42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs

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

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Documents and Forms

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no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 2.36 Disclosures

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,659,943	2,659,943
Annual IC Time Burden (Hours)	87,778	87,778
Annual IC Cost Burden (Dollars)	4,255,909	4,255,909

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.