View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0930-0092	ICR Reference No: 202006-0930-003
Status: Historical Inactive	Previous ICR Reference No: 202006-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 19858
Title: Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 07/07/2020
	Date Received in OIRA: 06/24/2020
Terms of Clearance: Please resubmit this package with the Federal Register citation once the final rule has published.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	12/31/2022
Responses	1,943,535	0	1,943,535
Time Burden (Hours)	388,103	0	388,103
Cost Burden (Dollars)	95,999	0	95,999

Annual Cost to Federal Government: $33,205

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Carlos Graham 204 276-0361 carlos.graham@samhsa.hhs.gov

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