Notice2026-07613

Compliance Policy Regarding Premarket and Other Requirements for Certain NIOSH Approved Air-Purifying Respirators; Draft Guidance for Industry and Food and Drug Administration Staff; Availability

Primary source

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Published
April 20, 2026

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA or Agency) is announcing the availability of the draft guidance entitled "Compliance Policy Regarding Premarket and Other Requirements for Certain NIOSH Approved Air-Purifying Respirators." This draft guidance document provides a proposed compliance policy for and information about respirators approved by the Centers for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH) in accordance with 42 CFR part 84, specifically: surgical N95 respirators and N95 filtering facepiece respirators (FFRs) classified under 21 CFR 878.4040; other NIOSH approved, non-surgical respirators including powered air-purifying respirators (PAPRs), non-powered, air-purifying particulate FFRs, and reusable respirators (e.g., elastomeric half and full facepiece respirators); and FFRs for use by the general public in public health medical emergencies classified under 21 CFR 880.6260. These devices are collectively referred to in the guidance and this notice as "certain FFRs and reusable respirators." This guidance, once finalized, is intended to facilitate more efficient and effective use of resources, consistent with the least burdensome policies for devices. This draft guidance is not final nor is it for implementation at this time.

Full Text

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<title>Federal Register, Volume 91 Issue 75 (Monday, April 20, 2026)</title>
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[Federal Register Volume 91, Number 75 (Monday, April 20, 2026)]
[Notices]
[Pages 21003-21005]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-07613]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2025-D-7121]


Compliance Policy Regarding Premarket and Other Requirements for 
Certain NIOSH Approved Air-Purifying Respirators; Draft Guidance for 
Industry and Food and Drug Administration Staff; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of the draft guidance entitled ``Compliance Policy 
Regarding Premarket and Other Requirements for Certain NIOSH Approved 
Air-Purifying Respirators.'' This draft guidance document provides a 
proposed compliance policy for and information about respirators 
approved by the Centers for Disease Control and Prevention (CDC) 
National Institute for Occupational Safety and Health (NIOSH) in 
accordance with 42 CFR part 84, specifically: surgical N95 respirators 
and N95 filtering facepiece respirators (FFRs) classified under 21 CFR 
878.4040; other NIOSH approved, non-surgical respirators including 
powered air-purifying respirators (PAPRs), non-powered, air-purifying 
particulate FFRs, and reusable respirators (e.g., elastomeric half and 
full facepiece respirators); and FFRs for use by the general public in 
public health medical emergencies classified under 21 CFR 880.6260. 
These devices are collectively referred to in the guidance and this 
notice as ``certain FFRs and reusable respirators.'' This guidance, 
once finalized, is intended to facilitate more efficient and effective 
use of resources, consistent with the least burdensome policies for 
devices. This draft guidance is not final nor is it for implementation 
at this time.

DATES: Submit either electronic or written comments on the draft 
guidance by June 22, 2026 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 
version of the guidance.

ADDRESSES: You may submit comments on any guidance at any time as 
follows:

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-D-7121 for ``Compliance Policy Regarding Premarket and Other 
Requirements for Certain NIOSH Approved Air-Purifying Respirators.'' 
Received comments 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 between 9 a.m. and 4 p.m., Monday through 
Friday, at the Dockets Management Staff, 5630 Fishers Lane, Rm. 1061, 
Rockville, MD 20852, 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.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    An electronic copy of the guidance document is available for 
download from the internet. See the SUPPLEMENTARY INFORMATION section 
for information on electronic access to the guidance. Submit written 
requests for a single hard copy of the draft guidance document entitled 
``Enforcement Policy for Premarket and Other Requirements for Certain 
NIOSH Approved Respirators'' to the Office of Policy, Center for 
Devices and Radiological Health, Food and Drug Administration, 10903 
New Hampshire Ave., Bldg. 66, Rm. 5431, Silver Spring, MD 20993-0002. 
Send one self-addressed adhesive

[[Page 21004]]

label to assist that office in processing your request.

