EVALUATION OF CHILD ABUSE REPORTING AND CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS

ICR 198504-0930-001

OMB: 0930-0113

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0930-0113 198504-0930-001
Historical Active
HHS/SAMHSA
EVALUATION OF CHILD ABUSE REPORTING AND CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/16/1985
Retrieve Notice of Action (NOA) 04/15/1985
  Inventory as of this Action Requested Previously Approved
12/31/1985 12/31/1985
404 0 0
185 0 0
0 0 0

THIS EVALUATION WILL PROVIDE INFORMATION ON WHETHER LAW AND REGULATION ON CONFIDENTIALITY OF ALCOHOL/DRUG ABUSE PATIENT RECORDS RESULT IN IMPEDIMENTS TO REPORTING OF SUSPECTED CHILD ABUSE AND NEGLECT. THE STUDY WILL SURVEY STATE AGENCIES TO WHICH CHILD ABUSE IS REPORTED, ALCOHOL/DRUG ABUSE AGENCIES/PROGRAMS, AND MENTAL HEALTH AGENCIES PROGRAMS.

None
None


No

1
IC Title Form No. Form Name
EVALUATION OF CHILD ABUSE REPORTING AND CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS

  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 404 0 0 404 0 0
Annual Time Burden (Hours) 185 0 0 185 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/15/1985


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