OMB control number

42 CFR Part 2 HHS Complaint Form

OMB 0945-0014 · 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 can be found here.

REPLACE INTO tbl_reginfo_omb_history (`ombControlNo`, `refNbr`, `PraType`, `requestType`, `dateReceived`, `conclusionDate`, `conclusionAction`, `openNOA`) VALUES (:ombControlNo, :refNbr, :PraType, :requestType, :dateReceived, :conclusionDate, :conclusionAction, :openNOA)

Array
(
    [ombControlNo] => 0945-0014
    [refNbr] => 202511-0945-001
    [PraType] => ICR
    [requestType] => New collection (Request for a new OMB Control Number)
    [dateReceived] => 2026-01-13
    [conclusionDate] => 2026-02-13
    [conclusionAction] => Approved with change
    [openNOA] => Approved with change
)

Error!HY000-1366-Incorrect integer value: 'Approved with change' for column 'openNOA' at row 1