Information Collection

Tobacco Product Ingredient Listing

IC 191382 under ICR 201304-0910-006 · OMB 0910-0650.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0650 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PackagingSubmissionUsingDigitalSignatures.pdf	Instruction
Create CTPe_Submissions UCM189565.pdf	Instruction
eSubmitter Quick Guide UCM162419.pdf	Instruction
AdobeDigitalSignatures.pdf	Instruction
Import_905_Product_Identification_v1.xls	Other-Spreadsheet
FDA Form 3742 Listing of Ingredients in Tobacco Products FDA-3742 view only.pdf	Form and Instruction
FDA Form 3742 (e-s Listing of Ingredients in Tobacco Products eSubmitter Product Listing screen shot-061512.pdf	Form and Instruction

IC Title:

Tobacco Product Ingredient Listing

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			PackagingSubmissionUsingDigitalSignatures.pdf	Yes	No	Printable Only
Form and Instruction	FDA Form 3742	Listing of Ingredients in Tobacco Products	FDA-3742 view only.pdf	Yes	No	Printable Only
Form and Instruction	FDA Form 3742 (e-submitter version)	Listing of Ingredients in Tobacco Products	eSubmitter Product Listing screen shot-061512.pdf	Yes	No	Printable Only
Instruction			Create CTPe_Submissions UCM189565.pdf	Yes	No	Printable Only
Instruction			eSubmitter Quick Guide UCM162419.pdf	Yes	No	Printable Only
Instruction			AdobeDigitalSignatures.pdf	Yes	No	Printable Only
Other-Spreadsheet			Import_905_Product_Identification_v1.xls	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 125

Number of Respondents for Small Entity: 115

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	1	1

Documents for IC

table that charts IC Documents
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.