Information Collection

42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs

IC 242314 under ICR 202301-0930-005 · OMB 0930-0092.

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IC Title:

42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 2.36 Disclosures

Information Collection Instruments:

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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 %

table that charts list of burden
	Approved	Previously Approved
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

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