Tobacco Product Ingredient Listing (electronic)

Tobacco Product Establishment Registration and Submission of Certain Health Information

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form FDA 3742 Tobacco Product Ingredient Listing (electronic) Form and Instruction
FDA 3742 LISTING OF INGREDIENTS IN TOBACCO PRODUCTS Screen Shots 904(a)1_FINAL.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Tobacco Product Ingredient Listing (electronic)	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 3742	LISTING OF INGREDIENTS IN TOBACCO PRODUCTS	Screen Shots 904(a)1_FINAL.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: 10,990	Number of Respondents for Small Entity: 100

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,990	-10	11,000
Annual IC Time Burden (Hours)	32,970	-30	33,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.