View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Tobacco Product Establishment Registration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			AdobeDigitalSignatures.pdf		Yes	No	Printable Only
Instruction			PackagingSubmissionUsingDigitalSignatures.pdf		Yes	No	Printable Only
Other-Import Spreadsheet Owner Establishment Registration			Import_905_Owner Establishment Registration_v1.xls		Yes	Yes	Fillable Printable
Other-Import Spreadsheet Product Identification			Import_905_Product Identification_v1.xls		Yes	Yes	Fillable Printable
Other-Import Spreadsheet Operator Establishment Registration			Import_905_Operator Establishment Registration_v1.xls		Yes	Yes	Fillable Printable
Instruction			Technical Working Instructions_clean_11_03_09.doc		Yes	No	Printable Only
Instruction			Create CTPe_Submissions UCM189565.pdf		Yes	Yes	Printable Only
Instruction			eSubmitter Quick Guide UCM162419.pdf		Yes	No	Printable Only
Form	FDA 3741	Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments	FDA-3741 view only.pdf		Yes	No	Printable Only
Form and Instruction	FDA 3741 and 3742 eSubmitter form	FDA 3741 & 3742	eSubmitter Registration Screen shot-061512.pdf		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125	Number of Respondents for Small Entity: 115

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

Percentage of Respondents Reporting Electronically: 99 %

	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	200	0	0	-98,800	0	99,000
Annual IC Time Burden (Hours)	750	0	0	-370,500	0	371,250
Annual IC Cost Burden (Dollars)	1	0	0	1	0	0

Documents for IC

Title	Document	Date Uploaded
905 final guidance 11-05-09	905 final guidance 11-05-09.doc	11/05/2009

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