Information Collection

Ingredient Report

IC 183310 under ICR 202604-0920-005 · OMB 0920-0210.

Documents and Forms

Document Name Document Type
Recommended Cigarette Ingredient Reporting Format - FCLAA Ingredient Report Form and Instruction
Recommended Cigarette Ingredient Reporting Format - FCLA 0920 0210 Att 8a Recom Cig Ingr Rptng Format_final.pdf Form and Instruction
0920 0210 Att 8b Req for Addl Info Manufacs Pkgers & Importers of Tobacco Products.pdf Requirement for Additional Information IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ingredient Report	Agency IC Tracking Number:	0920-26-0188

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 18 CFR 1905 15 CFR 4401

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Recommended Cigarette Ingredient Reporting Format - FCLAA	0920 0210 Att 8a Recom Cig Ingr Rptng Format_final.pdf	NA	No		Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	358	358
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Requirement for Additional Information	0920 0210 Att 8b Req for Addl Info Manufacs Pkgers & Importers of Tobacco Products.pdf	05/05/2026

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

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