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Smokeless Tobacco Product Manufacturers, Packagers, and Importers
Annual Submission of the Ingredients Added to, and the Quantity of Nicotine Contained in, Smokeless Manufactured, Imported, or Packaged in the U.S.
OMB: 0920-0338
IC ID: 37761
OMB.report
HHS/CDC
OMB 0920-0338
ICR 202204-0920-001
IC 37761
( )
Documents and Forms
Document Name
Document Type
Form 0920-0338
Smokeless Tobacco Product Manufacturers, Packagers, and Importers
Form and Instruction
0920-0338 SLT Ingredient Report
0338 Att 4a Rec Smokeless Tobacco Ingr Rpt Frmat.pdf
Form and Instruction
0920-0338 SLT Ingredient Report
0338 Att 4a Rec Smokeless Tobacco Ingr Rpt Frmat.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Smokeless Tobacco Product Manufacturers, Packagers, and Importers
Agency IC Tracking Number:
0920-0338
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
15 CFR 4401
18 CFR 1905
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-0338
SLT Ingredient Report
0338 Att 4a Rec Smokeless Tobacco Ingr Rpt Frmat.pdf
Yes
Yes
Paper Only
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:
11
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
11
0
0
0
0
11
Annual IC Time Burden (Hours)
18,772
0
-71
0
0
18,843
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.