Notice2025-14230

Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Medical Device Reporting

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Published
July 29, 2025

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995.

Full Text

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<title>Federal Register, Volume 90 Issue 143 (Tuesday, July 29, 2025)</title>
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[Federal Register Volume 90, Number 143 (Tuesday, July 29, 2025)]
[Notices]
[Pages 35698-35701]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-14230]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2025-N-0419]


Agency Information Collection Activities; Submission for Office 
of Management and Budget Review; Comment Request; Medical Device 
Reporting

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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SUMMARY: The Food and Drug Administration (FDA) is announcing that a 
proposed collection of information has been submitted to the Office of 
Management and Budget (OMB) for review and clearance under the 
Paperwork Reduction Act of 1995.

DATES: Submit written comments (including recommendations) on the 
collection of information by August 28, 2025.

ADDRESSES: To ensure that comments on the information collection are 
received,

[[Page 35699]]

OMB recommends that written comments be submitted to <a href="https://www.reginfo.gov/public/do/PRAMain">https://www.reginfo.gov/public/do/PRAMain</a>. Find this particular information 
collection by selecting ``Currently under Review--Open for Public 
Comments'' or by using the search function. The OMB control number for 
this information collection is 0910-0437. Also include the FDA docket 
number found in brackets in the heading of this document.

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, 301-796-8867, 
<a href="/cdn-cgi/l/email-protection#e9b9bba8ba9d888f8fa98f8d88c781819ac78e869f"><span class="__cf_email__" data-cfemail="d8888a998bacb9bebe98bebcb9f6b0b0abf6bfb7ae">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA has 
submitted the following proposed collection of information to OMB for 
review and clearance.

