List of Ingredients Added in the Manufacture of Smokeless Tobacco Products

Annual Submission of the Ingredients Added to, and the Quantity of Nicotine Contained in, Smokeless Manufactured, Imported, or Packaged in the U.S.

⚠️ Notice: This information collection may be referencing outdated material.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
Attachment 6a OSH tobacco Ingredient Reporting Web Page.pdf Attachment 6a OSH tobacco Ingredient Reporting Web Page IC Document
Attachment 6b OSH Web Page on Comprehensive Smokeless Tobacco Health Education Act.pdf Attachment 6b OSH Web Page on Comprehensive Smokeless Tobacco Health Education Act IC Document

Information Collection (IC) Details

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: 15 CFR 4401 18 CFR 1905

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: 13	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 Agency Discretion
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	22,269	22,269
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
Attachment 6a OSH tobacco Ingredient Reporting Web Page	Attachment 6a OSH tobacco Ingredient Reporting Web Page.pdf	12/21/2012
Attachment 6b OSH Web Page on Comprehensive Smokeless Tobacco Health Education Act	Attachment 6b OSH Web Page on Comprehensive Smokeless Tobacco Health Education Act.pdf	12/21/2012

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