Information Collection

Form FDA 3734: Reporting violations of section 907(a)(1)(A) of the FFDCA

IC 190703 under ICR 201003-0910-006 · OMB 0910-0647.

Documents and Forms

Document Name Document Type
Form FDA 3734 Form FDA 3734: Reporting violations of section 907(a)(1)(A) of the FFDCA Form and Instruction
FDA 3734 Information Regarding Cigarettes with Characterizing Fla FDA 3734 cleared PRA adds 9-16-09.doc www.accessdata.fda.gov/scripts/email/TobaccoProducts/flavoredCigarettes.cfm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form FDA 3734: Reporting violations of section 907(a)(1)(A) of the FFDCA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA 3734	Information Regarding Cigarettes with Characterizing Flavors	FDA 3734 cleared PRA adds 9-16-09.doc	http://www.accessdata.fda.gov/scripts/email/TobaccoProducts/flavoredCigarettes.cfm	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 170	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	170	-1,530	1,700
Annual IC Time Burden (Hours)	28	-255	283
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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