Medical Device Reporting--21 CFR Part 803

OMB Control Number 0910-0437--Revision

    This information collection supports FDA regulations, programs, 
forms, and guidance. Section 519 of the Federal Food Drug and Cosmetic 
Act (the FD&C Act) (21 U.S.C. 360i) (Records and Reports on Devices) 
requires user facilities, manufacturers, and importers of medical 
devices to report adverse events involving medical devices to FDA and 
requires that medical device manufacturers and importers submit medical 
device reports (MDRs) electronically. These provisions are codified at 
part 803 (21 CFR part 803)--Medical Device Reporting. The regulations 
also provide for recordkeeping requirements and certain exemptions and 
alternative reporting. Additionally, the regulations permit user 
facilities to submit paper-based annual reports, for which we have 
provided form FDA 3419 entitled, ``Medical Device Reporting Annual User 
Facility Report.''
    Respondents are required to report adverse events involving medical 
devices to the FDA. The information that is obtained from these reports 
will be used to evaluate risks associated with medical devices and 
enable FDA to take appropriate regulatory measures to protect the 
public health. Complete, accurate, and timely adverse event information 
is necessary for the identification of emerging device problems so the 
agency can protect the public health under section 519 of the FD&C Act. 
FDA makes the releasable information available to the public for 
downloading on its website (<a href="https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfmaude/search.cfm">https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfmaude/search.cfm</a>).
    In an effort at reducing burden, we have developed the Voluntary 
Malfunction Summary Reporting (VMSR) Program for certain devices, which 
allows for respondent reporting of multiple malfunction events in a 
single report on a quarterly basis. The VMSR Program was established 
under section 519(a)(1)(B)(ii) of the FD&C Act. The associated FDA 
notification and order granting alternative entitled, ``Medical Devices 
and Device-led Combination Products; Voluntary Malfunction Summary 
Reporting Program for Manufacturers'' (83 FR 40973; 8/17/2018; <a href="https://www.federalregister.gov/documents/2018/08/17/2018-17770/medical-devices-and-device-led-combination-products-voluntary-malfunction-summary-reporting-program">https://www.federalregister.gov/documents/2018/08/17/2018-17770/medical-devices-and-device-led-combination-products-voluntary-malfunction-summary-reporting-program</a>) grants an alternative under Sec.  803.19 to 
permit manufacturer reporting of certain device malfunctions in summary 
form on a quarterly basis. The associated FDA guidance entitled 
``Voluntary Malfunction Summary Reporting (VMSR) Program for 
Manufacturers'' (August 2024; <a href="https://www.fda.gov/media/163692/download">https://www.fda.gov/media/163692/download</a>) is intended to help manufacturers better understand and use 
the VMSR Program.
    The final order ``Microbiology Devices; Reclassification of Human 
Immunodeficiency Virus Serological Diagnostic and Supplemental Tests 
and Human Immunodeficiency Virus Nucleic Acid Diagnostic and 
Supplemental Tests'' (May 16, 2022; 87 FR 29661) established special 
controls for certain Human Immunodeficiency Virus (HIV) serological 
diagnostic and supplemental tests (21 CFR 866.3956) and for HIV nucleic 
acid tests (NATs) diagnostic and supplemental tests (21 CFR 866.3957) 
to support their classification into class II, including submission of 
a log of all complaints annually for a period of 5 years following FDA 
clearance of a traditional premarket notification (510(k)) submission 
for these devices. (Information collections associated with premarket 
notification (510(k)) are approved under OMB control number 0910-0120.)
    Earlier notification through the submission of the complaint log 
enables us to more promptly determine whether public health issues have 
been adequately addressed. The agency would not otherwise evaluate the 
kind of complaint information that would be included in the log until 
an FDA inspection, which typically occurs less frequently than 
annually. Implementing these specific reporting measures as part of the 
special controls for these devices is necessary to provide a reasonable 
assurance of safety and effectiveness for HIV diagnostic and 
supplemental tests subject to the reclassification order.
    Provisions of part 4 subpart B (21 CFR part 4, subpart B), provide 
that when information regarding an event that involves a death or 
serious injury, or an adverse event, associated with the use of a 
combination product is received by the product sponsor, the information 
must be provided to the other constituent part applicant(s) no later 
than 5 calendar days after receipt. Part 4 also explains how and where 
to submit reports and provides for associated recordkeeping. These 
requirements are described in part 803.
    Respondents are manufacturers and importers of medical devices and 
device user facilities. Device user facility means a hospital, 
ambulatory surgical facility, nursing home, outpatient diagnostic 
facility, or outpatient treatment facility as defined in Sec.  803.3, 
which is not a physician's office (also defined in Sec.  803.3). 
Respondents are also sponsors (manufacturers) of device-led combination 
products (see part 4, subpart B). Respondents also include 
manufacturers of HIV diagnostic and supplemental test devices.
    Manufacturer and importer respondents submit reports electronically 
using FDA Form 3500A (approved under OMB control number 0910-0291) via 
either ``eSubmitter'' for low-volume reporters or Health Level Seven 
(HL7) Individual Case Study Report (ICSR) (HL7 ICSR) for high-volume 
reporters. User facilities reporting under Sec. Sec.  803.30 and 803.32 
have the option of electronic or paper-based reporting. User facility 
annual reporting under Sec.  803.33 is paper-based, using form FDA 
3419. Instructions for submitting the information are available in 
Sec. Sec.  803.11, 803.12, and 803.20, and on FDA's public website at 
<a href="https://www.fda.gov/medical-devices/postmarket-requirements-devices/mandatory-reporting-requirements-manufacturers-importers-and-device-user-facilities">https://www.fda.gov/medical-devices/postmarket-requirements-devices/mandatory-reporting-requirements-manufacturers-importers-and-device-user-facilities</a> (links to forms FDA 3500A and FDA 3419 are provided on 
the web page).
    In the Federal Register of May 8, 2025 (90 FR 19490), FDA published 
a 60-day notice requesting public comment on the proposed collection of 
information. No comments were received.
    FDA estimates the burden of this collection of information as 
follows:

[[Page 35700]]



