Information Collection

Cigarette Reporting and Testing of Harmful and Potentially Harmful Constituents (in Accordance with Section 904(c)(1) of the FD&C Act)

IC 203551 under ICR 201603-0910-003 · OMB 0910-0732.

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Information Collection (IC) Details

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IC Title:	Cigarette Reporting and Testing of Harmful and Potentially Harmful Constituents (in Accordance with Section 904(c)(1) of the FD&C Act)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 78	Number of Respondents for Small Entity: 62

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	62	-1,150	1,212
Annual IC Time Burden (Hours)	3,629	-67,516	71,145
Annual IC Cost Burden (Dollars)	0	0	0

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