Information Collection

(Proposed Rule Change) Recurring - Domestic Establishment Registration (Renewal), the registration renewal of a tobacco product establishment

IC 217655 under ICR 202606-0910-006 · OMB 0910-0650.

Documents and Forms

Document Name Document Type
Form FDA 3741a (Current Registration and Listing for Owners and Operators of Domestic Deemed Tobacco Product Establishments (Proposed Rule Change) Recurring - Domestic Establishment Registration (Renewal), the registration renewal of a tobacco product establishment Form and Instruction
Form FDA 3741 (New) Registration of Tobacco Product Establishments and Listing of Tobacco Products in Commercial Distribution (Proposed Rule Change) Recurring - Domestic Establishment Registration (Renewal), the registration renewal of a tobacco product establishment Form and Instruction
Wireframe Current TRLM NG Industry Creating a New Registration.pdf Other-TRLM NG Industry Creating a Ne
Wireframe Current Registration and Listing Site.pdf Other-Establishment Registration and
FDA 3741a (Current Registration and Listing for Owners and Operators of Dom Current Form FDA 3741a.pdf Form and Instruction
FDA 3741 (New) Registration of Tobacco Product Establishments and Listi Form FDA 3741- 04.24.26.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	(Proposed Rule Change) Recurring - Domestic Establishment Registration (Renewal), the registration renewal of a tobacco product establishment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA 3741a (Current)	Registration and Listing for Owners and Operators of Domestic Deemed Tobacco Product Establishments	Current Form FDA 3741a.pdf	Yes	Yes	Fillable Fileable
Other-TRLM NG Industry Creating a New Registration			Wireframe Current TRLM NG Industry Creating a New Registration.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FDA 3741 (New)	Registration of Tobacco Product Establishments and Listing of Tobacco Products in Commercial Distribution	Form FDA 3741- 04.24.26.pdf	Yes	Yes	Fillable Fileable
Other-Establishment Registration and Tobacco Product Listing			Wireframe Current Registration and Listing Site.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 910	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	910	10	900
Annual IC Time Burden (Hours)	300	48	252
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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