supplement'' as part of its common 
    or usual name. This term may be modified to include the name of the 
    dietary ingredient (e.g, ``vitamin C supplement'') or an appropriately 
    descriptive term (e.g., ``multivitamin supplement''). (See comment 
    number 1 in the companion document entitled ``Food Labeling; Statement 
    of Identity, Nutrition Labeling and Ingredient Labeling of Dietary 
    Supplements'' published elsewhere in this issue of the Federal Register 
    for further discussion of this issue.) All other food products, that 
    is, those that are not identified as dietary supplements, will be 
    subject to regulation as conventional foods.
        While use of the term ``dietary supplement'' in the statement of 
    identity is a necessary condition for a product to be represented as a 
    dietary supplement, it may not be enough to establish that the food is 
    appropriately regulated as one. If the food is represented as a dietary 
    supplement and is only intended to increase the dietary intake of 
    specific substances (e.g., vitamins), then the product would likely be 
    subject to regulation as a dietary supplement (section 201(ff)(1) of 
    the act). It would not be subject to regulation as a dietary 
    supplement, however, if it bears a statement that associates it with a 
    conventional food. For example, a product in bar form that is labeled 
    as a dietary supplement but that also bears label statements that 
    represent it as a snack food or as a substitute for a candy bar would 
    be subject to regulation as a conventional food. Similarly, a breakfast 
    cereal-type product could characterize itself as a dietary supplement 
    if it did not represent itself as a breakfast food or use the term 
    ``cereal'' as a statement of identity. Either of the latter two 
    scenarios would represent the product as a conventional food.
        This result is compelled by section 201(ff)(1) of the act, which 
    states that a dietary supplement is intended to supplement the diet. 
    Claims that represent the product as being a snack food or a breakfast 
    cereal would evidence that the product is intended to do more than 
    supplement the diet and thus would subject it to the regime that 
    applies to foods other than dietary supplements.
    
    B. Quantitative Amounts for Percentage Claims
    
        5. A comment from a manufacturer of a dietary supplement stated 
    that percentage claims such as ``40 percent omega-3 fatty acids'' do 
    not give the consumer any meaningful information because the consumer 
    will not know whether the claim means that 40 percent of the product is 
    omega-3 fatty acids, or that the product contains an ingredient that is 
    composed of 40 percent omega-3 fatty acids, or even that the product 
    contains 40 percent of the omega-3 fatty acids as compared to another 
    brand or another food. The comment stated that the only way to make 
    this information useful and nonmisleading is to require that the 
    percentage level be immediately accompanied by a statement of the 
    quantity of the dietary ingredient per serving of the product.
        The comment also stated that there are inherent problems in 
    comparing a manufactured or synthetic dietary ingredient with a dietary 
    ingredient in its natural source because natural sources are subject to 
    wide variability in composition. For example, the comment maintained 
    that there would be no way to accurately quantify the actual amount 
    that comprises ``100 percent of the dietary ingredient `X' in a bulb of 
    garlic.'' The comment stated that this example is meaningless and would 
    mislead consumers. The comment suggested that to provide any meaningful 
    comparative information to consumers, there must be some generally 
    recognized quantitative amount of the dietary ingredient in the 
    reference substance. The comment also suggested that in the absence of 
    a scientifically accepted standard for measuring the dietary ingredient 
    in a natural source, FDA should clarify that when there is a comparison 
    of an added, or a synthetic, dietary ingredient to a natural source 
    (e.g., garlic bulb, fish liver oil), the natural source is the 
    ``reference food,'' which is subject to the requirement for clear 
    identification. The comment suggested that the actual amounts of the 
    dietary ingredient in the labeled and reference foods be declared.
        The agency is persuaded that percentage claims will provide more 
    useful information to the consumer, and that the potential for 
    misleading claims will be limited, if quantitative information is 
    provided along with the percentage information. This information will 
    facilitate comparisons of the amounts of dietary ingredients in 
    products that bear percentage claims, which, in turn, will assist 
    consumers in selecting products with the amount of the dietary 
    ingredient that they are seeking and will allow consumers to make 
    comparisons of the content of specific dietary ingredients across 
    products.
        Accordingly, FDA is revising Sec. 101.13(q)(3)(ii) by adding 
    Sec. 101.13(q)(3)(ii)(A) to state that, for dietary supplements, 
    whenever a statement is made that characterizes the percentage level of 
    a dietary ingredient for which there is no RDI or DRV, the actual 
    amount of the dietary ingredient in a serving of the product shall also 
    be declared (e.g., ``40 percent omega-3 fatty acids, 10 mg per 
    capsule'').
        In addition, FDA is adding Sec. 101.13(q)(3)(ii)(B), which states 
    that, for dietary supplements, where a statement that characterizes the 
    percentage level for a dietary ingredient for which there is no RDI or 
    DRV is used to compare the amount of the ingredient in the food that 
    bears the claim to the amount in a reference food, the amount of the 
    dietary ingredient in the food must be declared and the amount of the 
    dietary ingredient in the reference food to which the product is being 
    compared must also be declared. Moreover, the reference food must be 
    clearly identified (e.g., ``twice the omega-3 fatty acids per capsule 
    (80 mg) as in 100 mg of menhaden oil (40 mg)'').
        While FDA acknowledges that there may be variability in the content 
    of certain dietary ingredients in natural source products (e.g., 
    garlic) based on a variety of conditions (e.g., soil, cultivars, 
    climate), FDA is not persuaded that the inherent variability
    
