Information Collection Request

Premarket Tobacco Product Applications and Recordkeeping Requirements

ICR 202403-0910-005 · OMB 0910-0879 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA Web Form 4057a Premarket Tobacco Product Application (PMTA) Amendment and General Correspondence Submission (FDA Web Form 4057a) Form and Instruction Modified Available
Form FDA Web Form 4057 Premarket Tobacco Product Application (PMTA) Submission (FDA Web Form 4057) Form and Instruction Modified Repair queued
Form FDA 4057b Unique Identifying Information for New Tobacco Products Form and Instruction Modified Available
Form FDA 4057a Premarket Tobacco Product Application (PMTA) Amendment and General Correspondence Submission Form and Instruction Modified Available
Form FDA 4057 Premarket Tobacco Product Application (PMTA) Submission Form and Instruction Modified Available
Form FDA 4057 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Form and Instruction Modified Available
Change Request OMB Memo September 2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-09-08 Repair queued
0910-0879_SSA_2024._Final 11-21-24.docx Supporting Statement A Uploaded 2024-11-21 Repair queued
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
267445 Recordkeeping; Premarket Tobacco Product Applications New
237744 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Form and Instruction ModifiedPremarket Tobacco Product Application (PMTA) Amendment and General Correspondence Submission (FDA Web Form 4057a)
237744 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Form and Instruction ModifiedPremarket Tobacco Product Application (PMTA) Submission (FDA Web Form 4057)
237744 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Form and Instruction ModifiedUnique Identifying Information for New Tobacco Products
237744 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Form and Instruction ModifiedPremarket Tobacco Product Application (PMTA) Amendment and General Correspondence Submission
237744 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Form and Instruction ModifiedPremarket Tobacco Product Application (PMTA) Submission
237744 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Form and Instruction Modified
237744 Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver Other-Validator Tool Screenshots Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2028 36 Months From Approved 12/31/2025
1,493 0 191
383,262 0 13,707
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Recordkeeping; Premarket Tobacco Product Applications
Reporting: PMTA submission; amendment; unique identification for new products; validator spreadsheet; periodic reports; change in ownership; supplemental applications; resubmissions; waiver FDA 4057a, FDA 4057, FDA 4057b, FDA Web Form 4057, FDA Web Form 4057a ,   ,   ,   ,  

table that charts list of burden
  Total Approved 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 1,493 191 0 24 1,278 0
Annual Time Burden (Hours) 383,262 13,707 0 17 369,538 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No