Information Collection Request

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

ICR 202301-0930-005 · OMB 0930-0092 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0930-0092_Substance Use Disorder Patient Records Supporting Statement A (SSA) _ FINAL.docx Supporting Statement A Uploaded 2023-01-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7502 42 CFR 2.22 Notice to Patients of Federal Confidentiality Requirements Unchanged
242314 42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs Unchanged
242313 42 CFR 2.31; 2.52; 2.53 Unchanged
181480 42 CFR 2.51 Medical Emergencies Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2026 36 Months From Approved 06/30/2023
4,594,583 0 4,594,583
579,524 0 579,524
27,347,415 0 27,347,415





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
42 CFR 2.22 Notice to Patients of Federal Confidentiality Requirements
42 CFR 2.31; 2.52; 2.53
42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs
42 CFR 2.51 Medical Emergencies

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,594,583 4,594,583 0 0 0 0
Annual Time Burden (Hours) 579,524 579,524 0 0 0 0
Annual Cost Burden (Dollars) 27,347,415 27,347,415 0 0 0 0


Reginfo record details
  No