Information Collection Request

Tobacco Health Document Submission

ICR 201601-0910-020 · OMB 0910-0654 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA Tobacco Health Document Submission Form and Instruction Modified Available
0654 SS TB Health Document Submission Deeming Revision Final.docx Supporting Statement A Uploaded 2016-05-12 Available
TB Health Doc Submission Guidance.pdf Supplementary Document Uploaded 2013-08-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191698 Tobacco Health Document Submission Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 12/31/2016
32 0 8
1,600 0 400
832 0 208





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Tobacco Health Document Submission FDA Tobacco Health Document Submission

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 32 8 0 24 0 0
Annual Time Burden (Hours) 1,600 400 0 1,200 0 0
Annual Cost Burden (Dollars) 832 208 0 624 0 0


Reginfo record details
  No