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42 CFR 2.36 Disclosures to Prescriptions Drug Monitoring Programs
Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2
OMB: 0945-0012
IC ID: 242314
OMB.report
HHS/OCR
OMB 0945-0012
ICR 202303-0945-001
IC 242314
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,659,943
0
0
0
0
2,659,943
Annual IC Time Burden (Hours)
87,778
0
0
0
0
87,778
Annual IC Cost Burden (Dollars)
4,255,909
0
0
0
0
4,255,909
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.