    [[Page 49863]]
    
    in the content of a dietary ingredient is a barrier to the declaration 
    of the quantitative amount of the dietary ingredient on the product 
    label. Variability in nutrient content is a factor that the agency 
    takes into consideration in evaluating label statements for all foods, 
    not just dietary supplements. Implicit in the compliance sampling 
    provisions in 21 CFR 101.9(g) is the concept that there will be 
    variation in naturally-occurring nutrients present in subsamples of a 
    product. Variability is taken into consideration in the development of 
    data bases and food composition tables. FDA expects that, as more 
    analyses are performed in support of label values for naturally-
    occurring dietary ingredients that have and do not have RDI's or DRV's, 
    guidance on sampling strategies, weighing procedures, and statistical 
    treatment to account for variation among samples will improve. Because 
    of potential variation in the dietary ingredient content, firms may 
    label the dietary ingredient values on products conservatively, so that 
    the products declaring such values have a high probability of passing 
    the FDA compliance evaluation. Statistical procedures for doing so are 
    discussed in ``FDA Nutrition Labeling Manual: A Guide for Developing 
    and Using Databases.'' At the same time, consumers have the right to 
    expect, with a reasonable probability, that label values honestly and 
    reasonably represent the content in the products they purchase.
        6. A couple of comments noted that in many instances there are no 
    validated methods to analyze for a variety of dietary ingredients, 
    particularly herbal ingredients. The comments pointed out that the 
    accuracy of label claims will be impossible to verify because of the 
    lack of accepted quantitative analytical methods or standards.
        FDA recognizes that analytical methods are needed for a variety of 
    dietary ingredients. The agency encourages the dietary supplement 
    industry to participate in developing and in validating analytical 
    methods for dietary ingredients for which there are not generally 
    accepted methods. The lack of methodology to assess the validity of 
    label claims is of concern because it increases the possibility of 
    consumer fraud. However, FDA has every expectation that dietary 
    supplement manufacturers will make claims in a responsible manner. This 
    is the premise on which section 403(r)(6) of the act (see section 
    403(r)(6)(B)) was apparently based. Therefore, FDA expects that firms 
    will not make claims unless they are in possession of evidence that 
    establishes the validity of their claims.
        7. Several comments suggested that all examples discussing the 
    amount of allicin in garlic (e.g., ``100 percent of the allicin in a 
    bulb of garlic'') be dropped because there is no allicin in a bulb of 
    garlic or in dietary supplements of garlic. One comment stated that 
    allicin is produced as a result of an enzymatic reaction of alliin with 
    the enzyme alliinase (which are both components of raw garlic), and 
    that this reaction occurs only when the garlic clove is ruptured by 
    crushing, cutting, or some other manner. The comment stated that 
    allicin is associated with garlic only during the process of 
    decomposition, and that it has a half-life of less than 24 hours at 
    room temperature. The comment stated that it is helpful to have some 
    examples that illustrate the distinction between ``ingredient'' and 
    ``dietary ingredient.''
        The agency used the allicin and garlic examples only to illustrate 
    distinctions in label statements about dietary ingredients and 
    ingredients. Based on the comments, the agency concludes that the 
    examples, which were taken from statements by representatives of the 
    dietary supplement industry, were not the best choices to illustrate 
    this distinction. Questions regarding the presence or absence of 
    allicin are beyond the scope of this rulemaking. Accordingly, the 
    agency will remove all examples referring to garlic and allicin from 
    Sec. 101.13(q).
        The agency agrees that examples that show the difference between a 
    dietary ingredient and an ingredient are helpful. Calcium, iron, and 
    omega-3 fatty acids are examples of dietary ingredients, while calcium 
    carbonate, ferrous sulfate, and cod liver oil respectively, are 
    examples of ingredients.
        8. One comment requested that the agency drop the proposed 
    requirements for referral statements, disclosure statements, and 
    accompanying information for percentage claims on dietary supplements.
        The comment did not provide any explanation to support its request, 
    and therefore, the agency has no basis upon which to change its 
    position on these requirements. While section 403(r)(2)(F) of the act 
    states that section 403(r)(2)(A)(i) does not apply to statements on the 
    labels of dietary supplements that characterize the percent level of 
    dietary ingredients, there is nothing in the DSHEA that exempts such 
    statements from the requirement in section 403(r)(2)(B) of the act for 
    referral statements (i.e., ``See [location] for nutrition 
    information'') or from other requirements for nutrient content claims. 
    Therefore, FDA has made no change in response to this comment.
    
