List of Ingredients Added in the Manufacture of Smokeless Tobacco Products

Annual Submission of the Ingredients Added to, and the Quantity of Nicotine Contained in, Smokeless Manufactured, Imported, or Packaged in the U.S.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.