OMB control number
42 CFR Part 2 HHS Complaint Form
OMB 0945-0014 ยท HHS/OCR.
OMB 0945-0014
This information collection addresses the burden on individuals for filing a complaint of a potential violation of 42 CFR Part 2, Confidentiality of Substance Use Disorder (SUD) Patient Records, with the HHS Secretary through the Office for Civil Rights.
The latest form for 42 CFR Part 2 HHS Complaint Form expires 2029-02-28 and is listed under ICR 202511-0945-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 42 CFR Part 2 Complaint Form |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202511-0945-001 | New collection (Request for a new OMB Control Number) | 2026-01-13 | Approved with change |