    C. Disclaimer
    
        9. Several comments requested that FDA clarify that the disclaimer 
    for statements made under section 403(r)(6) of the act is required only 
    when the manufacturer wishes to take advantage of the provisions for 
    exemption from the drug definition. Other comments requested that the 
    agency clarify that section 6 of the DSHEA (which added section 
    403(r)(6) to the act) does not apply to recognized nutrients with RDI's 
    or DRV's. Other comments requested that the agency clarify the type of 
    claims that may be made, the form and amount of substantiation that FDA 
    will require, and to whom and in what form the 30-day notification must 
    be made.
        Section 403(r)(6) of the act sets out the circumstances in which 
    certain types of statements can be made about all of the substances 
    listed in section 201(ff) of the act in the label or labeling of 
    dietary supplements. FDA is no longer referring to these statements as 
    ``statements of nutritional support,'' even though this phrase is used 
    in the title of section 6 of the DSHEA, because many of the substances 
    that can be the subject of this type of claim do not have nutritional 
    value. Thus, the term ``statement of nutritional support'' is not 
    accurate in all instances.
        The agency agrees that the disclaimer provided for in section 
    403(r)(6) of the act is required only when the manufacturer wishes to 
    take advantage of the exception from the drug definition that is 
    provided for in section 201(g)(1) of the act for products that comply 
    with section 403(r)(6). Section 201(g)(1)(C) of the act recognizes that 
    common sense foods, that is, products with nutritional value, affect 
    the structure or function of the body because of their nutritional 
    value. Thus, the types of claims described in section 403(r)(6)(A) of 
    the act can be made to describe the nutritive value of a product 
    without fear of action against the product as a drug (e.g., ``calcium 
    builds strong bones and teeth'') so long as the claims are not false or 
    misleading. The claim would simply describe the nutritive value of the 
    substance in question. However, a dietary supplement manufacturer may 
    still choose to comply with section 403(r)(6) of the act in making a 
    claim about a substance with nutritive value if the manufacturer 
    chooses to take advantage of the protection provided by that section 
    and the last sentence of section of section 201(g)(1) of the act. 
    Products without nutritive value, however, would be subject to 
    regulatory action as drugs
    
    [[Page 49864]]
    
    under section 201(g)(1)(C) of the act if they make any of the claims 
    listed in section 403(r)(6)(A) of the act without compliance with all 
    of the provisions of section 403(r)(6).
        Questions regarding substantiation and notification requirements 
    for statements provided for under section 403(r)(6) of the act are 
    outside the scope of this rulemaking. The agency advises that it 
    published a proposed rule on notification procedures for such 
    statements in the Federal Register on September 27, 1996 (61 FR 50771). 
    The agency's tentative conclusions with respect to notification 
    procedures are discussed in that proposal.
        The agency concludes that it is desirable to streamline its 
    regulations by covering all provisions addressing statements provided 
    for under section 403(r)(6) of the act in one section. For consistency 
    with the proposed regulation on notification procedures, the agency is 
    changing the title and the section number from ``Sec. 101.94 Statements 
    of nutritional support; disclaimer'' to ``Sec. 101.93 Notification 
    procedures for certain types of statements on dietary supplements.'' 
    Additionally, the agency is redesignating proposed Sec. 101.94(a), (b), 
    (c), and (d) as Sec. 101.93 (b), (c), (d), and (e) and reserving 
    Sec. 101.93(a) in anticipation of the final rule on notification 
    procedures.
        10. One comment requested that the agency eliminate a reference to 
    ``the exemption to section 201(g)(1)(C) of the act'' from proposed 
    Sec. 101.94(a) (redesignated as Sec. 101.93(b)) because there are two 
    exceptions to 201(g)(1)(C) of the act. The comment stated that the 
    first exemption is the exception for ``food'' in section 201(g)(1)(C) 
    of the act. The comment stated that the second exemption is the one 
    that was added by the DSHEA. The comment stated that the DSHEA provides 
    that those dietary ingredients that are not covered by the first 
    exception from the drug definition (i.e., for food) are covered by the 
    mechanism in section 403(r)(6) of the act that permits claims to be 
    made concerning the role of other dietary ingredients in the body while 
    avoiding classification as a ``drug.''
        FDA acknowledges that there are now two exceptions to section 
    201(g)(1)(C) of the act. Accordingly, the agency is clarifying that 
    Sec. 101.93(b) refers to the second exception, that is, for dietary 
    supplements that are labeled in compliance with section 403(r)(6) of 
    the act. FDA is revising Sec. 101.93(b) to reflect the comment's point 
    that there are now two exceptions to section 201(g)(1)(C) of the act.
