FDA Requests Comments on Medical Device Premarket Approval Information Collection Under PRA

Content

ACTION:

Notice.

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
associated with premarket approval of medical devices.

DATES:

Either electronic or written comments on the collection of information must be submitted by June 9, 2026.

ADDRESSES:

You may submit comments as follows. Please note that late, untimely filed comments will not be considered. The https://www.regulations.gov electronic filing system will accept comments until 11:59 p.m. Eastern Time at the end of June 9, 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:

• Federal eRulemaking Portal: https://www.regulations.gov. Follow the instructions for submitting comments. Comments submitted electronically, including attachments, to https://www.regulations.gov will be posted to the docket unchanged. Because your comment will be made public, you are solely responsible for ensuring
that your comment does not include any confidential information that you or a third party may not wish to be posted, such
as medical information, your or anyone else's Social Security number, or confidential business information, such as a manufacturing
process. Please note that if you include your name, contact information, or other information that identifies you in the body
of your comments, that information will be posted on https://www.regulations.gov.

• If you want to submit a comment with confidential information that you do not wish to be made available to the public, submit the comment as a written/paper submission and in the manner detailed (see “Written/Paper Submissions” and “Instructions”).

Written/Paper Submissions

Submit written/paper submissions as follows:

• Mail/Hand Delivery/Courier (for written/paper submissions): Dockets Management Staff (HFA-305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.

• For written/paper comments submitted to the Dockets Management Staff, FDA will post your comment, as well as any attachments, except for information submitted, marked and identified, as confidential, if submitted as detailed in “Instructions.” Instructions: All submissions received must include the Docket No. FDA-2026-N-2915 for Premarket Approval of Medical Devices. 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 https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through Friday, 240-402-7500.

• 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 https://www.regulations.gov. Submit both copies to the Dockets Management Staff. If you do not wish your name and contact information to be made publicly
available, you can provide this information on the cover sheet and not in the body of your comments and you must identify
this information as “confidential.” Any information marked as “confidential” will not be disclosed except in accordance with
21 CFR 10.20 and other applicable disclosure law. For more information about FDA's posting of comments to public dockets,
see 80 FR 56469, September 18, 2015, or access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.

Docket: For access to the docket to read background documents or the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in the heading of this document, into the “Search” box and follow the prompts
and/or go to the Dockets Management Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852, 240-402-7500.

FOR FURTHER INFORMATION CONTACT:

Amber Barrett, Office of Operations, Food and Drug Administration, Three White Flint North, 10A-12M, 11601 Landsdown St.,
North Bethesda, MD 20852, 301-796-8867, PRAStaff@fda.hhs.gov.

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.

Premarket Approval of Medical Devices

OMB Control Number 0910-0231—Extension

This information collection supports implementation of statutory and regulatory requirements that govern premarket approval
of medical devices. Premarket approval (PMA) is the FDA process of scientific and regulatory review to evaluate the safety
and effectiveness of Class III medical devices. Class III devices are those that support or sustain human life, are of substantial
importance in preventing impairment of human health, or which present a potential, unreasonable risk of illness or injury.
Due to the level of risk associated with Class III devices, FDA has determined that general and special controls alone are
insufficient to assure the safety and effectiveness of Class III devices. Therefore, these devices require a premarket approval
(PMA) application under section 515 of the FD&C Act (21 U.S.C. 360e) in order to obtain marketing approval. Please note that
PMA requirements apply differently to pre-amendments devices, post amendments devices, and transitional class III devices
and some Class III pre-amendment devices may require a Class III 510(k). See the PMA Historical Background web page at https://www.fda.gov/medical-devices/premarket-approval-pma/pma-historical-background for additional information. Section 515A of the FD&C Act (21 U.S.C. 360e-1) governs pediatric uses of devices.

The PMA is the most stringent type of device marketing application required by FDA. Applicants must receive FDA approval of
a PMA application prior to marketing the device. PMA approval is based on a determination that the PMA contains sufficient
valid scientific evidence to assure that the device is safe and effective for its intended use(s). Respondents to the information
collection are PMA applicants, or persons who own the rights, or otherwise have authorized access, to the data and other information
to be submitted in support of FDA approval. This person may be an individual, partnership, corporation, association, scientific
or academic establishment, government agency or organizational unit, or other legal entity. The applicant is often the inventor/developer
and ultimately the manufacturer. A Class III device that fails to meet PMA requirements is considered to be adulterated under
section 501(f) of the FD&C Act (21 U.S.C. 351(f)) and may not be marketed.

