To complete the compounded inflation adjustment for FY 2027, the FY 2026 compounded adjustment (1.167391) is multiplied by the FY 2027 base inflation adjustment (1.040000) to reach the applicable inflation adjustment of 1.214087 (rounded) for FY 2027. Accordingly, the base establishment registration fee was increased by $225 for an establishment registration fee rate of $11,693 (see 738(c)(3) and table 4B, column three). The inflation adjusted establishment registration fee is increased by $2,092 for an establishment registration fee of $13,785. Table 5—Medical Device Fees for FY 2027 Application fee type Standard fee (as a percentage of the standard fee for a premarket application) FY 2027 standard fee FY 2027 small business fee Premarket Application (a PMA submitted under section 515(c)(1) of the FD&C Act (21 U.S.C. Procedures for Paying Annual Establishment Registration FeesTo pay the annual establishment registration fee, firms must access the Device Facility User Fee (DFUF) website at https://userfees.fda.gov/​OA_​HTML/​furls.jsp.