Annual submission of request for further review of dispute of user fee

Tobacco Products, User Fees, Requirements for the Submission of Data Needed to Calculate User Fees for Domestic Manufacturers and Importers of Tobacco Products

Documents and Forms

Document Name Document Type
Section_1150_15_d.doc Section 1150_15_d IC Document
Section_1150_15_d.doc Section 1150_15_d IC Document

Information Collection (IC) Details

IC Title:	Annual submission of request for further review of dispute of user fee	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 1150.15

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Section 1150_15_d	Section_1150_15_d.doc	03/08/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.