OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Establishment Registration (Initial), the initial registration of a tobacco product establishment

IC 191227 under ICR 202412-0910-013 · OMB 0910-0650.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form FDA 3741
Establishment Registration (Initial), the initial registration of a tobacco product establishment		 Form and Instruction
Form FDA 3741
(Current) Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments Establishment Registration (Initial), the initial registration of a tobacco product establishment		 Form and Instruction
Form FDA 3741a
(Current) Registration and Listing for Owners and Operators of Domestic Deemed Tobacco Product Establishments Establishment Registration (Initial), the initial registration of a tobacco product establishment		 Form and Instruction
Form FDA 3741
(New) Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments Establishment Registration (Initial), the initial registration of a tobacco product establishment		 Form and Instruction
Wireframe Current Registration and Listing Site.pdf Other-Establishment Registration and
Wireframe Current Registration and Listing Site.pdf Other-Establishment Registration and
Wireframe Current TRLM NG Industry Creating a New Registration.pdf Other-TRLM NG Industry Creating a Ne
Wireframe Current TRLM NG Industry Creating a New Registration.pdf Other-TRLM NG Industry Creating a Ne
FDA 3741 (Current) Registration and Listing for Owners and Operat
Current FDA Form 3741.pdf 		Form and Instruction
FDA 3741 (Current) Registration and Listing for Owners and Operat
Current FDA Form 3741.pdf 		Form and Instruction
FDA 3741a (Current) Registration and Listing for Owners and Operat
Current Form FDA 3741a.pdf 		Form and Instruction
FDA 3741a (Current) Registration and Listing for Owners and Operat
Current Form FDA 3741a.pdf 		Form and Instruction
FDA 3741 (New) Registration and Listing for Owners and Operators
NEW_ Form_FDA_3741.pdf 		Form and Instruction
FDA 3741 (New) Registration and Listing for Owners and Operators
NEW_ Form_FDA_3741.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FDA 3741 Yes Yes Fillable Fileable
Form and Instruction FDA 3741a Yes Yes Fillable Fileable
Other-Establishment Registration and Tobacco Product Listing Yes Yes Fillable Fileable
Form and Instruction FDA 3741 Yes Yes Fillable Fileable Signable
Other-TRLM NG Industry Creating a New Registration Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 37 0 0 -163 0 200
Annual IC Time Burden (Hours) 61 0 0 -259 0 320
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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.
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