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Tobacco Product Establishment Registration (Paper Form FDA 3741)
Tobacco Product Establishment Registration and Submission of Certain Health Information
OMB: 0910-0650
IC ID: 191228
OMB.report
HHS/FDA
OMB 0910-0650
ICR 200912-0910-005
IC 191228
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0650 can be found here:
2023-03-24 - No material or nonsubstantive change to a currently approved collection
2022-08-12 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tobacco Product Establishment Registration (Paper Form FDA 3741)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
3,750
0
0
0
0
3,750
Annual IC Cost Burden (Dollars)
440
0
0
0
0
440
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.