Form TB-39 Quarterly Report on Manufacture and Sale of Snuff, Smoki

FORM APPROVED - OMB NO. 0581-0004

REPRODUCE LOCALLY. Include form number and date on all reproductions.

QUARTER AND YEAR OF THIS REPORT

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
COTTON AND TOBACCO PROGRAMS
1306 ANNAPLOLIS DRIVE
SUTIE 205
RALEIGH, NC 27608

QUARTERLY REPORT OF MANUFACTURE AND
SALES OF SNUFF, SMOKING, AND CHEWING TOBACCO
(If change in address, please correct)

Please complete and mail reports to address in heading by the 15th of the month succeeding the quarter covered. See reverse for further instructions.
PRODUCT CLASSIFICATION

(Col. 1)
TOTAL MANUFACTURED
(Pounds)

(Col. 2)
QUANTITY INVOICED
TO DOMESTIC CUSTOMERS
(Pounds)

(Col. 3)
QUANTITY INVOICED
FOR EXPORT PURPOSES
(Pounds)

SNUFF:
1. Dry
2. Moist
SMOKING TOBACCO:
1. Pipe
2. Roll your own
a. Granulated or Sack
b. Cigarette cut
CHEWING TOBACCO:
1. Plug
a. Firm
b. Moist
2. Twist or roll
3. Loose leaf

SIGNATURE

TB-39 (03-17) Destroy previous editions.

TITLE

DATE

Nature of Report:
Since repeal of the Federal excise tax on snuff, smoking, and chewing tobacco in 1965, responsibility for collecting statistics
on these products has passed from the Treasury Department to the Department of Agriculture at the request of the industry.
Reports are now requested on a quarterly basis instead of monthly. Individual reports are kept strictly confidential and only
national totals are published. The reports cover regular calendar quarters: January-March, April-June, July-September, and
October-December.
Instructions:
Who is to report - Only manufacturers are requested to submit reports. Firms having more than one factory may file
separate reports for each but a combined report is preferred.
(Col. 1) Manufactured - Please report the total pounds of each class of product manufactured in domestic factory(s) during
the past quarter, including production of test brands and custom production for private individuals, small retail outlets, mail
order houses, and institutions. If you have subsidiary companies or do work for another manufacturer who also reports to
us, both firms should reach agreement on the proper reporting method to avoid any duplication or omission.
(Col. 2) Invoiced to Domestic Customers - Please report total pounds of each class of product sold to domestic customers
during the past quarter for consumption within the United States, including Government installations. Include invoiced
shipments of test brands and custom production for private individuals, small retail outlets, mail order houses, and
institutions. Imported brands are not to be included in this schedule.
If you have subsidiary companies or do work for another manufacturer who also reports to us, both firms should reach
agreement on the proper reporting method to avoid any duplication or omission. Sample and gratis shipments to dealers and
brands in test markets should also be included.
(Col. 3) Export Purposes - Please report total pounds of each class of product "exported" during the past quarter, including
shipments to Puerto Rico and U.S. possessions, for use as ships stores, and armed forces overseas. Do not include blended
cigarette strips or cigarette cut tobacco exported for use in the manufacture of cigarettes.
SPECIAL INSTRUCTIONS FOR SMOKING TOBACCO - Pipe tobacco is that smoking tobacco blended and processed
primarily for use in pipes. Roll-your-own is that smoking tobacco especially cut and processed primarily for use in
roll-your-own cigarettes usually marketed with a packet of papers enclosed. Bulk tobacco to be used in the manufacture of
cigarettes, either domestic or foreign, should not be reported.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0004. The time required to
complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and
employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex,
gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance
program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all
programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign
Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal
Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/
complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To
request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: 1) mail: U.S. Department of Agriculture Office of
the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; 2) fax: (202) 690-7442; or 3) email:
[email protected].
USDA is an equal opportunity provider, employer, and lender.

TB-39 (03-17) Reverse)