Information Collection

Tobacco Product Ingredient Listing (Paper form 3742)

IC 191384 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form FDA 3742 Tobacco Product Ingredient Listing (Paper form 3742) Form and Instruction
FDA 3742 Listing of Ingredients in Tobacco Products Form 3742.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tobacco Product Ingredient Listing (Paper form 3742)	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	Form 3742.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: 110	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	110	10	100
Annual IC Time Burden (Hours)	330	330	0
Annual IC Cost Burden (Dollars)	48	4	44

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.