Potential Tobacco Product Violations Reporting

Potential Tobacco Product Violations Reporting Form

OMB: 0910-0716

IC ID: 201526

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Potential Tobacco Product Violations Reporting
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FDA 3779 Potential Tobacco Product Violations Report Form FDA 3779.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,685 200
   
Individuals or Households
 
   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 5,370 0 0 3,870 0 1,500
Annual IC Time Burden (Hours) 1,343 0 0 968 0 375
Annual IC Cost Burden (Dollars) 24 0 0 17 0 7

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.

© 2021 OMB.report | Privacy Policy