Information Collection

42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs

IC 242314 under ICR 202301-0930-005 · OMB 0930-0092.

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Information Collection (IC) Details

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IC Title:	42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 2.36 Disclosures

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Public Health Monitoring

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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,659,943	2,659,943
Annual IC Time Burden (Hours)	87,778	87,778
Annual IC Cost Burden (Dollars)	4,255,909	4,255,909

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