POTENTIAL TOBACCO VIOLATION REPORT (PTVR)
CALL CENTER GENERAL INSTRUCTIONS
Step 0 – Refer the caller to the PTVR System
□ Determine if the caller is reporting a potential violation of the FD&C Act.
If so, offer the caller the option of submitting his or her report online, using the external web form:
If the caller is not open to the online option, you will need to create a report using the internal web form: https://sslintranetappslb.fda.gov/scripts/ptvradmin/index.cfm
□ If the caller is not calling to report a violation, follow your normal procedures in HPSM.
Step 1 – Open the internal PTVR System and select “Create a New Report”
https://sslintranetappslb.fda.gov/scripts/ptvradmin/index.cfm
Step 2 – Gather and Enter PTVR Information
Our goal is to capture all relevant information reasonably available to the caller at the time he or she first calls.
□ While you have the caller on the phone, you may choose to enter information directly into the internal web form. Detailed instructions below will help you organize your call.
□ Alternatively, you may take notes during your call on a paper PDF of Form FDA 3779 and transfer the information from the PDF to the internal web form. A copy of the PDF is available here (would suggest printing and having several blanks ones available and ready to fill out): http://www.fda.gov/downloads/TobaccoProducts/ProtectingKidsfromTobacco/UCM330951.pdf
Step 3 – Finally, Submit the Report
□ Finally, Select the Submit button at the bottom of the screen, and you will be sent to a confirmation page which will display the Report ID.
DETAILS FOR STEP 3: Gather and Enter PTVR Information
https://sslintranetappslb.fda.gov/scripts/ptvradmin/index.cfm?action=report.new
□ POTENTIAL VIOLATOR INFORMATION
Type:
Ask what type of business the caller is reporting information about, you may read them the options in the drop down. If the caller is unsure, or this information is not provided (for example in a voicemail) select unsure.
Obtain the business’s name, website, and address if available.
Notes:
Some
callers may want to report more than one business or location.
Select +Add Another
to add an additional business.
□ POTENTIAL VIOLATION INFORMATION
Date Occurred:, Date Received:, State Occurred:
Ask for the date the violation occurred and in what state?
If the caller does not recall the date, select the I do not recall… check box.
If the caller is unsure of the state in which the violation occurred, select N/A.
Date Received is the date that CTP received the call.
Potential Violation Type:, Description of Potential Violation:
Ask the caller to identify the potential violation, you may read to the caller the options in the Potential Violation Type: field.
If the caller is reporting something other than those listed, then check Unsure.
Important: Include all the information the caller provides about the potential violator or potential violation into Description of Potential Violation:.
Relevant Files:
If the caller wishes to send an attachment, tell the caller to email the file to ctpcompliance@fda.hhs.gov, and to include the PTVR ID number in the email.
You will generate a PTVR ID number after you submit the report.
Notes:
If
the caller wishes to mail physical samples, photographs, or other
evidence ask the caller to describe what he or she would like to
send and record this information in the Description
of Potential Violation:.
Let the caller know that you will have the proper office contact
him or her regarding whether CTP can accept the materials and if so
where to send them.
If
there are multiple states, select one and write the rest in Internal
Comments:
POTENTIAL VIOLATION INFORMATION continued
Potential Violation Type: Advertising/promotion/marketing (selected)
If Advertising/promotion/marketing is selected, additional options for Type of Potentially Violative Promotional Materials: will appear below
You may read to the caller the options in the Type of Potentially Violative Promotional Materials: field.
Notes:
□ Product Information
Product Type:
The caller may have already provided the product type in their description, but please confirm the type here. Important: We are authorized to provide only the following options: 1) Cigarette 2) Smokeless, and 3) Roll-your-own. If the caller identifies something other than these three options, select Other Tobacco Product, but please describe the product in the description of the potential violation field.
Tobacco Brand:
Ask the caller to indicate the tobacco brand, if available.
Notes:
□ SUBMITTER INFORMATION
Correspondence Method:
Select CTP Call Center for calls to the call center (do not select any of the other options).
Select DCC for PDF forms entered into
Complaint Source:
Ask the caller if he or she would like to identify themselves as being a representative or member of particular company, agency, or organization, or as a consumer or member of the general public. Select the most appropriate (options are in the drop down box).
Notes:
Limit
choosing Consumer
to situations where a
person indicates that they actually use tobacco products, otherwise
select General Public.
□ SUBMITTER INFORMATION continued
Contact:
If the answer to either of the following questions is no, please document the response in Internal Comments:
Ask the caller if we may contact them if we need additional information.
If yes, select yes and the additional fields below will appear.
Include a name and, either or both, a phone number or email address (required).
If no, do not proceed to the next question.
Ask the caller if he or she would like confirmation of the submission.
If yes, select yes and the additional fields below will appear.
Check the box Send Submitter an Acknowledgment
Include a name and, either or both, a phone number or email address (required).
Notes:
Include
in Internal Comments:
any additional information that you may want to send on to OCE.
Page
File Type | application/msword |
Author | Folian, Brian |
Last Modified By | Marshall, Byron |
File Modified | 2013-10-17 |
File Created | 2013-09-26 |