Information Collection

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

IC 7501 under ICR 200106-0930-001 · OMB 0930-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0092 can be found here:

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Information Collection (IC) Details

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IC Title:	Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,485,000	-35,000	1,520,000
Annual IC Time Burden (Hours)	259,876	-120,124	380,000
Annual IC Cost Burden (Dollars)	73,000	73,000	0

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Title	Document	Date Uploaded

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