Attachment 4c Request for Additional Information

Form Approved
OMB# 0920-0210
Expiration Date: 09-30-2012

«Name»
«Company»
«Address_1»
«Address_2»
«City_State_Zip»
Dear «Salutation»:
This letter is to notify you that the Centers for Disease Control and Prevention (CDC) has begun
processing the Ingredient Report recently submitted by you on «date», on behalf of «Company».
As you know, 15 U.S.C.§1335(a) of the Federal Cigarette Labeling and Advertising Act,
provides in part that each person who manufactures, packages, or imports cigarettes shall
annually provide the Department of Health and Human Services with a list of the ingredients
added to tobacco in the manufacture of cigarettes.
Based on an initial review of the submissions, CDC has noted several errors, which are
summarized in the attached document. Please correct these errors and provide a written update
within 60 business days.
Upon receipt of your corrected Ingredient Report, CDC will complete its review of your
submission and provide a final determination regarding compliance.
If you require additional assistance please contact Ruth L. Hayes, (770) 488-5743.
Sincerely yours,

Tim A. McAfee, MD, MPH
Director
Office on Smoking and Health
National Center for Chronic Disease
Prevention and Health Promotion
Enclosure: (1)
Public reporting burden of this collection of information is estimated to average 6.5 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. An agency may not collect or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road
NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0210).