FDA Tobacco Regulatory Requirement Information Survey

Customer/Partner Service Surveys - (Extension)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Document Name Document Type
Interview Survey.docx Other-Interview Survey
Tobacco Regulatory Requirement Information Survey OMB Justification.doc Tobacco Regulatory Requirement Information Survey OMB Justification IC Document

Information Collection (IC) Details

IC Title:	FDA Tobacco Regulatory Requirement Information Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Survey			Interview Survey.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	200	0	0	0	0	0
Annual IC Time Burden (Hours)	50	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Tobacco Regulatory Requirement Information Survey OMB Justification	Tobacco Regulatory Requirement Information Survey OMB Justification.doc	03/01/2012

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