42 Cfr 2.31; 2.52; 2.53

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

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	42 CFR 2.31; 2.52; 2.53	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 2.31 Consent Requirements 42 CFR 2.52 Research 42 CFR 2.53 Audit and Evaluation

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: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	248,741	248,741
Annual IC Time Burden (Hours)	155,463	155,463
Annual IC Cost Burden (Dollars)	6,964,748	6,964,748

Documents for IC

Title	Document	Date Uploaded
No associated records found

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