510(k) Premarket Notification

What is the cost difference for a 510k small business user fee?

For medical device companies, particularly startups, how is eligibility for the MDUFA small business discount on a 510(k) user fee determined, and what are the key procedural steps and common pitfalls in the application process? The Medical Device User Fee Amendments (MDUFA) authorize the FDA to collect user fees for premarket submissions, but a significant fee reduction is available for organizations that qualify as a small business. Successfully navigating this process can have a major impact on a company's budget and resource allocation. First, establishing eligibility is paramount. The FDA's definition of a small business is based on the total gross receipts or sales for the most recent tax year. A critical detail is that this calculation must include the revenue from all affiliated entities, such as parent companies, subsidiaries, and partner organizations, on a global basis. A common mistake is for a company to only consider its own revenue, which can lead to an incorrect application and denial of small business status. The specific financial thresholds are updated for each fiscal year, so it is essential to consult the official FDA website for the current requirements. The application for small business status is a distinct process that must be completed *before* paying the 510(k) user fee. Sponsors must submit a Small Business Determination (SBD) request to the FDA, which typically requires providing federal income tax returns as evidence of gross receipts. A significant pitfall is timing; the FDA's review of an SBD request can take several weeks. Companies should plan to submit their SBD request well in advance of their planned 510(k) submission to avoid delays or being required to pay the full, standard fee. Upon approval, the FDA issues a unique SBD number. This number is valid for the fiscal year and must be included on the MDUFA User Fee Cover Sheet submitted with the 510(k) to qualify for the reduced fee. Companies should also be aware that SBD status must be renewed annually. For the most current fee schedules, detailed eligibility criteria, and official application forms, sponsors should always refer directly to the FDA's MDUFA information pages. --- *This Q&A was AI-assisted and reviewed for accuracy by Lo H. Khamis.*
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## How to Qualify for the FDA Small Business User Fee Discount for a 510(k) Under the Medical Device User Fee Amendments (MDUFA), the FDA is authorized to collect user fees for the review of premarket submissions, including 510(k)s. These fees represent a significant investment for any medical device company, but for startups and smaller organizations, they can be a major financial hurdle. Fortunately, the FDA offers a substantial fee reduction for qualifying small businesses. Successfully obtaining this discount, however, is not automatic. It requires a separate, proactive application process with strict eligibility criteria and critical deadlines. Understanding how to navigate the Small Business Determination (SBD) program is essential for proper budgeting and resource allocation. This involves a precise understanding of the FDA's definition of a small business—which includes global revenue from all affiliated entities—and careful timeline management to ensure the SBD approval is secured *before* the 510(k) submission is filed. ### Key Points * **Eligibility is Based on Global Affiliate Revenue:** The FDA's definition of a small business is based on the total gross receipts or sales from the most recent tax year for the applicant company *and all* of its domestic and foreign affiliates, including parent, subsidiary, and sister companies. This is the most common point of confusion and error. * **SBD Approval is a Prerequisite:** A company must apply for and receive an approved Small Business Determination (SBD) from the FDA *before* submitting its 510(k) and paying the user fee. The discount cannot be applied retroactively. * **Timing is Critical:** The FDA’s review of an SBD application can take up to 60 days. Sponsors should submit their SBD request well in advance of their planned 510(k) submission to avoid delays or being forced to pay the full standard fee. * **Documentation is Mandatory:** The application requires official federal income tax returns (or foreign equivalents) for the applicant and all affiliates to substantiate the revenue claims. Incomplete documentation is a primary cause of delays. * **SBD Status is Not Permanent:** Small business status is granted for the FDA's fiscal year (October 1 to September 30) and must be renewed annually. An SBD number from a prior year is not valid for a submission in the current year. * **Official FDA Sources are the Only Authority:** User fee amounts and the revenue threshold for small business eligibility are updated annually. Sponsors must consult the official FDA website for the current, authoritative information. ### Understanding MDUFA and Small Business Eligibility The MDUFA program was established to provide the FDA with a predictable source of funding to hire additional reviewers, improve IT infrastructure, and meet performance goals for reviewing medical device submissions in a timely manner. In exchange for these user fees, the FDA commits to specific review timeline goals. While these fees support the regulatory infrastructure, Congress also recognized the potential burden on smaller innovators. The small business discount was created to ensure that early-stage and smaller companies are not priced out of bringing new technologies to market. #### Defining a "Small Business" for FDA Purposes It is critical to understand that the FDA's definition of a small business is unique to the MDUFA program and may differ from definitions used by other government agencies like the Small Business Administration (SBA). Eligibility is determined by one primary factor: **gross receipts or sales**. For the current fiscal year, a business (including all its affiliates) must have gross receipts or sales below a specific threshold set by the FDA. This financial cap is adjusted each year. The most critical and often overlooked component of this definition is the inclusion of **affiliates**. An affiliate is any business that controls, is controlled by, or is under common control with the applicant. This includes: * **Parent Companies:** A company that owns or controls the applicant. * **Subsidiaries:** Companies owned or controlled by the applicant. * **Sister Companies:** Companies that share a common parent company with the applicant. The calculation must be global. For example, if a U.S.