This information
collection request is approved under the condition that ADAMHA
either submit a correction worksheet that includes the burden
associated with general medical care facilities (as was include in
the previous burden estimate) or explain why the burden is no longe
associated with these facilities.
Inventory as of this Action
Requested
Previously Approved
09/30/1990
09/30/1990
01/31/1988
1,004,000
0
9,400
190,067
0
200,201
0
0
0
STATUTES REQURIE FEDERALLY CONDUCTED,
REGULATED, OR DIRECTLY OR INDIRECTLY ASSISTED ALCOHOL AND DRUG
ABUSE PROGRAMS TO KEE PATIENT RECORDS CONFIDENTIAL. INFORMATION
REQUIREMENTS ARE (1) OBTAINING WRITTEN PATIENT CONSENT, AND (2)
DOCUMENTING "MEDICAL PERSONNEL" STATUS OF RECIPIENT OF A DISCLOSURE
TO MEET A MEDICAL EMERGENCY.
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.