Tobacco Product Establishment Initial Registration and Listing; Form FDA 3741 Registration and Product Listing for Owners and Operators of Domestic Establishments (Electronic and Paper submissions)

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⚠️ Notice: This information collection may be referencing outdated material.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
R&LGuidance.pdf Other-Guidance
TRLM-NGPresentation-Screenshots.pptx Other-TRLM
eSubmitterscreenshots.pdf Other-eSubmitter
FDA 3471 Registration and Listing for Owners and Operators of Dom FDA-3741.pdf Form and Instruction
FDA 3741a Registration and Listing for Owners and Operators of Dom FDA-3741a.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Tobacco Product Establishment Initial Registration and Listing; Form FDA 3741 Registration and Product Listing for Owners and Operators of Domestic Establishments (Electronic and Paper submissions)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-Guidance			R&LGuidance.pdf	Yes	No	Printable Only
Form and Instruction	FDA 3471	Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments	FDA-3741.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.pdf	Yes	Yes	Fillable Fileable
Other-TRLM			TRLM-NGPresentation-Screenshots.pptx	Yes	Yes	Fillable Fileable Signable
Other-eSubmitter			eSubmitterscreenshots.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	100	100
Annual IC Time Burden (Hours)	320	160	160
Annual IC Cost Burden (Dollars)	0	-1	1

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.