42 Cfr 2.22

Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0092 can be found here:

Documents and Forms

Document Name Document Type
No Instrument.docx Instruction

Information Collection (IC) Details

IC Title:	42 CFR 2.22	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			No Instrument.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,779	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,919,977	194,377	1,725,600
Annual IC Time Burden (Hours)	384,169	39,044	345,125
Annual IC Cost Burden (Dollars)	95,999	9,719	86,280

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.