Information Collection

List of Ingredients Added in the Manufacture of Smokeless Tobacco Products

IC 37761 under ICR 201102-0920-006 · OMB 0920-0338.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0338 can be found here:

Documents and Forms

Document Name Document Type
Att 4a_1 SLT Nicotine Report.doc Other-WORD
Att 4a_2 SLT Ingredient Report.doc Other-WORD
Att 4b_Reminder Notification Postcard.pdf Att 4b_Reminder Notification Postcard IC Document
Att 4c_Request for Add Info.doc Att 4c_Request for Add Info IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	List of Ingredients Added in the Manufacture of Smokeless Tobacco Products	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 18 CFR 1905 15 CFR 4401

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att 4a_1 SLT Nicotine Report.doc		Yes	Yes	Fillable Printable
Other-WORD			Att 4a_2 SLT Ingredient Report.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	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	Previously Approved
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	18,843	18,843
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att 4b_Reminder Notification Postcard	Att 4b_Reminder Notification Postcard.pdf	01/14/2011
Att 4c_Request for Add Info	Att 4c_Request for Add Info.doc	01/14/2011

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