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

Tobacco Product Establishment Registration and Submission of Certain Health Information

Copy of Ingredients Form_List_of_Values.xls

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

OMB: 0910-0650

Document [xlsx]
Download: xlsx | pdf



TOBMSTR904.41 Change to Ingredient
UNCHANGED No Change
INCR Quantity of Additive was Increased
DECR Quantity of Additive was Decreased
ELIM Additive was Eliminated
ADDED Additive was Added



TOBMSTR904.54 Change to Ingredient: C2
UNCHANGED No Change
INCR Quantity of Additive was Increased
ADDED Additive was Added



TOBMSTR904.55 Change to Ingredient: C3
UNCHANGED No Change
DECR Quantity of Additive was Decreased
ELIM Additive was Eliminated



TOBMSTR904.71 Component Types These terms are no longer needed on Component Screen because now the first question says, "Product Type" and lists Cigarette, Cigar, ENDS, Pipe, etc. The 2nd question asks for Component Type and the list will change depending on Product Type.
CCT Cigarette Component Types
CGCT Cigar Component Types
ENDSCT ENDS Component Types
PCT Pipe Component Types
RYOCT Roll-Your-Own Component Types
STPCT Smokeless Tobacco Product Component Types
WPCT Waterpipe Component Types
OTH Other



TOBMSTR904.68 Component: ENDS
ELIQ E-Liquid
ATO Atomizer
CCH Coil/Coil Heads
MOU Mouthpiece
TC Tank/Cartridge
WIC Wick
OTH Other



TOBMSTR904.70 Component: Pipe
TF Tobacco Filler
TFA Tobacco Filler Additive
BOW Bowl
MOU Mouthpiece
SHA Shank (without bowl)
OTH Other



TOBMSTR904.67 Component: Smokeless
TF Tobacco Filler
TFA Tobacco Filler Additive
POU Pouch
OTH Other



TOBMSTR904.69 Component: Waterpipe
TF Tobacco Filler
TFA Tobacco Filler Additive
HS Heat Source
BAS Base
BOW Bowl
DIF Diffuser
FS Foil/Screen
HOS Hose
MOU Mouthpiece
SEA Seal
STE Stem
VAL Valve
OTH Other



TOBMSTR904.66 Components: Cigar
TF Tobacco Filler
TFA Tobacco Filler Additive
ASH Adhesive
FIL Filter
TIP Tip
TP Tipping Paper
PW Plug Wrap
WB Wrapper/Binder
OTH Other



TOBMSTR904.64 Components: Cigarette
TF Tobacco Filler
TFA Tobacco Filler Additive
ASH Adhesive
FIL Filter
IRP Ink (Rod Print)
PIF Pack Inner Foil
CP Cigarette Paper
TP Tipping Paper
PW Plug Wrap
OTH Other



TOBMSTR904.65 Components: Roll-Your-Own
TF Tobacco Filler
TFA Tobacco Filler Additive
ASH Adhesive
FIL Filter
IRP Ink (Rod Print)
CP Cigarette Paper
TP Tipping Paper
PW Plug Wrap
OTH Other



TOBMSTR904.29 Cure Method
AIR Air
FIRE Fire
FLUE Flue
STEAM Steam
SUN Sun
OTH Other



TOBMSTR904.22 End of Use
CUSE Consumer Use
FMUSE Further Manufacturing Use
BOTH Consumer Use and Further Manufacturing Use



TOBMSTR904.62 Generational Suffix
JR Jr.
SR Sr.
II II
III III
OTH Other



TOBMSTR904.28 Gram
g g
mg mg
mcg mcg
ng ng
pg pg



TOBMSTR904.27 Ingredient Function
ADD ENHANCE Addictiveness enhancer (including nicotine addictiveness enhancer such as an agent that affects the dosing, perception or action of nicotine)
A Adhesive
AER Aerosol Forming Agent
AFA Anti-Foaming Agent
AP Anti-Plasticizer
ASA Anti-Sticking Agent
ANTI Antioxidant
B Binder
BIO Biocide
CAR Carrier
CAS Casing
CHEM Chemo-sensory agent that affects perception of mainstream or sidestream smoke including smoke color modifiers, smoke odor modifiers and smoke enhancers)
CA Coating Agent
COL Color
COMB MOD Combustion Modifier
DIS Dispersant
DRY Drying Agent
EMUL Emulsifier
FA Fermentation Agent
FIB Fiber
FILL Filler
FFA Film-Forming Agent
FILT Filtration
FL Flavor
FFH Fuel for Heat Source
HC Heat Conductor
HI Heat Insulator
HUM Humectant
INK Ink
LRA Lip Release Agent
MD Menthol Delivery
MB Moisture Barrier
MOIS Moisturizer
NS Nicotine Source
OB Oxygen Barrier
pH pH Adjuster
PHB pH Buffer
PLAST Plasticizer
PCA Porosity Control Agent
PRES Preservative
PROC Processing Aid
RIP Reduced Ignition Propensity
SIZ Sizing Agent
SOLV Solvent
SURF Surfactant
SWT Sweetener
TCA Texture Control Agent
WHI Whitener
WRA Wrapper
O Other



TOBMSTR904.35 Ingredient Type
SCS Single Chemical Substance
LT Leaf Tobacco
CI Complex Ingredients



TOBMSTR904.25 Ingredients Standards - Single
UNII FDA UNII Code
CAS CAS Number
OTHER Other



TOBMSTR904.37 Parts Ingredient Added To
P Paper
F Filter
T Tobacco
OTH Other



TOBMSTR904.63 Prefix
DR Dr.
MR Mr.
MRS Mrs.
MS Ms.



