Tobacco Product Establishment Renewal Registration and Listing

Tobacco Product Establishment Registration and Submission of Certain Health Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0650 can be found here:

Documents and Forms

Document Name Document Type
Form FDA 3471 Tobacco Product Establishment Renewal Registration and Listing Form and Instruction
1 View-Update_Product Listing-TRLM_Main_Menu_after_initial_registration.jpg Other-Screenshot - Main Menu
FURL Screenshots-060415.docx Other-Screenshots - FURL
9.12.17 R&L guidance - Clean.pdf Instruction
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

IC Title:	Tobacco Product Establishment Renewal Registration and 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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-Screenshots - FURL			FURL Screenshots-060415.docx	Yes	Yes	Fillable Fileable
Instruction			9.12.17 R&L guidance - Clean.pdf	Yes	No	Printable Only

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	Previously Approved
Annual Number of Responses for this IC	4,880	4,880
Annual IC Time Burden (Hours)	781	781
Annual IC Cost Burden (Dollars)	0	0

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.