[NCCDPHP] Annual Submission of the Ingredients Added to, and the Quantity of Nicotine Contained in, Smokeless Manufactured, Imported, or Packaged in the U.S.

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-26-0189 0920 0338 Att 3a Smokeless Tobacco Ing Report Format Final	Form and Instruction	Modified	Available
Form 0920-26-0189 0920 0338 Att 3b Smokeless Tobacco Nicotine Report Format Final	Form and Instruction	Modified	Available
0920 0338 Privacy Narrative Final.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 9 Human Subjects Non-research Determination.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 8 Disclosure of Confidential Info Final.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 6b Recommencement of Reporting Require.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 6a Change in Reporting Require.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 5 Certificate of Compliance Final.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 4 FRN Revisions to the Lab Protocol 2009 Final.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 2a Initial FRN 1994 Final.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920 0338 Att 1 Smokeless Tobacco Health Education Act Final.pdf	Supplementary Document	Uploaded 2026-06-09	Available
0920-26-0189 SSA 0920-0338.docx	Supporting Statement A	Uploaded 2026-06-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37761	Smokeless Tobacco Product Manufacturers, Packagers, and Importers	Form and Instruction	Modified	0920 0338 Att 3a Smokeless Tobacco Ing Report Format Final
252931	Smokeless Tobacco Product Manufacturers, Packagers, and Importers	Form and Instruction	Modified	0920 0338 Att 3b Smokeless Tobacco Nicotine Report Format Final

ICR Details

OMB Control No: 0920-0338	ICR Reference No: 202605-0920-006
Status: Received in OIRA	Previous ICR Reference No: 202204-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0189
Title: [NCCDPHP] Annual Submission of the Ingredients Added to, and the Quantity of Nicotine Contained in, Smokeless Manufactured, Imported, or Packaged in the U.S.
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/09/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	22	0
Time Burden (Hours)	18,843	0
Cost Burden (Dollars)	0	0

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Abstract: This Information Collection Request (ICR) supports a reinstatement of a Congressionally mandated information collection, “Annual Submission of the Ingredients Added to, and the Quantity of Nicotine Contained in, Smokeless Tobacco Manufactured, Imported, or Packaged in the U.S.” (OMB control no. 0920-0338, exp. January 31, 2026). The Comprehensive Smokeless Tobacco Health Education Act of 1986 (15 U.S.C. 4401 et seq. or Pub.L. 99-252) requires each person who manufactures, packages, or imports smokeless tobacco products to provide the Secretary of HHS with an annual list of ingredients added to tobacco in the manufacture of smokeless tobacco products, as well as a specification of quantity of nicotine contained in each product. Responsibility for collecting the information has been delegated to CDC's Office on Smoking and Health.

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Authorizing Statute(s): PL: Pub.L. 99 - 252 4403 Name of Law: Comprehensive Smokeless Tobacco Health Education Act of 1986
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 43449	09/09/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 32976	06/02/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Smokeless Tobacco Product Manufacturers, Packagers, and Importers	0920-26-0189	0920 0338 Att 3b Smokeless Tobacco Nicotine Report Format Final
Smokeless Tobacco Product Manufacturers, Packagers, and Importers	0920-26-0189	0920 0338 Att 3a Smokeless Tobacco Ing Report Format Final

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ICR Summary of Burden

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	22	0	0	22	0	0
Annual Time Burden (Hours)	18,843	0	0	18,843	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement request for three years of approval and 18,843 annual burden hours.

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Annual Cost to Federal Government: $16,480

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/09/2026

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