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The FDA's performance budget combines Congressional appropriations with industry user fees, which are negotiated with manufacturers and approved by Congress. Performance is linked to user fees through negotiated goals for review times and other metrics, which are reauthorized by Congress every five years. For example, in FY2022, user fees covered approximately 46% of the FDA's total operating budget. The specific budget amounts fluctuate annually based on Congressional appropriations and budget requests, such as the proposed FY 2026 budget which reflects reductions due to a government-wide initiative to streamline federal bureaucracy.
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