Information Collection

Tobacco Substantial Equivalence Report Submission

IC 245286 under ICR 202101-0910-003 · OMB 0910-0673.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0673 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3965 Tobacco Substantial Equivalence Report Submission	Form and Instruction
FDA 3965 Tobacco Substantial Equivalence Report Submission FDA 3965.pdf	Form and Instruction

IC Title:

Tobacco Substantial Equivalence Report Submission

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA 3965	Tobacco Substantial Equivalence Report Submission	FDA 3965.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,570

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,570	1,570
Annual IC Time Burden (Hours)	1,178	1,178
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.