TOBMSTR904.48 Product Category - All
CIG Cigarettes
CTP Cigars
ENDS Electronic Nicotine Delivery Systems (ENDS)
PIP Pipe Tobacco Products
RYO Roll-Your-Own Tobacco Products
STP Smokeless Tobacco Products
WTP Waterpipe Tobacco Products
OTH Other



TOBMSTR904.60 Product Sub-Category - Cigars
FSWC Filtered, Sheet-Wrapped Cigar
NFSWC Unfiltered, Sheet-Wrapped Cigar
LWC Leaf-Wrapped Cigar
CIGC Cigar Component



TOBMSTR904.49 Product Sub-Category - Cigarette
CFC Combusted, Filtered
CNFC Combusted, Non-Filtered
NCC Non-combusted
OTH Combusted, Other
CIGC Cigarette Component



TOBMSTR904.58 Product Sub-Category - ENDS
CEC Closed E-Cigarette
PEC Open E-Cigarette
ELIQ E-Liquid
ENDSC ENDS Component



TOBMSTR904.50 Product Sub-Category - RYO
RYOT Roll-Your-Own Tobacco Filler
RP Rolling Paper
FCT Filtered Cigarette Tube
NFT Non-Filtered Cigarette Tube
FIL Filter
PT Paper Tip
RYOC Roll-Your-Own Component



TOBMSTR904.51 Product Sub-Category - Smokeless
LMS Loose Moist Snuff
PMS Portioned Moist Snuff
LS Loose Snus
PS Portioned Snus
LDS Loose Dry Snuff
DIS Dissolvable
LCT Loose Chewing Tobacco
PCT Portioned Chewing Tobacco
STPC Smokeless Tobacco Product Component



TOBMSTR904.61 Product Sub-Category - Waterpipe
WP Waterpipe
WPTF Waterpipe Tobacco Filler
WHS Waterpipe Heat Source
WPC Waterpipe Component



TOBMSTR904.59 Product Sub-Category Pipe Tobacco
PIPE Pipe
PTF Pipe Tobacco Filler
PIPEC Pipe Component



TOBMSTR904.42 Reporting Value
TYP Typical Quantity
RNG Range



TOBMSTR904.31 Role
IMP Importer
TPM Manufacturer



TOBMSTR904.38 Submission Status
NEW904A1 Initial submission per 904(a)(1) for product(s) on the market as of June 22, 2009 (for cigarettes, cigarette tobacco, RYO, and smokeless tobacco) or [DATE] (for other tobacco products)
NEW904C1 Initial submission per 904(c)(1) for new product(s)
MOD904C1 Initial submission per 904(c)(1) for modification to existing product(s)
MOD904C2 Initial submission per 904(c)(2) for modification to existing product(s)*
MOD904C3 Initial submission per 904(c)(3) for modification to existing product(s)*
AMENDPROD Amendment to correct previous product ingredient submission(s)**



TOBMSTR904.46 Target Outcome Type
COL Color
MOIS Moisture
PH pH
TS Total Sugars
OTH Other (Specify)



TOBMSTR904.47 Target Outcome Units
CIEL CIE L*a*b*
PHU pH Units
TGP Grams of Total Sugars per Gram of Product
TGU Grams of Total Sugars per Unit of Use
OTH Other (Specify Unit)



TOBMSTR904.57 Type of Name
IUPAC IUPAC Name
OTH Other



TOBMSTR904.44 Type of Quantity
AC Amount Calculated
AT Amount Tested
AAO Amount to Achieve an Outcome
RA Residual Amount






TOBMSTR904.45 Type of Variability
SE Standard Error
CI95 95% Confidence Interval
OTH Other (Specify Type)



TOBMSTR904.34 Unique ID - Type
ITEM/CATALOG NUMBER Item/Catalog Number
SKU SKU Number (Stock Keeping Unit)
UPC UPC Number (Universal Product Code)
EAN EAN (International Article Number)
GTIN GTIN (Global Trade Item Number)
OTH Other



TOBMSTR904.26 Unit of Measure
GOP Gram of Product
UOU Unit of Use



TOBMSTR904.43 Unit Of Measure for Quality
ASH Ash Content (%)
ASSAY Assayed Contents (%)
DRY Solids Dry Basis (%)
WET Solids Wet Basis (%)
MOIS Moisture (%)
CU CORESTA Unit (cm3 min-1 cm-2 at 1 kPa)
QUAL Quality Conforms to A Published Standard (e.g., 21 CFR 175.105, or FCC 9 Acesulfame Potassium)
DB Degrees Brix (°Bx)
DEN Density (g/cm3)
DE Dextrose Equivalent
PRF Proof
SG Specific Gravity (unitless)
SR Specific Rotation (degrees)
OTH Other (specify unit)



File Typeapplication/vnd.ms-excel
AuthorRicca, Erin *
Last Modified ByJonna Capezzuto
File Modified2016-05-09
File Created2016-02-05

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