List of Ingredients Added to Tobacco in the Manufacture of Cigarette Products

Forms and Documents

Document Name	Status
Form no number Ingredient Report Form and Instruction	Modified
Attachment 7b Statutory...Confidentiality.pdf Supplementary Document	2011-01-14
Attachment 6 Certificate of Compliance.pdf Supplementary Document	2011-01-14
Attachment 8 FRN 11.8.1994 vol 59 p.55669-55670.pdf Supplementary Document	2011-01-14
Attachment 5a OSH Web Page CSEA.pdf Supplementary Document	2011-01-14
Attachment 4c Request for Additional Information.pdf Supplementary Document	2011-01-14
Attachment 4b Reminder Notification Postcard.pdf Supplementary Document	2011-01-14
Attachment 4a Ingredient Report.doc Supplementary Document	2011-01-14
Attachment 3 Initial Federal Notice.pdf Supplementary Document	2011-01-14
Attachment 2. Federal Register Notice.pdf Supplementary Document	2011-01-14
Attachment 1b FCLAA.pdf Supplementary Document	2011-01-14
Attachment 1a Smoking Education Act.pdf Supplementary Document	2011-01-14
Attacthment 7a Guidelines to Control & Protect Documents that contain Privileged info.pdf Supplementary Document	2011-01-20
Attachment 5b OSH Web Page on Tobacco Ingredient Reporting.pdf Supplementary Document	2011-01-20
Attachment 8. Request for Add Info.doc Supplementary Document	2007-12-12
Attachment 4b. OSH Web Page on Act.pdf Supplementary Document	2007-12-12
Attachment 3. Reminder Postcard.doc Supplementary Document	2007-12-12
0920-0210 SS Part A 12 30 2010.doc Supporting Statement A	2011-01-14

IC Document Collections

IC ID	Document Title	Status
183310	Ingredient Report Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0210	ICR Reference No: 201102-0920-007
Status: Historical Active	Previous ICR Reference No: 200801-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: List of Ingredients Added to Tobacco in the Manufacture of Cigarette Products
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2011
	Date Received in OIRA: 02/02/2011
Terms of Clearance: Approved without change for 18 months consistent with the understanding that CDC will work with FDA’s Center for Tobacco Products to identify duplication of tobacco product ingredient collections. No later than one year from the date of this approval, CDC will submit a brief report to OMB identifying redundancies in the data collections along with strategies for eliminating duplication and reducing burden on respondents.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2012	36 Months From Approved	04/30/2011
Responses	143	0	143
Time Burden (Hours)	930	0	930
Cost Burden (Dollars)	0	0	0

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Abstract: This is a legislatively mandated information collection. Since 1986, as required by the Comprehensive Smoking Education Act of 1984 (CSEA, 15 U.S.C. 1336 or P.L. 98-474) CDC's Office on Smoking and Health has collected information from cigarette manufacturers, packagers and importers about the ingredients used in cigarette products. This collection is commonly known as the Ingredient Report.

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Authorizing Statute(s): US Code: 15 USC 1331 Name of Law: Federal Cigarette Labeling and Advertising Act
   PL: Pub.L. 98 - 474 1341 Name of Law: Comprehensive Smoking Education Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 68360	11/05/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 1617	01/11/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Ingredient Report	no number, 1	Tobacco Ingredient Reporting Web Page ,   Recommended Ingredient Reporting Format-CSTHEA

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	143	143	0	0	0	0
Annual Time Burden (Hours)	930	930	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $140,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/02/2011

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