Tobacco Health Document Submission (Form FDA 3743)

Tobacco Health Document Submission

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0654 can be found here:

Documents and Forms

Document Name Document Type
Form FDA 3743 Tobacco Health Document Submission (Form FDA 3743) Form and Instruction
FDA 3743 Tobacco Health Document Submission 0654 form FDA 3743 7-6-2010.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Tobacco Health Document Submission (Form FDA 3743)	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 3743	Tobacco Health Document Submission	0654 form FDA 3743 7-6-2010.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: 8	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	828	828

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.