The President of the Etablissement Français du Sang or the Director of the Armed Forces Blood Transfusion Centre is notified of the decision of the Director General of the Agence Nationale de Sécurité du Médicament et des Produits de Santé granting approval or authorising modification of the elements of approval by registered letter with acknowledgement of receipt. A copy of this decision is sent to the Minister for Health and, in the case of the Armed Forces Blood Transfusion Centre, to the Minister for Defence.