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Tobacco Product Listing; Form FDA 3742 Listing of Ingredients (Electronic and Paper submissions); Section 904(c)
Tobacco Product Establishment Registration and Submission of Certain Health Information
OMB: 0910-0650
IC ID: 217656
OMB.report
HHS/FDA
OMB 0910-0650
ICR 202112-0910-010
IC 217656
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0650 can be found here:
2023-03-24 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
370
0
0
300
0
70
Annual IC Time Burden (Hours)
148
0
0
120
0
28
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.