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PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers
Premarket Tobacco Product Applications and Recordkeeping Requirements
OMB: 0910-0879
IC ID: 237744
OMB.report
HHS/FDA
OMB 0910-0879
ICR 202306-0910-005
IC 237744
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0879 can be found here:
2023-09-08 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FDA 4057
PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers
Form and Instruction
Form FDA 4057
PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers
Form and Instruction
FDA 4057 Premarket Tobacco Product Application (PMTA) Submission
FDA 4057.pdf
Form and Instruction
FDA 4057a Premarket Tobacco Product Application Amendment and General Correspondence Submission
FDA 4057a.pdf
Form and Instruction
FDA 4057b Unique Identifying Information for New Tobacco Products
Copy of FDA Form 4057b Product Grouping_v3.0 Final.xlsm
Form and Instruction
Information Collection (IC) Details
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