FOR FURTHER INFORMATION CONTACT: Erica Takai, Center for Devices and 
Radiological Health, Food and Drug Administration, 301-796-6353.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA has a long history of coordinating with NIOSH to help ensure 
that respirators used for medical purposes are safe, effective, and 
available. All the devices that are within scope of this guidance 
document are also subject to approval by NIOSH in accordance with 42 
CFR part 84.
    Since 1988, surgical N95 respirators that are intended to be worn 
by operating room personnel during surgical procedures to protect both 
the surgical patient and the operating room personnel from transfer of 
microorganisms, body fluids, and particulate material generally have 
been classified as class II devices under 21 CFR 878.4040. Likewise, 
N95 FFRs used in healthcare settings during other procedures, including 
dental, isolation, and other medical procedures, to protect both the 
patient and healthcare personnel, are also generally classified as 
class II devices under 21 CFR 878.4040. In November 2017, FDA entered 
into a Memorandum of Understanding (MOU) with NIOSH, which outlines an 
agreement between the agencies conditioned on certain surgical N95 
respirators and N95 FFRs becoming exempt from premarket notification 
requirements under section 510(k) of the FD&C Act. The MOU became 
effective on May 17, 2018, when FDA issued a final order exempting from 
510(k) requirements certain surgical N95 respirators and N95 FFRs 
(product code MSH), subject to certain conditions and limitations.
    FDA considers other types of non-surgical respirators, including: 
PAPRs, non-powered air-purifying particulate FFRs (e.g., N95, N99 
FFRs), and reusable respirators (e.g., elastomeric half and full 
facepiece respirators), that are NIOSH Approved and intended to prevent 
wearer exposure to pathogenic biological airborne particulates and used 
in healthcare settings, to be postamendments devices. A postamendments 
device for which FDA has not issued a classification order (or 
reclassification order under section 513(f)(3) of the FD&C Act) is 
referred to as a ``not-classified device,'' and is one for which the 
Agency has not yet reviewed a marketing application or for which the 
Agency has not made a final decision on such a marketing application. 
In 2020, FDA addressed its policy regarding not-classified, NIOSH 
Approved FFRs and reusable respirators when it took a number of actions 
to help address the COVID-19 public health emergency, including issuing 
emergency use authorizations (EUAs) for such devices with a medical 
purpose. On March 2, 2020, FDA issued an EUA authorizing NIOSH Approved 
FFRs to be distributed to healthcare personnel for use in healthcare 
settings intended to prevent wearer exposure to pathogenic biological 
airborne particulates. On March 11, 2020, FDA clarified that such 
respirators are devices because they are intended for a medical use, 
i.e., to mitigate further transmission of COVID-19.
    In 2007, FDA issued a final rule that classified FFRs for use by 
the general public in public health emergencies under 21 CFR 880.6260 
as class II devices. In issuing the classification regulation for this 
type of device, FDA also issued a special control requiring that, among 
other things, this device type be certified by NIOSH as a non-powered 
air-purifying particulate respirator with a minimum filtration 
efficiency classification of N95.
    FDA is proposing the compliance policy described in the draft 
guidance for certain FFRs and reusable respirators based on NIOSH's 
regulatory oversight of these devices, including the performance 
characteristics of these devices, and FDA's review of its postmarket 
data. These devices may provide a public health benefit in accordance 
with current CDC respiratory virus prevention recommendations. This 
guidance, once finalized, is intended to facilitate more efficient and 
effective use of resources, consistent with the least burdensome 
policies for devices.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). This draft guidance, 
once finalized, will represent the current thinking of FDA on 
``Compliance Policy Regarding Premarket and Other Requirements for 
Certain NIOSH Approved Air-Purifying Respirators.'' It does not 
establish any rights for any person and is not binding on FDA or the 
public. You can use an alternative approach if it satisfies the 
requirements of the applicable statutes and regulations. As we develop 
final guidance on this topic, FDA will consider comments on costs or 
cost savings the guidance may generate, relevant for Executive Order 
14192.

II. Electronic Access

    Persons interested in obtaining a copy of the draft guidance may do 
so by downloading an electronic copy from the internet. A search 
capability for all Center for Devices and Radiological Health guidance 
documents is available at <a href="https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/guidance-documents-medical-devices-and-radiation-emitting-products">https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/guidance-documents-medical-devices-and-radiation-emitting-products</a>. This guidance document is also 
available at <a href="https://www.regulations.gov">https://www.regulations.gov</a>, <a href="https://www.fda.gov/regulatory-information/search-fda-guidance-documents">https://www.fda.gov/regulatory-information/search-fda-guidance-documents</a>. Persons unable to 
download an electronic copy of ``Compliance Policy Regarding Premarket 
and Other Requirements for Certain NIOSH Approved Air-Purifying 
Respirators'' may send an email request to <a href="/cdn-cgi/l/email-protection#185b5c4a50355f6d717c79767b7d587e7c793670706b367f776e"><span class="__cf_email__" data-cfemail="064542544e2b41736f626768656346606267286e6e7528616970">[email&#160;protected]</span></a> to 
receive an electronic copy of the document. Please use the document 
number GUI00007063 and complete title to identify the guidance you are 
requesting.

III. Paperwork Reduction Act of 1995

    While this guidance contains no new collection of information, it 
does refer to previously approved FDA collections of information. The 
previously approved collections of information are subject to review by 
the Office of Management and Budget (OMB) under the Paperwork Reduction 
Act of 1995 (PRA) (44 U.S.C. 3501-3521). The collections of information 
in the following table have been approved by OMB:

------------------------------------------------------------------------
 21 CFR part; guidance; or FDA                              OMB control
              form                        Topic                 No.
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807, subpart E.................  Premarket notification.       0910-0120
800, 801, and 830..............  Medical Device Labeling       0910-0485
                                  Regulations; Unique
                                  Device Identification.
803............................  Medical Device                0910-0437
                                  Reporting.
806............................  Medical Devices;              0910-0359
                                  Reports of Corrections
                                  and Removals.
807, subparts A through D......  Medical Device                0910-0625
                                  Registration and
                                  Listing.
814, subparts A through E......  Premarket approval.....       0910-0231

[[Page 21005]]

 
860, subpart D.................  De Novo classification        0910-0844
                                  process.
``Requests for Feedback and      Q-submissions and Early       0910-0756
 Meetings for Medical Device      Payor Feedback Request
 Submissions: The Q-Submission    Programs for Medical
 Program''.                       Devices.
820............................  Current Good                  0910-0073
                                  Manufacturing Practice
                                  (CGMP); Quality
                                  Management Systems
                                  (QMSR) Regulation.
``Emergency Use Authorization    Emergency Use                 0910-0595
 of Medical Products and          Authorization.
 Related Authorities'' and
 section 564 of the FD&C Act.
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Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2026-07613 Filed 4-17-26; 8:45 am]
BILLING CODE 4164-01-P


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