Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information)

Confidentiality of Substance Use Disorder Patient Records

OMB: 0945-0010

IC ID: 256918

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)

Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information)
 
No New
 
Voluntary
 
42 CFR 2.16

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

Health Health Care Services

 

2,265 0
   
Individuals or Households
 
   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 2,265 2,265 0 0 0 0
Annual IC Time Burden (Hours) 283 283 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy