Notice2025-13050

Agency Information Collection Activities; Proposed Collection; Comment Request; Q-Submission and Early Payor Feedback Request Programs and Medical Device Development Tools

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Published
July 14, 2025

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA or Agency) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed revision 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 requirements associated with the Q-Submission and Early Payor Feedback Request Programs for medical devices and Qualification of Medical Device Development Tools.

Full Text

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<title>Federal Register, Volume 90 Issue 132 (Monday, July 14, 2025)</title>
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[Federal Register Volume 90, Number 132 (Monday, July 14, 2025)]
[Notices]
[Pages 31225-31228]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-13050]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2025-N-1812]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Q-Submission and Early Payor Feedback Request Programs 
and Medical Device Development Tools

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
an opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(PRA), Federal Agencies are required to publish notice in the Federal 
Register concerning each proposed collection of information,

[[Page 31226]]

including each proposed revision 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 
requirements associated with the Q-Submission and Early Payor Feedback 
Request Programs for medical devices and Qualification of Medical 
Device Development Tools.

DATES: Either electronic or written comments on the collection of 
information must be submitted by September 12, 2025.

ADDRESSES: You may submit comments as follows. Please note that late, 
untimely filed comments will not be considered. The <a href="https://www.regulations.gov">https://www.regulations.gov</a> electronic filing system will accept comments until 
11:59 p.m. Eastern Time at the end of September 12, 2025. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are received on or before that date.

Electronic Submissions

    Submit electronic comments in the following way:
    <bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to <a href="https://www.regulations.gov">https://www.regulations.gov</a> 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
    <bullet> If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
    <bullet> Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
    <bullet> For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2025-N-1812 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; Q-Submission and Early Payor 
Feedback Request Programs for 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 <a href="https://www.regulations.gov">https://www.regulations.gov</a> or at the Dockets 
Management Staff between 9 a.m. and 4 p.m., Monday through Friday, 240-
402-7500.
    <bullet> Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on <a href="https://www.regulations.gov">https://www.regulations.gov</a>. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: <a href="https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf">https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf</a>.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to <a href="https://www.regulations.gov">https://www.regulations.gov</a> and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852, 240-402-7500.

FOR FURTHER INFORMATION CONTACT: Amber Sanford, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 304-796-8867, 
<a href="/cdn-cgi/l/email-protection#603032213314010606200604014e0808134e070f16"><span class="__cf_email__" data-cfemail="6c3c3e2d3f180d0a0a2c0a080d4204041f420b031a">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3521), Federal 
Agencies must obtain approval from the Office of Management and Budget 
(OMB) for each collection of information they conduct or sponsor. 
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes Agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) 
requires Federal Agencies to provide a 60-day notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed revision 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.

Q-Submission and Early Payor Feedback Request Programs and Medical 
Device Development Tools

OMB Control Number 0910-0756--Revision

    The guidance entitled ``Requests for Feedback and Meetings for 
Medical Device Submissions: The Q-Submission Program'' (May 2025) 
(available at <a href="https://www.fda.gov/regulatory-information/search-fda-guidance-documents/requests-feedback-and-meetings-medical-device-submissions-q-submission-program">https://www.fda.gov/regulatory-information/search-fda-guidance-documents/requests-feedback-and-meetings-medical-device-submissions-q-submission-program</a>) provides an overview of the 
mechanisms available to submitters through which they can

[[Page 31227]]

request feedback from or a meeting with FDA regarding certain potential 
or planned medical device submissions reviewed by the Center for 
Devices and Radiological Health (CDRH) and the Center for Biologics 
Evaluation and Research (CBER). The guidance provides recommendations 
regarding certain types of Q-Submissions, such as Pre-Submissions, 
Submission Issue Requests, Study Risk Determinations, Informational 
Meetings, and other Q-Submission Types and other uses of the Q-
Submission Program.
    Recent updates in May 2025 to the Q-Submission guidance moved the 
instructions for information collection related to requests for 
feedback regarding development of a Medical Device Development Tool 
(MDDT), which were previously tracked as Informational Meeting Q-
Submissions. We are revising this information collection to add the FDA 
guidance entitled ``Qualification of Medical Device Development Tools: 
Guidance for Industry, Tool Developers, and Food and Drug 
Administration Staff'' (July 2023) (available at <a href="https://www.fda.gov/regulatory-information/search-fda-guidance-documents/qualification-medical-device-development-tools">https://www.fda.gov/regulatory-information/search-fda-guidance-documents/qualification-medical-device-development-tools</a>), which includes instructions for 
submitting requests for feedback regarding MDDTs. The submission 
instructions are otherwise unchanged, but the MDDT guidance is now the 
collection instrument associated with the existing MDDT burden.

Early Payor Feedback Program

    Prior to submitting a Pre-Submission, medical device sponsors may 
request that one or more payor organizations join a Pre-Submission 
meeting. Payors include public payors such as Centers for Medicare & 
Medicaid Services, private health plans, health technology assessment 
groups, and others who provide input into coverage, procurement, and 
reimbursement decisions. To facilitate such opportunities to obtain 
payor input, FDA provides information about our Early Payor Feedback 
Program (EPFP) and a list of current payor participants on our website 
(available at <a href="https://www.fda.gov/about-fda/cdrh-innovation/payor-communication-task-force#2">https://www.fda.gov/about-fda/cdrh-innovation/payor-communication-task-force#2</a>). For payors to decide which devices to 
provide feedback on, we have developed a voluntary form for 
manufacturers to provide basic information regarding their device. This 
form is shared with the payors from whom the manufacturer is requesting 
feedback.

eSTAR for Q-Submissions

    Under section 745A(b) of the Federal Food, Drug, and Cosmetic Act 
(FD&C Act) (21 U.S.C. 379k-1(b)), amended by section 207 of the FDA 
Reauthorization Act of 2017 (Pub. L. 115-52), and consistent with the 
Medical Device User Fee Amendments 2017 (MDUFA IV) Commitment Letter 
and the FDA guidance document entitled ``Providing Regulatory 
Submissions for Medical Devices in Electronic Format--Submissions Under 
Section 745A(b) of the Federal Food, Drug, and Cosmetic Act'' (July 
2020) (available at <a href="https://www.fda.gov/regulatory-information/search-fda-guidance-documents/providing-regulatory-submissions-medical-devices-electronic-format-submissions-under-section-745ab">https://www.fda.gov/regulatory-information/search-fda-guidance-documents/providing-regulatory-submissions-medical-devices-electronic-format-submissions-under-section-745ab</a>), FDA has 
developed an ``electronic Submission Template and Resource'' (eSTAR) 
for Q-submissions to facilitate the preparation of submissions in 
electronic format (available at <a href="https://www.fda.gov/medical-devices/how-study-and-market-your-device/estar-program">https://www.fda.gov/medical-devices/how-study-and-market-your-device/estar-program</a>). The use of eSTAR for 
Q-Submissions is currently voluntary.
    FDA estimates the burden of this collection of information as 
follows:

                                 Table 1.--Estimated Annual Reporting Burden 1 2
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                                                      No. of
            Activity                  No. of       responses per   Total annual   Average burden    Total hours
                                    respondents     respondent       responses     per response
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         ``Requests for Feedback and Meetings for Medical Device Submissions: The Q-Submission Program''
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Q-Submissions:
    CDRH........................           5,750               1           5,750             137         787,750
    CBER........................              60               1              60             137           8,220
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Q-Submissions using eSTAR:
    CDRH........................             850               1             850              69          58,650
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    CBER........................              40               1              40              69           2,760
    eSTAR setup.................           1,480               1           1,480            0.08             118
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                                       Early Payor Feedback Program (EPFP)
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Manufacturer request to                       35               1              35               2              70
 participate in EPFP............
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                                     Medical Device Development Tools (MDDT)
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MDDT Submissions................              50               1              50             137           6,850
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............  ..............  ..............         864,418
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\1\ Numbers are rounded.
\2\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.

    Based on our experience with the Q-Submission and Early Payor 
Feedback Request Programs and Medical Device Development Tools, our 
estimated burden for the information collection reflects an overall 
increase of 451,180 hours and 4,535 responses annually. We attribute 
this adjustment to an increase in the number of respondents according 
to FDA data. As discussed above, recent updates to the Q-Submission 
guidance moved the instructions for information collection related to 
requests for feedback regarding development of MDDTs to the MDDT 
guidance. MDDT proposal and qualification packages were previously 
tracked as Informational Meeting Q-Submissions.

[[Page 31228]]

The MDDT submission instructions and previously approved burden 
estimate are otherwise unchanged, but the MDDT guidance is now the 
collection instrument associated with the existing MDDT burden. 
Accordingly, we have moved the burden for MDDT submissions to a 
distinct line item in the burden table to reflect the updated 
collection instrument. There is no new collection of information 
occurring in this revision. However, submissions related to MDDTs 
(Medical Device Development Tools), which were previously tracked as 
``Informational Meetings'' Q-Submissions, are now tracked separately.

    Dated: July 8, 2025.
Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2025-13050 Filed 7-11-25; 8:45 am]
BILLING CODE 4164-01-P


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