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42 CFR 2.22 Notice to Patients of Federal Confidentiality Requirements
Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2
OMB: 0930-0092
IC ID: 7502
OMB.report
HHS/SAMHSA
OMB 0930-0092
ICR 202301-0930-005
IC 7502
( )
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)
IC Title:
42 CFR 2.22 Notice to Patients of Federal Confidentiality Requirements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
42 CFR 2.22 Notice to Patients
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
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:
0 %
Approved
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
1,658,729
0
0
0
0
1,658,729
Annual IC Time Burden (Hours)
331,746
0
0
0
0
331,746
Annual IC Cost Burden (Dollars)
15,923,798
0
0
0
0
15,923,798
Documents for IC
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.