Information Collection Request

Premarket Tobacco Product Applications and Recordkeeping Requirements

ICR 202309-0910-004 · OMB 0910-0879 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA 4057 PMTA submission; amendments; change in ownership; supplementals; resubmissions; reporting; AE reports; waivers Form and Instruction Modified Repair queued
Change Request OMB Memo September 2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-09-08 Repair queued
0910-0879 SSA AMENDED FINAL 9.2023.docx Supporting Statement A Uploaded 2023-09-08 Missing upstream
0910-0879 OMB Change Request Memo 6.2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-06-21 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 Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
12/31/2025 12/31/2025
191 191
13,707 13,740
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 191 191 0 0 0 0
Annual Time Burden (Hours) 13,707 13,740 0 0 -33 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No