Information Collection

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

IC 7502 under ICR 200405-0930-002 · OMB 0930-0092.

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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: 10,363	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	1,760,526	275,526	1,485,000
Annual IC Time Burden (Hours)	353,349	93,473	259,876
Annual IC Cost Burden (Dollars)	87,000	14,000	73,000

Documents for IC

Title	Document	Date Uploaded

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