        However, FDA disagrees with the comment in two respects. First, the 
    comment seems to imply that all dietary supplements are covered per se 
    by the exception, which is not the case. Dietary supplements have to 
    comply with section 403(r)(6) of the act to be subject to the exception 
    (unless, of course, as stated above, they are subject to the other 
    exception for ``food'' as that term has been interpreted by the courts, 
    see Nutrilab Inc. v. Schweiker, 713 F.2d. 335, 338 (7th Cr. 1983)). In 
    addition, paragraph (a) of the conforming amendments found in section 
    10 of the DSHEA states that a product that bears a statement made in 
    accordance with section 403(r)(6) of the act is not a drug under 
    section 201(g)(1)(C) of the act ``solely because the label or the 
    labeling contains such a statement.'' Thus, the dietary supplement may 
    be found to be a drug based on some evidence of intended use other than 
    the statement made in accordance with section 403(r)(6) of the act.
        11. Several comments supported the proposal to place the disclaimer 
    adjacent to the statement provided for under section 403(r)(6) of the 
    act where there is a single statement. Other comments disagreed with 
    this aspect of the proposal. The latter comments stated that it is 
    sufficient to tie the statement to the disclaimer through the use of 
    asterisks. These comments maintained that dietary supplement packages 
    tend to be small, that space is at a premium on dietary supplement 
    labels, and that consumers are sufficiently accustomed to the asterisk 
    to locate the disclaimer elsewhere on the label.
        Similarly, other comments supported the proposal that the 
    disclaimer be placed on the same panel or page where there are multiple 
    statements. Other comments objected to this placement and stated that 
    the repetition of the disclaimer on every panel or page on which a 
    statement appears is redundant and unnecessary. To justify the 
    placement of the disclaimer on an alternate panel, one comment stated 
    that safety claims are often found on separate label panels, and that 
    there is no evidence that separating a message on different parts of a 
    label leads to a lack of consumer understanding of the safety 
    information on these products. Other comments stated that the agency's 
    proposed approach is not required by statute, places an undue burden on 
    dietary supplement manufacturers and distributors, and would inhibit, 
    rather than aid, consumer understanding of information on the labeling 
    of these products. These comments also maintained that there is 
    typically insufficient space to repeat the disclaimer on every panel or 
    page.
        One comment urged the agency to use a single ``global'' disclaimer 
    for all claims made on a dietary supplement label and claimed that if 
    the agency did so, no asterisks or symbols would be necessary.
        A variety of locations were suggested for the placement of the 
    disclaimer. A couple of comments suggested that the disclaimer be 
    placed under, or adjacent to, the nutrition label. Other comments 
    suggested that the disclaimer be placed on the panel to the left of the 
    principal display panel. Another comment suggested that the disclaimer 
    be placed next to the most prominent claim.
        FDA has evaluated the comments and concludes that the placement of 
    the disclaimer on a panel other than where the statement is made would 
    not meet the statutory requirement for the placement of the disclaimer. 
    Section 403(r)(6)(C) of the act requires that the statement ``contain'' 
    the disclaimer, prominently displayed in boldface type. A literal 
    reading of section 403(r)(6)(C) of the act suggests that each statement 
    must contain the disclaimer in its entirety.
        In the case of multiple statements, the agency sought to minimize 
    the burdens imposed by the act by proposing that when the statements 
    provided for in section 403(r)(6) of the act are tied to the disclaimer 
    by means of an asterisk or other symbol, the statutory requirement that 
    the statement contain the disclaimer would be met because the two 
    discrete pieces would be linked together.
        Based on its experience with asterisks within the nutrition label, 
    the agency concludes that consumers are accustomed to using asterisks 
    on labels to associate two discrete pieces of important information 
    when they are in the same field of vision (Ref. 3). For this reason, 
    the agency is persuaded that the use of an asterisk or other symbol 
    that links the statement to the disclaimer meets the statutory 
    requirement for single statements. Ideally, the disclaimer should be 
    placed immediately adjacent to each statement, but the agency is 
    convinced that the use of asterisks or other symbols will adequately 
    serve the same purpose while providing flexibility to the 
    manufacturers. The agency is revising proposed Sec. 101.94(c) 
    (redesignated as Sec. 101.93(d)) to reflect this judgement.
        The agency rejects the comments that stated that repetition of the 
    disclaimer on every panel or page where a statement made in accordance 
    with section 403(r)(6) of the act appears is unnecessary. The agency 
    concludes that
    
