Information Collection Request

Premarket Tobacco Product Applications and Recordkeeping Requirements

ICR 202203-0910-009 · OMB 0910-0879 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form FDA 4057b Unique Identifying Information for New Tobacco Products Form and Instruction Modified Available
Form Form FDA 4057a Premarket Tobacco Product Application Amendment and General Correspondence Submission Form and Instruction Modified Repair queued
Form Form FDA 4057 Premarket Tobacco Product Application (PMTA) Submission Form and Instruction Modified Available
Form Form FDA 4057 PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers Form and Instruction Modified Repair queued
Change Request_4057b Detailed 3.31.22.xlsx Supplementary Document Uploaded 2022-03-31 Repair queued
0879 Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-03-31 Repair queued
0879 PMTA SS Clean 3.31.22.docx Supporting Statement A Uploaded 2022-03-31 Repair queued
FDA CTP Electronic Submissions (eSub) PIA 1.15.2021.pdf Supplementary Document Uploaded 2021-01-15 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
237744 PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers Form and Instruction ModifiedUnique Identifying Information for New Tobacco Products
237744 PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers Form and Instruction ModifiedPremarket Tobacco Product Application Amendment and General Correspondence Submission
237744 PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers Form and Instruction ModifiedPremarket Tobacco Product Application (PMTA) Submission
237744 PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2024 12/31/2024 12/31/2024
72 0 72
13,592 0 13,592
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers Form FDA 4057a, Form FDA 4057, Form FDA 4057b ,   ,  



Reginfo record details
  No