                                                       Table 1--Estimated Annual Reporting Burden
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                                                                                                                                               Total
                                                             Number of       Number of     Total annual   Average burden    Total hours    operating and
       Activity/CFR section            FDA Form No.\2\      respondents    responses per     responses     per response         \1\         maintenance
                                                                            respondent                                                         costs
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       21 CFR Part 803 ``Medical Device Reporting,'' 21 CFR Part 4, subpart B ``Postmarketing Safety Reporting for Combination Products,'' and FDA
    notification; order granting alternative entitled, ``Medical Devices and Device-led Combination Products; Voluntary Malfunction Summary Reporting
                                                               Program for Manufacturers''
--------------------------------------------------------------------------------------------------------------------------------------------------------
Exemptions--803.19................  ....................              28               1              28               1              28  ..............
User Facility Reporting--803.30     FDA 3500A...........             296           18.99           5,621            0.35           1,967  ..............
 and 803.32.
User Facility Annual Reporting--    FDA 3419............              82               1              82               1              82  ..............
 803.33.
Importer Reporting, Death and       FDA 3500A...........             144       1,034.604         148,983               1         148,983  ..............
 Serious Injury--803.40 and 803.42.
Manufacturer Reporting--803.50      FDA 3500A...........           1,871      1,240.1887       2,320,393            0.10         232,039         $18,710
 through 803.53.
Voluntary Malfunction Summary       FDA 3500A...........              44           56.88           2,503            0.10             250  ..............
 Reporting Program.
Supplemental Reports--803.56......  FDA 3500A...........           1,501         684.604       1,027,591            0.10         102,759  ..............
--------------------------------------------------------------------------------------------------------------------------------------------------------
21 CFR 866.3956 ``Human immunodeficiency virus (HIV) serological diagnostic and/or supplemental test'' and 866.3957 ``Human immunodeficiency virus (HIV)
                                                nucleic acid (NAT) diagnostic and/or supplemental test''
--------------------------------------------------------------------------------------------------------------------------------------------------------
Special controls: submission of     ....................              10               1              10               3              30  ..............
 complaint log;
 866.3956(b)(1)(iii) and
 866.3957(b)(1)(iii).
                                                         -----------------------------------------------------------------------------------------------
    Total.........................  ....................  ..............  ..............       3,505,211  ..............         486,138          18,710
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\1\ Numbers are rounded.
\2\ Form FDA 3500A is approved under OMB Control No. 0910-0291. This ICR includes burden only for MDR submissions.


                               Table 2--Estimated Annual Recordkeeping Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
     Activity/21 CFR section         Number of      records per    Total annual         per         Total hours
                                   recordkeepers   recordkeeper       records      recordkeeping        \2\
----------------------------------------------------------------------------------------------------------------
MDR Procedures--803.17..........           1,871               1           1,871             3.3           6,174
MDR Files--803.18...............           1,871               1           1,871             1.5           2,807
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............           3,742  ..............           8,981
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\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.
\2\ Numbers are rounded.


                           Table 3--Estimated Annual Third-Party Disclosure Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                    Number of
    Activity/21 CFR section        Number of     disclosures per   Total annual   Average burden    Total hours
                                  respondents      respondent       disclosures   per disclosure        \2\
----------------------------------------------------------------------------------------------------------------
Importer Reporting, Death and              144          1,034.60         148,983            0.35          52,144
 Serious Injury--803.40 and
 803.42.......................
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.
\2\ Numbers are rounded.

