Information Collection Request

Tobacco Product Establishment Registration and Submission of Certain Health Information

ICR 201712-0910-004 · OMB 0910-0650 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA 3742 Tobacco Product Ingredient Listing electronic and paper submission (vape shops that qualify as manufacturers) Form and Instruction Unchanged Available
Form FDA 3742 Tobacco Product Renewal Ingredient Listing Form and Instruction Modified Available
Form FDA 3471 Tobacco Product Establishment Renewal Registration and Listing Form and Instruction Modified Available
Form FDA 3742 Tobacco Product Initial Ingredient Listing Form and Instruction Modified Available
0650 Change Request memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-12-26 Repair queued
0910-0650 Change Request memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-10-24 Repair queued
0910-0650 Change Request memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-09-15 Available
0910-0650 supporting statement clean.docx Supporting Statement A Uploaded 2017-09-15 Available
0910-0650 Change Request memo Dec 16.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-12-09 Repair queued
0910-0650 Change Request memo 7.7.16.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-07-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
221396 Tobacco Product Ingredient Listing electronic and paper submission (vape shops that qualify as manufacturers) Form and Instruction Unchanged
217657 Tobacco Product Ingredient Listing electronic and paper submission Instruction Modified
217656 Tobacco Product Renewal Ingredient Listing Form and Instruction Modified
217655 Tobacco Product Establishment Renewal Registration and Listing Form and Instruction Modified
191383 Obtaining a Dun and Bradstreet D-U-N-S Number Instruction Modified
191382 Tobacco Product Initial Ingredient Listing Form and Instruction Modified
191227 Tobacco Product Establishment Initial Registration and Listing and Product Listing Other-Screenshot - Main Menu Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2019 06/30/2019 06/30/2019
85,494 0 85,494
93,916 0 93,916
44 0 44





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 85,494 85,494 0 0 0 0
Annual Time Burden (Hours) 93,916 93,916 0 0 0 0
Annual Cost Burden (Dollars) 44 44 0 0 0 0


Reginfo record details
  No