2026-06906NoticeWallet

FDA Seeks Input on Medical Device Approval Paperwork Burden

Published Date: 4/10/2026

Notice

Summary

The FDA wants your thoughts on how they collect info for approving new medical devices before they hit the market. This affects device makers who must provide detailed info to get approval, and the FDA is asking for comments by June 9, 2026. No big cost changes yet, but your feedback could shape how easy or tricky the approval process is in the future!

Analyzed Economic Effects

5 provisions identified: 1 benefits, 4 costs, 0 mixed.

Big Increase in PMA Paperwork Hours

If you submit or hold premarket approval (PMA) for medical devices, the FDA estimates the annual reporting burden for this collection at 1,182,316 hours and the annual recordkeeping burden at 29,240 hours. FDA says its overall burden estimate rose about 244% for reporting and 212% for recordkeeping compared with prior estimates.

Ongoing Recordkeeping Requirement for PMA Holders

If you hold an approved PMA, you must maintain records required by 21 CFR 814.82(a)(5) and (a)(6). FDA estimates 860 recordkeepers will keep 1,720 records (2 per recordkeeper) at about 17 hours per record, for a total of 29,240 hours annually.

Pediatric-Use Information Must Be Submitted

PMA applicants must include pediatric-use information under section 515A of the FD&C Act. FDA estimates 3,954 annual pediatric-related submissions at about 2.10 hours each, totaling 8,303 hours per year for these items.

Clinical Trial Certification Requirement (Form FDA 3674)

PMA applications must be accompanied by a certification (Form FDA 3674) under 42 CFR part 11 when applicable, including National Clinical Trial numbers where available. FDA estimates 61 such certifications at 0.75 hours each for a total of 46 hours annually.

eSTAR Electronic Submissions Could Lower Burden

FDA encourages use of eSTAR (electronic Submission Template and Resource) and estimates initial eSTAR setup activity at 9,174 responses with 0.08 hours each (total 734 hours). FDA states eSTAR should significantly reduce submission burden by standardizing formats.

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Key Dates

Published Date
Comments Due
4/10/2026
6/9/2026

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Food and Drug Administration
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