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

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3734 Information Regarding Cigarettes with Characterizing Flavors 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	FDA 3734			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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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