Information Collection

List of Ingredients Added in the Manufacture of Smokeless Tobacco Products

IC 37761 under ICR 200801-0920-001 · OMB 0920-0338.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0338 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form no number List of Ingredients Added in the Manufacture of Smokeless Tobacco Products	Form and Instruction
no number Tobacco Ingredient Reporting Web Page Tobacco Ingredient Reporting Webpage.pdf	Form and Instruction
Attachment 3. Reminder Postcard.doc Attachment 3 - Reminder Postcard	IC Document
Attachment 4b. OSH Web Page on Act.pdf Attachment 4b - OSH Web Page on the Comprehensive Smokeless Tobacco Education Act	IC Document
Attachment 8. Request for Add Info.doc Attachment 8 - Request for Additional Information	IC Document

IC Title:

List of Ingredients Added in the Manufacture of Smokeless Tobacco Products

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 15 CFR 4401 18 CFR 1905

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	no number	Tobacco Ingredient Reporting Web Page	Tobacco Ingredient Reporting Webpage.pdf		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	18,843	18,843
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 3 - Reminder Postcard	Attachment 3. Reminder Postcard.doc	12/12/2007
Attachment 4b - OSH Web Page on the Comprehensive Smokeless Tobacco Education Act	Attachment 4b. OSH Web Page on Act.pdf	12/12/2007
Attachment 8 - Request for Additional Information	Attachment 8. Request for Add Info.doc	12/12/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.