Tobacco Product Establishment Registration (Paper Form FDA 3741)

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⚠️ Notice: This information collection may be referencing outdated material.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 3741 Tobacco Product Establishment Registration (Paper Form FDA 3741) Form and Instruction
FDA 3741 Registration and Listing for Owners and Operators of Dom Form 3741.pdf Form and Instruction
905 final guidance 11-05-09.doc 905 final guidance 11-05-09 IC Document

Information Collection (IC) Details

IC Title:	Tobacco Product Establishment Registration (Paper Form FDA 3741)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 3741	Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments	Form 3741.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: 1,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-1,000	1,000
Annual IC Time Burden (Hours)	-3,750	3,750
Annual IC Cost Burden (Dollars)	-440	440

Documents for IC

Title	Document	Date Uploaded
905 final guidance 11-05-09	905 final guidance 11-05-09.doc	11/05/2009

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