    [[Page 49865]]
    
    to meet the statutory requirement that the disclaimer be ``contained'' 
    within the statement, the disclaimer must be within the same field of 
    vision as the statement itself. Because the agency concludes that the 
    placement of the disclaimer anywhere on the same page or panel of 
    labeling is equivalent to meeting the requirement of being 
    ``contained,'' each of the suggestions for the placement of a single 
    disclaimer on a product label (e.g., under the nutrition label, 
    adjacent to the most prominent claim) would not provide an acceptable 
    alternative.
        The agency points out that the requirements for the disclaimer also 
    extend to labeling: There are potentially many vehicles (e.g., 
    placards, pamphlets, catalogs, books) that would have to bear the 
    disclaimer. The agency is concerned that the disclaimer be prominent in 
    these forms of labeling. Even with the flexibility of the use of an 
    asterisk to tie the claim and the disclaimer to a single statement, the 
    disclaimer could be obscured in pages of text of a package insert, 
    pamphlet, or book if it did not appear on the same page or panel (i.e., 
    in the same field of vision) as the statement itself. Because of the 
    variety of possibilities for the presentation of the disclaimer, the 
    agency concludes that for labeling, as for labels, it is important to 
    retain the provision that the disclaimer appear within the same field 
    of vision, that is, on each package panel or page where a statement is 
    made, under section 403(r)(6) of the act.
        The use of the statements provided for in section 403(r)(6) of the 
    act is entirely voluntary, and the agency is not persuaded that the use 
    of the disclaimer would be unduly burdensome to manufacturers that 
    choose to use such statements.
        The agency rejects the concept of a ``global'' disclaimer because 
    its application would be undefined and thus could create misleading or 
    false impressions. For example, some products may bear a variety of 
    claims, including nutrient content and health claims, which are 
    authorized by the agency. In this case, the use of a ``global'' 
    disclaimer could create the impression that these claims had not been 
    evaluated by FDA, which would be false.
        Accordingly, the agency is revising proposed Sec. 101.94(c) 
    (redesignated as Sec. 101.93(d)) to state that a symbol (e.g., an 
    asterisk) can be used to link a single statement to the disclaimer. On 
    product labels and in labeling for single and multiple statements, the 
    disclaimer shall appear on each panel or page where there is a 
    statement.
        12. A couple of comments supported the placement of the disclaimer 
    within a box. These comments stated that placement of the statement 
    within a box should help ensure that consumers will read the disclaimer 
    and will give adequate prominence to the statutory statement. Other 
    comments disagreed with the placement of the disclaimer within a box. 
    Several comments stated that the DSHEA makes no reference to a box. A 
    couple of comments stated that warnings are typically set out in boxes 
    in labeling, and the disclaimer is not intended to be a warning. 
    Another comment objected to boldface type.
        One comment referred to the definition of prominence in section 
    403(f) of the act and stated that all this section requires is that the 
    information be placed such that consumers are likely to read it under 
    customary conditions of purchase and use. One comment stated that it 
    should be left to the discretion of the manufacturer to ensure that the 
    disclaimer is prominently featured, through some combination of 
    boldface type, color, a box, or other design features.
        The agency is not aware of any research that specifically examines 
    whether consumers associate boxed information with warning information. 
    No evidence was included in the comments to persuade the agency that 
    boxed information is viewed by consumers as a warning. Manufacturers 
    may voluntarily enhance the disclaimer by a variety of other graphic 
    measures. However, section 403(r)(6)(C) of the act requires that the 
    disclaimer be in boldface type. Graphic devices such as boxing are used 
    to draw attention to important information. For example, the nutrition 
    label is placed in a box. Thus, the relevant question is whether the 
    information is important enough to be boxed, not whether it will be 
    seen as a warning.
        Congress has made the judgment that the disclaimer is important 
    information by requiring that the statement be in boldface type. 
    Because the statue explicitly requires boldface type, FDA is not 
    persuaded that the standard for prominence in 403(f) of that act is 
    sufficient to meet the standard for prominence for the disclaimer 
    intended by the Congress. FDA is providing that the statement may be 
    physically separated from the statements made under section 403(r)(6) 
    of the act. To ensure that the disclaimer gets the prominence that 
    Congress intended, FDA is requiring that it be put in a box if it is 
    separated from the statement made under section 403(r)(6) of the act. 
    Therefore, the agency is is retaining the requirement in 
    Sec. 101.94(c)(2) (redesignated as Sec. 101.93(d)) that the disclaimer 
    be set off in a box where it is not adjacent to the statement.
        13. One comment requested that the type size requirement be revised 
    to meet the requirements in Sec. 101.2 (21 CFR 101.2) which provide 
    one-sixteenth of an inch as a general minimum type size. The comment 
    maintained that inasmuch as FDA has determined that the requirements in 
    Sec. 101.2 are adequate to satisfy section 403(f) of the act, the 
    requirements of Sec. 101.2 are also appropriate in implementing the 
    disclaimer provisions specified in section 403(r)(6) of the act. In 
    addition, the comment urged the agency to clarify that the type size 
    options for special package sizes are available to dietary supplements 
    which often come in small packages.
        Based on the plain language of section 403(r)(6)(C) of the act, the 
    agency concludes that it was Congress' intent that the disclaimer be 
    prominent and not obscured on the label or in labeling. For that 
    reason, the agency proposed that the typesize for the disclaimer be no 
    smaller than the larger of one-half the type size of the largest 
    statement provided for in section 403(r)(6) of the act, but in no case 
    no smaller than one-sixteenth of an inch. FDA tentatively concluded 
    that in this manner, prominence could be assured because the disclaimer 
    would be proportional to the section 403(r)(6) of the act statement or, 
    at minimum, one-sixteenth of an inch (60 FR 67176 at 6781).
        Because FDA is retaining the provisions that the disclaimer be on 
    the same panel or page as the statement, and that the disclaimer be 
    boxed when it is not adjacent to the statement, the agency concludes 
    that the disclaimer can be readily located and, thus, that the 
    statutory requirement for prominence is largely met. Readability is a 
    clear attribute of prominence, and based on its experience with food 
    labeling, one-sixteenth of an inch is generally readable (Ref. 3). 
    Section 403(r)(6)(C) of the act requires that the disclaimer be in 
    boldface type, which should also facilitate readability. Therefore, FDA 
    has no objection to a minimum typesize of one-sixteenth of an inch for 
    the disclaimer. Accordingly, the agency is revising proposed 
    Sec. 101.94(d) (redesignated as Sec. 101.93(e)) to specify that one-
    sixteenth inch is the minimum typesize for the disclaimer.
        Statements provided for in section 403(r)(6) of the act are 
    entirely voluntary. All required information must first be considered 
    in designing labels. Moreover, the firm must consider that the 
    disclaimer must be prominent as required by the statute. Therefore,
    
