Disclosures for Audit & Evaluation - Electronic

Confidentiality of Substance Use Disorder Patient Records

OMB: 0945-0010

IC ID: 256889

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Disclosures for Audit & Evaluation - Electronic
 
No New
 
Mandatory
 
42 CFR 2.53

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

Health Health Care Services

 

125,845 0
   
Individuals or Households
 
   100 %

  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 125,845 0 125,845 0 0 0
Annual IC Time Burden (Hours) 10,487 0 10,487 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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