Establishment Registration (Renewal), the registration renewal of a tobacco product establishment

Tobacco Product Establishment Registration and Submission of Certain Health Information

Documents and Forms

Document Name Document Type
Form FDA 3471 (Current) 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 3471 (Current) Registration and Listing for Owners and Operators of Dom Current FDA Form 3741.pdf Form and Instruction
FDA 3741a (Current Registration and Listing for Owners and Operators of Dom Current Form FDA 3741a.pdf Form and Instruction
FDA 3741 (New) Registration and Listing for Owners and Operators of Dom NEW_ Form_FDA_3741.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	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: Mandatory

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 3471 (Current)	Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments	Current FDA Form 3741.pdf	Yes	Yes	Fillable Fileable
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 and Listing for Owners and Operators of Domestic Deemed Tobacco Product Establishments	NEW_ Form_FDA_3741.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: 900	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	900	-1,672	2,572
Annual IC Time Burden (Hours)	252	-160	412
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.