Information Collection

Reporting violations of section 907(a)(1)(A) of the FFDCA (mail)

IC 192401 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 Reporting violations of section 907(a)(1)(A) of the FFDCA (mail)	Form and Instruction
FDA 3734 Tobacco Product Standard Violations on Flavored Cigarett FDA 3734 cleared PRA adds 9-16-09.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	Tobacco Product Standard Violations on Flavored Cigarettes	FDA 3734 cleared PRA adds 9-16-09.doc		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	1	1

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.