FDA regulations in part 814 (21 CFR part 814) implement section 515 and

  515A of the FD&C Act and establish procedures for the premarket approval of medical devices intended for human use, including
  the submission of information concerning use in pediatric patients. Regulations in part 814, subpart A (§§ 814.1 to 814.19)
  set forth general provisions pertaining to the confidentiality of data and information submitted to FDA in a PMA, research
  conducted outside the United States, service of orders, and product development protocols. Provisions in part 814, subparts
  B and C (§§ 814.20 to 814.47) establish format and content elements that must be included in an application, explain submission,
  and review schedules, and address the withdrawal and temporary suspension of a PMA. Post approval requirements, including
  reports required under 21 CFR part 803 (medical device reporting), are covered in regulations in part 814, subpart E (§§ 814.80
  to 814.84). Burden attributable to information collection associated with regulations in part 814, subpart H (§§ 814.100 to
  814.126) pertaining to Humanitarian Use Devices is currently approved in OMB control number 0910-0332.

For operational efficiency, we are revising the information collection to include burden that may be associated with recommendations
found in the Agency guidance document entitled, “Providing Information about Pediatric Uses of Medical Devices” (May 2014),
currently approved in OMB control number 0910-0748. The guidance document describes how to compile and submit the readily
available pediatric use information required under section 515A of the FD&C Act. The guidance document is available for download
from our website at https://www.fda.gov/regulatory-information/search-fda-guidance-documents/providing-information-about-pediatric-uses-medical-devices.

Relatedly, we are revising the information collection to include burden that may be associated with the submission of information
on pediatric use of medical devices under section 515A of the FD&C Act, also currently approved in OMB control number 0910-0748.
Section 515A(a) of the FD&C Act requires applicants who submit information to include readily available information providing
a description of any pediatric subpopulations that suffer from the disease or condition that the device is intended to treat,
diagnose, or cure, and the number of affected pediatric patients. This information allows FDA to track the number of approved
devices for which there is a pediatric subpopulation that suffers from the disease or condition that the device is intended
to treat, diagnose, or cure and the review time for each such device application.

We are also revising the information collection to include burden applicable to implementing requirements under section 402(j)(5)(B)
of the Public Health Service (PHS) Act (42 U.S.C. 282(j)(5)(B)), and set forth in regulations at 42 CFR part 11 (see 81 FR
64982, September 21, 2016). Specifically, applications under sections 505, 515, or 520(m) of the FD&C Act (21 U.S.C. 355,
360e, or 360j(m)), or under section 351 of the PHS Act (42 U.S.C. 262), or submission of a report under section 510(k) of
the FD&C Act, must be accompanied by a certification. Where available, such certification must include the appropriate National
Clinical Trial numbers. We have developed Form FDA 3674 “(Certification of Compliance Under 42 U.S.C. 282(j)(5)(B), with Requirements
of ClinicalTrials.gov Data Bank (includes instructions)”, available at https://www.fda.gov/science-research/clinical-trials-and-human-subject-protection/clinical-trial-forms for respondents to submit the requisite information.

Respondents can make single submissions in an electronic format that includes eCopies, submissions submitted on CD, DVD, or
flash drive and mailed to FDA and eSubmissions, submissions created using an electronic submission template (e.g., “electronic Submission Template and Resource” (eSTAR)). Consistent with our authority in section 745A(b) of the FD&C Act (21
U.S.C. 379k-1(b)), and performance goals found in our current Medical Device User Fee Amendments Commitment Letter, we developed
eSTAR for use through the Center for Devices and Radiological Health Customer Collaboration Portal. We use eSTAR as a tool
to facilitate the preparation of submissions in electronic format (available on FDA's website at https://www.fda.gov/medical-devices/how-study-and-market-your-device/voluntary-estar-program and identified as Form FDA 4062 “Electronic Submission Template and Resource (eSTAR)” (for Non-In Vitro Diagnostic submissions)
and form FDA 4078 “Electronic Submission Template and Resource (eSTAR)” (for In Vitro Diagnostic submissions)). We believe
respondents' use of eSTAR will significantly reduce burden attendant to application submissions by providing a uniform format
for requisite elements and by enhancing user interface through the use of modernized technology.

FDA estimates the burden of this collection of information as follows:

