Draft FDA 3852 Report of Tobacco Product Removals Subject to Tax

Tobacco Products, User Fees, Requirements for the Submission of Data Needed to Calculate User Fees for Domestic Manufacturers and Importers of Tobacco Products

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0749 can be found here:

Documents and Forms

Document Name Document Type
Form FDA 3852 Draft FDA 3852 Report of Tobacco Product Removals Subject to Tax Form and Instruction
FDA 3852 Report of Tobacco Product Removals Subject to Tax Draft_FDA_3852.pdf Form and Instruction
Section 1150_5_a_b1_b2_FDA3852.doc Section 1150_5_a_b1_b2_FDA3852 IC Document

Information Collection (IC) Details

IC Title:	Draft FDA 3852 Report of Tobacco Product Removals Subject to Tax	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1150.5(b)(1) 21 CFR 1150.5(a) 21 CFR 1150.5(b)(2)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA 3852	Report of Tobacco Product Removals Subject to Tax	Draft_FDA_3852.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 180

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

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	7,200	7,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Section 1150_5_a_b1_b2_FDA3852	Section 1150_5_a_b1_b2_FDA3852.doc	06/05/2013

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