    [[Page 49866]]
    
    there will be instances in which statements under section 403(r)(6) of 
    the act should not be used on a label or in labeling because it is not 
    feasible to accommodate both the required information and the statutory 
    requirement for prominence for the disclaimer.
        Inasmuch as the purpose of Sec. 101.2(c)(1) through (c)(3) was to 
    encourage voluntary declaration of nutrition information and complete 
    ingredient listing on all foods before the provision of this 
    information was made mandatory by the 1990 amendments, FDA gave notice 
    of its intention to revoke the exemptions in Sec. 101.2(c)(1), (c)(2), 
    and (c)(3) in its December 1995 proposal entitled ``Food Labeling: 
    Statement of Identity, Nutrition Labeling, and Ingredient Labeling of 
    Dietary Supplements'' (60 FR 67194 at 67208) and proposed to do so in 
    the Federal Register of June 12, 1996 (61 FR 29708). These provisions 
    are now obsolete. Therefore, FDA is not accepting the recommendation of 
    these comments, and the request to include the options for small 
    package size listed under Sec. 101.2(c) is denied.
    
    III. Effective Date
    
        14. Several comments recommended an effective date of 18 months 
    following the publication of the final rule. One comment stated that 
    the dietary supplement industry is unique because of the number of 
    dietary supplement products sold that are ``private label,'' that is 
    manufactured for or distributed by the company named on the label (the 
    brand owner). The comment noted that many products in the ``private 
    label'' category are store brands. The comment stated that these facts 
    mean that many manufacturers must prepare a wide variety of labels for 
    the same product. The comment used the example of one company producing 
    private label merchandise that may have over 10,000 labels that will 
    need to be conformed to the new regulations, and that for such store 
    brand private label products, the time it would take to deplete the 
    inventory of labels is well over 18 months. The comment noted that the 
    period to use labels that state ``manufactured for'' and ``distributed 
    by'' could be easily as long.
        FDA is persuaded by the majority of the comments that it is 
    appropriate to have the effective date of this final rule be 18 months 
    from the date of its publication, consistent with the time period 
    allowed for the labels of conventional foods to comply with the 1990 
    amendments. FDA is addressing the issues raised by these comments in 
    greater detail in the final rule entitled ``Food Labeling: Statement of 
    Identity, Nutrition Labeling and Ingredient Labeling of Dietary 
    Supplements'' published elsewhere in this issue of the Federal 
    Register.
    
    IV. Other Provisions
    
        FDA did not receive any comments that dealt specifically with the 
    other provisions of the proposal. In the absence of any basis for doing 
    otherwise, FDA is adopting those provisions as proposed.
    
    V. Environmental Impact
    
        The agency has previously considered the environmental effects of 
    this rule as announced in the proposed rule (60 FR 67176). No new 
    information or comments have been received that would affect the 
    agency's previous determination that there is no significant impact of 
    the human environment and that an environmental impact statement is not 
    required.
    
    VI. Paperwork Reduction Act
    
        In the dietary supplement proposal, FDA stated its tentative 
    conclusion that the proposed rule contains no reporting, recordkeeping, 
    labeling, or other third party disclosure requirements and asked for 
    comments on whether the proposed rule imposed any paperwork burden. No 
    comments were received addressing the question of paperwork burden. FDA 
    concludes that the labeling requirement in this document are not 
    subject to review by the Office of Management and Budget because they 
    do not constitute a ``collection of information'' under the Paperwork 
    Reduction Act of 1995 (44 U.S.C. 3501 et seq.). Rather, the labeling 
    statements are a ``public disclosure of information originally supplied 
    by the Federal government to the recipient for the purpose of 
    disclosure to the public'' (5 CFR 1320.3(c)(2)).
    
    VII. Analysis of Impacts
    
        FDA has examined the economic implications of the final rule as 
    required by Executive Order 12866 and the Regulatory Flexibility Act (5 
    U.S.C. 601-612). Executive Order 12866 directs agencies to assess all 
    costs and benefits of available regulatory alternatives and, when 
    regulation is necessary, to select the regulatory approach that 
    maximizes net benefits (including potential economic, environmental, 
    public health and safety effects; and other advantages; distributive 
    impacts; and equity). Executive Order 12866 classifies a rule as 
    significant if it meets any one of a number of specified conditions, 
    including having an annual effect on the economy of $100 million or 
    adversely affecting in a material way a sector of the economy, 
    competition, or jobs, or if it raises novel legal or policy issues. If 
    a rule has a significant impact on a substantial number of small 
    entities, the Regulatory Flexibility Act requires agencies to analyze 
    options that would minimize the economic impact of that rule on small 
    entities. FDA finds that this final rule is not a significant rule as 
    defined by Executive Order 12866, and finds under the Regulatory 
    Flexibility Act, that the final rule will not have a significant impact 
    on a substantial number of small entities. Similarly, it has been 
    determined that this rule is not a major rule for the purpose of 
    congressional review (Pub. L. 104-121).
        The final rule does not significantly change the way in which 
    claims are made with three exceptions: (1) Percentage claims for 
    dietary supplements that do not have RDI's or DRV's are no longer 
    prohibited; (2) dietary supplements of vitamins and minerals may now 
    highlight an ingredient that is not a vitamin or mineral; and (3) 
    labels or labeling of dietary supplements may include the types of 
    statements listed in 403(r)(6) of the act so long as those statements 
    are made in accordance with requirements of that section. With regards 
    to these actions, costs of redesigning labels will be incurred only by 
    those firms wishing to take advantage of the DSHEA. With respect to the 
    third, firms who wish to make the statements provided for in section 
    403(r)(6) of the act will incur the additional cost of redesigning 
    labels to include the disclaimer.
        FDA is unable to quantify the benefits from this final rule. Some 
    consumers will benefit from the additional information about dietary 
    ingredients that will become available. However, because statements may 
    now be made under section 403(r)(6) of the act for some dietary 
    ingredients without any information being submitted to FDA to 
    demonstrate that the dietary ingredient is safe, or that it will have 
    its claimed effect, it is uncertain whether this final rule will have 
    any significant health benefits.
        This rule provides small entities with the opportunity to use 
    certain claims that were previously prohibited. Small entities will 
    incur the cost of redesigning labels to include claims only if making 
    the claim will be profitable to the firm. In the proposed rule (60 FR 
    67176), FDA certified that this rule will not have a significant impact 
    on a substantial number of small entities. FDA received no objections 
    to that certification.
    
