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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 201005-0910-019
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⚠️ Notice: This information collection may be referencing outdated material.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
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
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
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
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
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.