Information Collection

Tobacco Product Establishment Registration (Paper Form FDA 3741)

IC 191228 under ICR 201005-0910-019 · OMB 0910-0650.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0650 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3741 Tobacco Product Establishment Registration (Paper Form FDA 3741)	Form and Instruction
FDA 3741 Registration and Listing for Owners and Operators of Dom Form 3741.pdf	Form and Instruction
905 final guidance 11-05-09.doc 905 final guidance 11-05-09	IC Document

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:

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 3741	Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments	Form 3741.pdf		Yes	Yes	Fillable Fileable Signable

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	440	440

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
905 final guidance 11-05-09	905 final guidance 11-05-09.doc	11/05/2009

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