Information Collection

Tobacco Product Ingredient Listing electronic and paper submission (vape shops that qualify as manufacturers)

IC 221396 under ICR 201601-0910-017 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form FDA 3742 Tobacco Product Ingredient Listing electronic and paper submission (vape shops that qualify as manufacturers)	Form and Instruction
Copy of Ingredients Form_List_of_Values.xls	Other-null
Ingredients Screenshots_clean.doc	Other-screenshots
FDA 3742 Listing of Ingredients in Tobacco Products FDA-3742 5-5-2016.pdf	Form and Instruction

IC Title:

Tobacco Product Ingredient Listing electronic and paper submission (vape shops that qualify as manufacturers)

Agency IC Tracking Number:

CTP

Is this a Common Form? No

IC Status: New

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
Form and Instruction	FDA 3742	Listing of Ingredients in Tobacco Products	FDA-3742 5-5-2016.pdf	Yes	Yes	Fillable Fileable
Other-null			Copy of Ingredients Form_List_of_Values.xls	Yes	No	Paper Only
Other-screenshots			Ingredients Screenshots_clean.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	49,853	49,853
Annual IC Time Burden (Hours)	49,853	49,853
Annual IC Cost Burden (Dollars)	0	0

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.