PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers

Premarket Tobacco Product Applications and Recordkeeping Requirements

0879 instrument PMTA Product Grouping Spreadsheet 3-11-2020.xlsm

PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers

OMB: 0910-0879

Document [xlsx]
Download: xlsx | pdf

Overview

Introduction
Product


Sheet 1: Introduction

Unique Identifying Information for New Tobacco Products
DRAFT FORM



Instructions:
1. You MUST enter the Applicant Name, Product Category and Product Subcategory as required by 21 CFR § 1114.7(c)(3) on this page.
2. Enter values for the applicable product properties specified in Table 1 to 21 CFR § 1114.7(c)(3)(iii) in Product Tab.
3. Verify Completion before saving as XLS or XLSX. You must save as XLS or XLSX for eSubmitter.
Additional Comments


OMB Control No. 0910-0879
Expiration Date: xx/xx/xxxx
See PRA Statement on bottom of page
Product Information
Saving as an .xls or .xlsx will cause all drop down menus to disappear, so be certain you are completely finished. Your data will be saved, but you will not have drop down functions if you must re-open.

Continue through the errors and save the file as "Tobacco_Product_list.xls" or "Tobacco_Product_list.xlsx". If there are multiple product files, save the files as "Tobacco_Product_list_n.xls" or "Tobacco_Product_list_n.xlsx"(where n=1,2,3,etc.)

Using "Additional Property" to differentiate the products if all the other unique product properties are exactly same.




Applicant Name




Product Category




Product Subcategory




Product Category, If other




Product Subcategory, if Other


































































Version: 12.0 Microsoft Excel






Release Date: 11/17/2019














This section applies only to requirements of the Paperwork Reduction Act of 1995.
*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF ADDRESS BELOW.*
The burden time for this collection of information is estimated to average 4 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to the following email address:
For PRA questions:
[email protected]
OMB Statement: “An agency may not conduct or sponsor and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number.”





Sheet 2: Product

Product Name Package Type Package Type, if Other Package Quantity Numeric Value Units (Package Quantity) Characterizing Flavor Characterizing Flavor, If other Length Description Length Description, if Other Length Numeric Value Units (Length) Diameter Description Diameter Description, if Other Diameter Format Diameter Numeric Value Units (Diameter) Ventilation Additional Property



















































































































File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy