View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Cigarette - (904(c)(1) Reporting of Manufacturer/Importer Company and Product Information by Completing Submission Forms / Testing of HPHC
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form FDA 3787h
Cigarette Filler Form FDA 3787h
Yes
Yes
Fillable Printable
Form and Instruction
Form FDA 3787g
Cigarette Smoke- Other Regimen Form FDA 3787g
Yes
Yes
Fillable Printable
Form and Instruction
Form FDA 3787a
Cigarette Report Form FDA 3787a
Yes
Yes
Fillable Printable
Form and Instruction
Form FDA 3787e
Cigarette Smoke- ISO Regimen Form FDA 3787e
Yes
Yes
Fillable Printable
Form and Instruction
Form FDA 3787d
Product Indentification Form FDA 3787d
Yes
Yes
Fillable Printable
Form and Instruction
Form FDA 3787f
Cigarette Smoke- Intense Regimen Form FDA 3787f
Yes
Yes
Fillable Printable
Other-ScreenShot
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
243
Number of Respondents for Small Entity:
38
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
90 %
Requested
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
243
0
0
-137
0
380
Annual IC Time Burden (Hours)
11,932
0
0
-6,726
0
18,658
Annual IC Cost Burden (Dollars)
0
0
0
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.