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42 CFR 2.51 Medical Emergencies
Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2
OMB: 0930-0092
IC ID: 181480
OMB.report
HHS/SAMHSA
OMB 0930-0092
ICR 202006-0930-002
IC 181480
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0092 can be found here:
2023-01-30 - Extension without change of a currently approved collection
2020-07-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
42 CFR 2.51 Medical Emergencies
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
42 CFR 2.51 Medical Emergencies
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13,585
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
27,170
0
3,612
0
0
23,558
Annual IC Time Burden (Hours)
4,537
0
603
0
0
3,934
Annual IC Cost Burden (Dollars)
202,960
0
202,960
0
0
0
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.