Approved
consistent with SAMHSA memo submitted to OMB 08/02/04.
Inventory as of this Action
Requested
Previously Approved
08/31/2007
08/31/2007
08/31/2004
1,760,526
0
1,485,000
353,349
0
259,876
87,000
0
73,000
Statutes require Federally conducted,
regulated, or directly or indirectly assisted alcohol and drug
abuse programs to keep patient records confidential. Information
requirements are (1) written disclosure to patients, and (2)
documenting "medical personnel" status of recipients 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.