Tobacco Product Ingredient Listing

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⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

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:

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 %

	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

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.