Information Collection

Tobacco Product Listing; Form FDA 3742 Listing of Ingredients (Electronic and Paper submissions); Section 904(c)

IC 217656 under ICR 202112-0910-010 · OMB 0910-0650.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0650 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
R&LGuidance.pdf	Other-Guidance
eSubmitterscreenshots.pdf	Other-eSubmitter
TRLM-NGPresentation-Screenshots.pptx	Other-TRLM
FDA 3742 Listing of Ingredients in Tobacco Products FDA-3742.pdf	Form and Instruction

IC Title:

Tobacco Product Listing; Form FDA 3742 Listing of Ingredients (Electronic and Paper submissions); Section 904(c)

Agency IC Tracking Number:

CTP

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of 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 3742	Listing of Ingredients in Tobacco Products	FDA-3742.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: 37

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	370	300	70
Annual IC Time Burden (Hours)	148	120	28
Annual IC Cost Burden (Dollars)	0	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.