    [[Page 49867]]
    
    VIII. References
    
        The following references have been placed on display in the Dockets 
    Management Branch (address above) and may be seen by interested persons 
    between 9 a.m. and 4 p.m., Monday through Friday.
        1. The Research Department, Food Marketing Institute, ``Trends 
    in the United States: Consumer Attitudes & the Supermarket,'' 1996.
        2. Levy, A. S., and B. M. Derby, ''The Impact of the NLEA on 
    Consumer: Recent Findings from FDA's Food Label and Nutrition 
    Tracking System. Executive Summary, January 23, 1996.
        3. Levy, A. S., memorandum to Camille Brewer: Likely 
    Effectiveness of Proposed Format Requirements for Disclaimer 
    Statement on Dietary Supplement Products, January 16, 1997.
    
    List of Subjects in 21 CFR Part 101
    
        Food labeling, Nutrition, Reporting and recordkeeping requirements.
        Therefore, under the Federal Food, Drug, and Cosmetic Act and under 
    authority delegated to the Commissioner of Food and Drugs, CFR part 101 
    is amended as follows:
    
    PART 101--FOOD LABELING
    
        1. The authority citation for 21 CFR part 101 continues to read as 
    follows:
    
        Authority: Secs. 4, 5, 6 of the Fair Packaging and Labeling Act 
    (15 U.S.C. 1453, 1454, 1455); secs. 201, 301, 402, 403, 409, 701 of 
    the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321, 331, 342, 
    343, 348, 371).
    
        2. Section 101.13 is amended by revising paragraph (a), the 
    introductory text of paragraph (b), and redesignating paragraph (q)(3) 
    as paragraph (q)(3)(i), and adding new paragraph (q)(3)(ii) to read as 
    follows:
    
    Sec. 101.13  Nutrient content claims--general principles.
    
        (a) This section and the regulations in subpart D of this part 
    apply to foods that are intended for human consumption and that are 
    offered for sale, including conventional foods and dietary supplements.
        (b) A claim that expressly or implicitly characterizes the level of 
    a nutrient of the type required to be in nutrition labeling under 
    Sec. 101.9 or under Sec. 101.36 (that is, a nutrient content claim) may 
    not be made on the label or in labeling of foods unless the claim is 
    made in accordance with this regulation and with the applicable 
    regulations in subpart D of this part or in part 105 or part 107 of 
    this chapter.
    * * * * *
        (q) * * *
        (3) * * *
        (ii) Percentage claims for dietary supplements. Under section 
    403(r)(2)(F) of the act, a statement that characterizes the percentage 
    level of a dietary ingredient for which a reference daily intake (RDI) 
    or daily reference value (DRV) has not been established may be made on 
    the label or in labeling of dietary supplements without a regulation 
    that specifically defines such a statement. All such claims shall be 
    accompanied by a referral or disclosure statement in accordance with 
    paragraphs (g) or (h) of this section.
        (A) Simple percentage claims. Whenever a statement is made that 
    characterizes the percentage level of a dietary ingredient for which 
    there is no RDI or DRV, the statement of the actual amount of the 
    dietary ingredient per serving shall be declared next to the percentage 
    statement (e.g., ``40 percent omega-3 fatty acids, 10 mg per 
    capsule'').
        (B) Comparative percentage claims. Whenever a statement is made 
    that characterizes the percentage level of a dietary ingredient for 
    which there is no RDI or DRV and the statement draws a comparison to 
    the amount of the dietary ingredient in a reference food, the reference 
    food shall be clearly identified, the amount of that food shall be 
    identified, and the information on the actual amount of the dietary 
    ingredient in both foods shall be declared in accordance with paragraph 
    (j)(2)(iv) of this section (e.g., ``twice the omega-3 fatty acids per 
    capsule (80 mg) as in 100 mg of menhaden oil (40 mg)'').
    * * * * *
        3. Section 101.14 is amended by removing paragraph (a)(4), by 
    redesignating paragraphs (a)(5) and (a)(6) as paragraphs (a)(4) and 
    (a)(5), respectively; and by revising paragraphs (b)(3)(i) and (d)(3) 
    to read as follows:
    
    Sec. 101.14  Health claims: general requirements.
    