-based startup is a subsidiary of a large European corporation, the global revenue of the parent corporation and all its other subsidiaries must be included in the calculation. If that combined total exceeds the FDA's annual threshold, the startup is not eligible for the discount, regardless of its own low revenue. ### The Step-by-Step Process for Obtaining Small Business Determination (SBD) Securing small business status is a formal administrative process that must be completed before you can claim the discount on your 510(k) submission. #### Step 1: Gather Required Documentation The burden of proof is on the applicant. You must provide objective, verifiable evidence of your gross receipts. Incomplete or ambiguous documentation will lead to delays. **Documentation Checklist:** * [ ] **U.S. Federal Income Tax Returns:** The most recent signed federal tax return for your business. * [ ] **Affiliate Tax Returns:** The most recent signed federal tax returns for *all* parent companies, subsidiaries, and other affiliates. * [ ] **Foreign Business Documentation:** If any entity is foreign, you must provide the equivalent official tax documentation from that country's national taxing authority, translated into English. * [ ] **Organizational Chart:** A clear chart illustrating the relationships between all entities. * [ ] **Cover Letter:** A brief letter explaining the structure and confirming that the submitted documents represent all affiliated entities. #### Step 2: Complete and Submit the SBD Application (Form FDA 3602) The official request is made using Form FDA 3602, the "MDUFA Small Business Qualification and Certification." Sponsors must always download the latest version of this form directly from the FDA's website. When completing the form, pay close attention to: * **Accuracy:** Ensure all company names, addresses, and tax identification numbers are correct. * **Completeness:** Fill out every required section and attach all necessary supporting tax documents. * **Fiscal Year:** Confirm you are applying for the correct fiscal year in which you plan to make your submission. The completed application package is submitted directly to the FDA's SBD program staff, typically via email as instructed on the FDA's website. #### Step 3: Await FDA Review and Approval Once submitted, the FDA will review the application. This process can officially take up to 60 calendar days. If the documentation is incomplete or unclear, the FDA will contact the applicant for clarification, which resets the review clock and causes further delays. This is why submitting the application 3-4 months before a planned 510(k) submission is a common best practice. #### Step 4: Receive Your SBD Number Upon approval, the FDA will issue an official notification letter containing a unique SBD number. This number is your proof of eligibility and is essential for the final step. #### Step 5: Use the SBD Number in Your 510(k) Submission When you are ready to submit your 510(k), you must also complete Form FDA 3601, the "MDUFA User Fee Cover Sheet." On this form, you will: 1. Indicate that you are paying the small business fee. 2. Enter the valid SBD number you received from the FDA. This form, along with proof of payment for the reduced fee, must be included with your 510(k) submission package. Without a valid SBD number on the cover sheet, the FDA will expect the standard fee, and your submission will be placed on hold until the correct payment is made. ### Common Pitfalls and How to Avoid Them Navigating the SBD process correctly can save a company a significant amount of money. Missteps, however, can lead to delays and the unexpected cost of a full standard user fee. #### Pitfall 1: Miscalculating Gross Revenue by Ignoring Affiliates This is the most frequent cause of application denial. A startup may focus only on its own minimal revenue, forgetting that the revenue of its venture capital parent firm or other affiliated portfolio companies must be included. * **How to Avoid:** Before applying, create a comprehensive organizational chart mapping out every entity with any level of common ownership or control. Gather the financial data for all of them to perform the calculation *before* submitting the application. #### Pitfall 2: Applying Too Late A sponsor may wait until they are about to submit their 510(k) to apply for SBD status. Given the 60-day review timeline, this is a recipe for disaster. * **How to Avoid:** Treat the SBD application as a critical early-stage project milestone. Submit the application at least 3-4 months before your target 510(k) submission date. This builds in a buffer for any potential requests for information from the FDA. If your SBD is not approved in time, you face a difficult choice: delay the 510(k) submission or pay the full fee. #### Pitfall 3: Forgetting to Renew Annually SBD status is only valid for the fiscal year in which it is granted. An approval from August 2023 (Fiscal Year 2023) is not valid for a submission made in November 2023 (Fiscal Year 2024). * **How to Avoid:** If your product development and submission timeline spans across fiscal years, calendar the renewal process. The FDA typically begins accepting applications for the next fiscal year in August. ### Strategic Considerations and the Role of Q-Submission While the SBD process is administrative, it is an integral part of a company's overall regulatory and financial strategy. Accurately forecasting user fees is essential for budgeting and securing investor funding. This financial planning should occur in parallel with the development of your technical and regulatory evidence. For example, while your finance or operations team is preparing the SBD application, your regulatory and R&D teams should be focused on de-risking the 510(k) itself. Engaging the FDA through the **Q-Submission program** is a primary mechanism for this. A Pre-Submission meeting can provide invaluable feedback on your testing plan, predicate strategy, and overall submission readiness. A successful Q-Submission can increase your confidence in the 510(k) submission's quality and timeline. This predictability, in turn, helps you better plan the timing of your SBD application, ensuring all administrative and technical components of your market launch strategy are aligned. ### Key FDA References - FDA Guidance: general 510(k) Program guidance on evaluating substantial equivalence. - FDA Guidance: Q-Submission Program – process for requesting feedback and meetings for medical device submissions. - 21 CFR Part 807, Subpart E – Premarket Notification Procedures (overall framework for 510(k) submissions). --- *This answer was AI-assisted and reviewed for accuracy by Lo H. Khamis.*