    Upon review of this information collection, we updated the burden 
estimates based on internal data regarding MDRs received by FDA for 
fiscal year (FY) 2024. Device-led combination product reporting and 
disclosure under part 4, subpart B, are included in the burden 
estimates. Based on FY2024 data for ``Manufacturer Reporting 803.50 
through 803.53,'' we estimate 1,871 respondents and 2,320,393 total 
annual responses.
    The FDA notification and order granting alternative entitled, 
``Medical Devices and Device-led Combination Products; Voluntary 
Malfunction Summary Reporting Program for Manufacturers'' grants an 
alternative under Sec.  803.19 to permit manufacturer reporting of 
certain device malfunctions in summary form on a quarterly basis. The 
associated FDA guidance entitled ``Voluntary Malfunction Summary 
Reporting (VMSR) Program for Manufacturers'' (August 2024) is intended 
to help manufacturers better understand and use the VMSR Program. The 
Voluntary Malfunction Summary Reporting (VMSR) Program does not apply 
to reportable death or serious injury events, which are required to be 
reported to FDA within the mandatory 30-calendar day timeframe, under 
Sec. Sec.  803.50 and 803.52, or within the 5-work day timeframe under 
Sec.  803.53. Thus, if a manufacturer participating in the program 
becomes aware of information reasonably suggesting that a device it 
markets may have caused or contributed to a death or serious injury, 
then the manufacturer must submit an individual MDR for that event 
because it involves a reportable death or serious injury. We expect 
that a summary report will take approximately the same amount of time 
to prepare as an individual report.

[[Page 35701]]

    Unlike manufacturers, device user facilities are not required to 
submit malfunction reports under part 803. User facilities, such as 
hospitals or nursing homes, are required to submit MDRs to FDA and/or 
the manufacturer only for reportable death or serious injury events. 
(See section 519(b) of the FD&C Act; 21 CFR 803.30(a).) We believe that 
by permitting alternative reporting for certain devices, the VMSR 
Program may reduce burden on respondents who elect to participate and 
are otherwise subject to mandatory requirements.
    Special controls established in the final order ``Microbiology 
Devices; Reclassification of Human Immunodeficiency Virus Serological 
Diagnostic and Supplemental Tests and Human Immunodeficiency Virus 
Nucleic Acid Diagnostic and Supplemental Tests'' to support the class 
II classification of certain HIV serological diagnostic and 
supplemental tests (21 CFR 866.3956) and for HIV NATs diagnostic and 
supplemental tests (21 CFR 866.3957) require the submission of a log of 
all complaints annually for a period of 5 years following FDA clearance 
of a traditional premarket notification (510(k)) submission for these 
devices. (Information collections associated with premarket 
notification (510(k)) are approved under OMB control number 0910-0120.) 
Although manufacturers of HIV serological diagnostic and supplemental 
tests and HIV NAT diagnostic and supplemental tests are already 
required to maintain complaint files and to review and evaluate 
complaints for these devices under 21 CFR 820.198, special controls are 
necessary to provide a reasonable assurance of safety and effectiveness 
of these devices. (Information collections associated with Quality 
System requirements under 21 CFR part 820 are approved under OMB 
control number 0910-0073.) We estimate it will take a manufacturer 
approximately 3 hours annually to review their existing records, 
prepare the complaint log, and submit to FDA.
    We assume a cost of $10 associated with the payment of an annual 
fee to maintain e-certification will apply to each respondent. We 
estimate a total operating and maintenance cost of $18,710 ($10 x 1,871 
respondents).
    Since the last OMB approval, we have adjusted the respondent and 
response estimates based on FY 2024 data. We also adjusted the Average 
Burden per Response for ``Exemptions--803.19'' and ``Importer 
Reporting, Death and Serious Injury--803.40 and 803.42'' from 0.1 hour 
to 1 hour to correct an error introduced in a previous request for 
extension of this information collection. These adjustments have 
resulted in an overall increase of 1,527,443 total responses, and a 
corresponding increase of 323,806 total burden hours.
    We are revising this information collection to add the FDA guidance 
entitled ``Voluntary Malfunction Summary Reporting (VMSR) Program for 
Manufacturers'' (August 2024; <a href="https://www.fda.gov/media/163692/download">https://www.fda.gov/media/163692/download</a>), which is intended to help manufacturers better understand 
and use the VMSR Program. The guidance does not affect the burden 
estimates.

    Dated: July 23, 2025.
Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2025-14230 Filed 7-28-25; 8:45 am]
BILLING CODE 4164-01-P


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