| Activity/21 CFR or FD&C Act section | Number of
respondents | Number of
responses perrespondent | Total annual
responses | Average burden
per response(hours) | Total hours |
| --- | --- | --- | --- | --- | --- |
| Premarket Approval Submissions (“traditional” and eSTAR preparation; eCopy submission) | | | | | |
| 21 CFR Part 814, Premarket Approval of Medical Devices | | | | | |
| Subpart A—General | | | | | |
| Research conducted outside the United States (814.15(b)) | 18 | 1 | 18 | 2 | 36 |
| Subpart B—Premarket Approval Application (PMA): | | | | | |
| PMA application (814.20) | 61 | 1 | 61 | 654.6 (654 hours, 38 minutes) | 39,931 |
| Information on clinical investigations conducted outside the United States (814.20(b)(6)(ii)(C)) | 18 | 1 | 18 | 0.5 (30 minutes) | 9 |
| PMA amendments and resubmitted PMAs (814.37(a)-(c) and (e)) | 1,125 | 4 | 4,500 | 167 | 751,500 |
| PMA supplements (814.39(a)) | 598 | 3 | 1,794 | 0.983 (59.11 minutes) | 1,764 |
| Special PMA supplement—changes being affected (814.39(d)) | 85 | 2 | 170 | 6 | 1,020 |
| 30-day notice (814.39(f)) | 1,499 | 15 | 22,485 | 16 | 359,760 |
| Subtotal subpart B | | | | | 1,153,984 |
| Subpart C—FDA Action on a PMA: | | | | | |
| Panel of experts request (814.42 and 515(c)(3) of the FD&C Act) | 4 | 1 | 4 | 30 | 120 |
| Subpart E—Postapproval Requirements: | | | | | |
| Postapproval requirements (814.82(a)(9)) | 14 | 1 | 14 | 135 | 1890 |
| Periodic reports (814.84(b)) | 860 | 2 | 1,720 | 10 | 17,200 |
| Subtotal subpart E | | | | | 19,090 |
| 42 CFR Part 11, Clinical Trials Registration and Results Information Submission, subparts D and E; and FDA Guidance “Form
FDA 3674—Certifications To Accompany Drug, Biological Product, and Device Applications/Submissions” | | | | | |
| Certification to accompany PMA submissions (Form FDA 3674) | 61 | 1 | 61 | 0.75 (45 minutes) | 46 |
| FD&C Act section 515A Pediatric Uses of Devices and FDA Guidance “Providing Information about Pediatric Uses of Medical Devices” | | | | | |
| Pediatric information in a PMA, PDP, or PMA supplement | 659 | 6 | 3,954 | 2.10 (2 hours, 6 minutes) | 8,303 |
| Pediatric use information outside approved indication | 6 | 1 | 6 | 0.5 (30 minutes) | 3 |
| Subtotal | | | | | 8,306 |
| Premarket Approval Submissions (eSTAR preparation) | | | | | |
| eSTAR setup | 1,529 | 6 | 9,174 | 0.08 (5 minutes) | 734 |
| Total | | | | | 1,182,316 |
| 1 There are no capital costs or operating and maintenance costs associated with this collection of information. | | | | | |
Our estimate is based on the annual rate of receipt of PMA submissions, including PDPs and PMA supplements, for fiscal years
2022 through 2024 and our expectation of submissions to come in the next few years. We also account for referrals of PMAs
to a panel for review, as provided for under § 814.44(a). FDA may refer the PMA to a panel on its own initiative, and will
do so upon request of an applicant, unless FDA determines that the application substantially duplicates information previously
reviewed by a panel. We have adjusted our figures to reflect an overall decrease, which we attribute to respondents' use of
modernized submission technologies including eSTAR. At the same time, we include in our estimate an initial burden attributable
to respondents who need to set up an eSTAR account for the first time.

| Activity/21 CFR section | Number of recordkeepers | Number of records per recordkeeper | Total annual records | Average
burden perrecordkeeping | Total hours |
| --- | --- | --- | --- | --- | --- |
| Maintenance of records (814.82(a)(5) and (a)(6)) | 860 | 2 | 1,720 | 17 | 29,240 |
| 1 There are no capital costs or operating and maintenance costs associated with this collection of information. | | | | | |
The regulations require the maintenance of records, which are used to trace patients, and the organization and indexing of
records into identifiable files to ensure a device's continued safety and effectiveness. These records are required of all
applicants who have an approved PMA. Currently there are 860 active PMAs that could be subject to these requirements, based
on FDA data, and approximately 33 new PMAs are approved each year. We estimate our annual recordkeeping burden based on an
average of 860 PMA holders. The applicant determines which records should be maintained during product development to document
and/or substantiate the device's safety and effectiveness. Records required under 21 CFR part 820 may be relevant to a PMA
review and may be submitted as part of an application. In individual instances, records may be required as conditions of approval
to ensure the device's continuing safety and effectiveness.

The overall burden increase of approximately 244% for reporting and 212% for recordkeeping represents a substantial change
in the estimated regulatory burden for the PMA program. The increases are driven primarily by changes in estimated submission
frequency rather than changes in the number of regulated entities or per-response burden estimates. The most significant factor
is the dramatic increase in responses per respondent across multiple categories, particularly for 30-day notices (15× increase),
PMA amendments (4× increase), pediatric information (6× increase), and eSTAR setup (6× increase). These changes suggest that
the current estimates better capture the actual submission patterns and regulatory interactions that occur throughout the
lifecycle of approved medical devices, reflecting more frequent modifications, updates, and communications between industry
and FDA than were captured in the previous estimates based on 2019-2021 data.

Grace R. Graham, Deputy Commissioner for Policy, Legislation, and International Affairs. [FR Doc. 2026-06906 Filed 4-9-26; 8:45 am] BILLING CODE 4164-01-P

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