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Tobacco Product Establishment Initial Registration and Listing and Product Listing
Tobacco Product Establishment Registration and Submission of Certain Health Information
OMB: 0910-0650
IC ID: 191227
OMB.report
HHS/FDA
OMB 0910-0650
ICR 201710-0910-012
IC 191227
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0650 can be found here:
2023-03-24 - No material or nonsubstantive change to a currently approved collection
2022-08-12 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
1 View-Update_Product Listing-TRLM_Main_Menu_after_initial_registration.jpg
Other-Screenshot - Main Menu
2 View-Update_Product_Listing_-_PL_Summary.jpg
Other-Screenshot - PL Summary
3 View-Update_Product_Listing_-_Product_Review_page.jpg
Other-Screenshot - Product Review
9.12.17 R&L guidance - Clean.pdf
Instruction
FURL Screenshots-060415.docx
Other-Screenshots - FURL
RL Screenshots.pdf
Other-screenshots
FDA 3471 Registration and Listing for Owners and Operators of Dom
FDA-3741 final 5-5-2016.pdf
Form and Instruction
FDA 3741a Registration and Listing for Owners and Operators of Dom
FDA-3741a final 5-5-2016.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tobacco Product Establishment Initial Registration and Listing and Product Listing
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-screenshots
RL Screenshots.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
FDA 3471
Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments
FDA-3741 final 5-5-2016.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
FDA 3741a
Registration and Listing for Owners and Operators of Domestic Deemed Tobacco Product Establishments
FDA-3741a final 5-5-2016.pdf
Yes
Yes
Fillable Fileable
Other-Screenshot - Main Menu
1 View-Update_Product Listing-TRLM_Main_Menu_after_initial_registration.jpg
Yes
Yes
Fillable Fileable
Other-Screenshot - PL Summary
2 View-Update_Product_Listing_-_PL_Summary.jpg
Yes
Yes
Fillable Fileable
Other-Screenshot - Product Review
3 View-Update_Product_Listing_-_Product_Review_page.jpg
Yes
Yes
Fillable Fileable
Instruction
9.12.17 R&L guidance - Clean.pdf
Yes
No
Printable Only
Other-Screenshots - FURL
FURL Screenshots-060415.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,880
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,880
0
0
0
0
4,880
Annual IC Time Burden (Hours)
7,808
0
0
0
0
7,808
Annual IC Cost Burden (Dollars)
22
0
0
0
0
22
Documents for IC
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.