    * * * * *
        (b) * * *
        (3) * * *
        (i) The substance must, regardless of whether the food is a 
    conventional food or a dietary supplement, contribute taste, aroma, or 
    nutritive value, or any other technical effect listed in Sec. 170.3(o) 
    of this chapter, to the food and must retain that attribute when 
    consumed at levels that are necessary to justify a claim; and
    * * * * *
        (d) * * *
        (3) Nutrition labeling shall be provided in the label or labeling 
    of any food for which a health claim is made in accordance with 
    Sec. 101.9; for restaurant foods, in accordance with Sec. 101.10; or 
    for dietary supplements, in accordance with Sec. 101.36.
    * * * * *
        4. Section 101.54 is amended by revising paragraphs (b)(1), (c)(1), 
    and the introductory text of paragraph (e)(1) to read as follows:
    
    Sec. 101.54  Nutrient content claims for ``good source,'' ``high,'' and 
    ``more.''
    
    * * * * *
        (b) ``High'' claims. (1) The terms ``high,'' ``rich in,'' or 
    ``excellent source of'' may be used on the label and in the labeling of 
    foods, except meal products as defined in Sec. 101.13(l) and main dish 
    products as defined in Sec. 101.13(m), provided that the food contains 
    20 percent or more of the RDI or the DRV per reference amount 
    customarily consumed.
    * * * * *
        (c) ``Good Source'' claims. (1) The terms ``good source,'' 
    ``contains,'' or ``provides'' may be used on the label and in the 
    labeling of foods, except meal products as defined in Sec. 101.13(l) 
    and main dish products as defined in Sec. 101.13(m), provided that the 
    food contains 10 to 19 percent of the RDI or the DRV per reference 
    amount customarily consumed.
    * * * * *
        (e) ``More'' claims. (1) A relative claim using the terms ``more,'' 
    ``fortified,'' ``enriched,'' and ``added'' may be used on the label or 
    in labeling of foods to describe the level of protein, vitamins, 
    minerals, dietary fiber, or potassium, except as limited by 
    Sec. 101.13(j)(1)(i) and except meal products as defined in 
    Sec. 101.13(l) and main dish products as defined in Sec. 101.13(m), 
    provided that:
    * * * * *
        5. New Sec. 101.93 is amended by adding paragraphs (b) through (e) 
    to read as follows:
    
    Sec. 101.93  Notification procedures for certain types of statements on 
    dietary supplements.
    
        (a) * * *
        (b) Disclaimer. The requirements in this section apply to the label 
    or labeling of dietary supplements where the dietary supplement bears a 
    statement that is provided for by section 403(r)(6) of the Federal 
    Food, Drug, and Cosmetic Act (the act), and the manufacturer, packer, 
    or distributor wishes to take advantage of the exemption to section 
    201(g)(1)(C) of the act that is provided by compliance with section 
    403(r)(6) of the act.
        (c) Text for disclaimer. (1) Where there is one statement, the 
    disclaimer shall be placed in accordance with
    
    [[Page 49868]]
    
    paragraph (d) of this section and shall state:
        This statement has not been evaluated by the Food and Drug 
    Administration. This product is not intended to diagnose, treat, 
    cure, or prevent any disease.
        (2) Where there is more than one such statement on the label or in 
    the labeling, each statement shall bear the disclaimer in accordance 
    with paragraph (c)(1) of this section, or a plural disclaimer may be 
    placed in accordance with paragraph (d) of this section and shall 
    state:
        These statements have not been evaluated by the Food and Drug 
    Administration. This product is not intended to diagnose, treat, 
    cure, or prevent any disease.
        (d) Placement. The disclaimer shall be placed adjacent to the 
    statement with no intervening material or linked to the statement with 
    a symbol (e.g., an asterisk) at the end of each such statement that 
    refers to the same symbol placed adjacent to the disclaimer specified 
    in paragraphs (c)(1) or (c)(2) of this section. On product labels and 
    in labeling (e.g., pamphlets, catalogs), the disclaimer shall appear on 
    each panel or page where there such is a statement. The disclaimer 
    shall be set off in a box where it is not adjacent to the statement in 
    question.
        (e) Typesize. The disclaimer in paragraph (c) of this section shall 
    appear in boldface type in letters of a typesize no smaller than one-
    sixteenth inch.
    
        Dated: September 11, 1997.
     William B. Schultz,
     Deputy Commissioner for Policy.
    [FR Doc. 97-24730 Filed 9-22-97; 8:45 am]
    BILLING CODE 4160-01-F
    
    
    

Document Information

Effective Date:
3/23/1999
Published:
09/23/1997
Department:
Food and Drug Administration
Entry Type:
Rule
Action:
Final rule.
Document Number:
97-24730
Dates:
March 23, 1999.
Pages:
49859-49868 (10 pages)
Docket Numbers:
Docket No. 95N-0282
PDF File:
97-24730.pdf
CFR: (15)
21 CFR 101.93(a)
21 CFR 101.94(a)
21 CFR 101.93(b)
21 CFR 101.94(c)(2)
21 CFR 101.94(d)
More ...