Tobacco Product Establishment Renewal 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⚠️ Notice: This information collection may be referencing outdated material.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
eSubmitterscreenshots.pdf Other-eSubmitter
TRLM-NGPresentation-Screenshots.pptx Other-TRLM
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 Renewal 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-eSubmitter			eSubmitterscreenshots.pdf	Yes	Yes	Fillable Fileable Signable
Other-TRLM			TRLM-NGPresentation-Screenshots.pptx	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: 2,572	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	2,572	-1,006	3,578
Annual IC Time Burden (Hours)	412	-160	572
Annual IC Cost Burden (Dollars)	0	-20	20

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.