Confidentiality of Substance Use Disorder Patient Records

ICR 202511-0945-002

OMB: 0945-0010

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2025-11-14
Supplementary Document
2025-11-14
Supplementary Document
2025-11-14
Supporting Statement A
2024-03-01
IC Document Collections
IC ID
Document
Title
Status
264408
Unchanged
264402
Unchanged
264401
Unchanged
256946
Unchanged
256945
Unchanged
256944
Unchanged
256942
Unchanged
256941
Unchanged
256940
Unchanged
256923
Unchanged
256921
Unchanged
256920
Unchanged
256919
Unchanged
256918
Unchanged
256917
Unchanged
256916
Unchanged
256915
Unchanged
256914
Unchanged
256913
Unchanged
256890
Unchanged
256889
Unchanged
256888
Unchanged
256887
Unchanged
256886
Unchanged
256885
Unchanged
256884
Unchanged
256883
Unchanged
256881
Unchanged
256880
Unchanged
256879
Unchanged
256878
Unchanged
256877
Unchanged
256862
Unchanged
256861
Unchanged
256860
Unchanged
256859
Unchanged
256858
Unchanged
ICR Details
0945-0010 202511-0945-002
Received in OIRA 202401-0945-001
HHS/OCR
Confidentiality of Substance Use Disorder Patient Records
No material or nonsubstantive change to a currently approved collection   No
Regular 12/29/2025
  Requested Previously Approved
03/31/2027 03/31/2027
15,178,340 15,178,340
672,667 672,667
0 0

The Confidentiality of Substance Use Disorder Patient Records regulations (42 CFR part 2) implement section 543 of the Public Health Service Act, 42 United States Code (U.S.C.) § 290dd-2, as amended by section 131 of the Alcohol, Drug Abuse and Mental Health Administration Reorganization Act (ADAMHA Reorganization Act), Pub. L., 102-321 (July 10, 1992) and section 3221 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), Public Law 116-136 (March 27, 2020). The regulations serve to protect the confidentiality of patient records created by federally funded programs for the treatment of substance use disorder. The Department of Health and Human Services has published regulatory changes to implement the CARES Act.

US Code: 42 USC 290dd-2 Name of Law: Confidentiality of Records
  
PL: Pub.L. 116 - 136 3221 Name of Law: Coronavirus Aid, Relief, and Economic Security (CARES) Act

0945-AA16 Final or interim final rulemaking 89 FR 12472 02/16/2024

Yes

37
IC Title Form No. Form Name
500 or More Affected Individuals (investigating and documenting breach)
Accounting of Disclosures - Training
Accounting of Disclosures of Part 2 Records
Attach consent form with each disclosure (electronic records)
Attach consent form with each disclosure (paper records)
Breach Notification - Training
Complaint Procedures & Nonretaliation- Training
Disclosures for Audit & Evaluation - Electronic
Disclosures for Audit & Evaluation - Paper
Disclosures for Research - Electronic
Disclosures for Research - Paper
Documenting Emergency Treatment Disclosures
Individual Breach Notice-Substitute Notice (posting or publishing)
Individual Breach Notice-Written and E-mail Notice (drafting)
Individual Breach Notice-Written and E-mail Notice (preparing and documenting)
Individual Breach Notice-Written and E-mail Notice (processing and sending)
Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information)
Individual Notice-Substitute Notice (staffing toll-free number)
Less than 500 Affected Individuals (investigating and documenting breach) -- affecting 10-499
Less than 500 Affected Individuals (investigating and documenting breach) -- affecting <10
Media Notice - Breach
Notice to Accompany Disclosure - Updating
Notice to Secretary (notice for breaches affecting 500 or more individuals)
Notice to Secretary (notice for breaches affecting fewer than 500 individuals)
Obtaining Consent - Training
Obtaining Consent for TPO
PDMP Reporting
Patient Notice - Providing to Patient
Patient Notice - Updating
Patient Notice and Right to Discuss - Training
Programs Receiving a Complaint
Reports to the Secretary
Requests for Restrictions - Training
Right to Discuss Patient Notice
Right to Request Restrictions
Training Program Development
Updating Consent Form

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 15,178,340 15,178,340 0 0 0 0
Annual Time Burden (Hours) 672,667 672,667 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Burden reductions occurred due to a statutory change that will reduce the number of written patient consents that programs and lawful holders of part 2 records are required to obtain. Burden increases occurred due to a statutory change that requires programs experiencing a breach of part 2 records to provide breach notification to affected patients, HHS, and at times, the media. Non-recurring burdens increased for one-time changes to update policies and procedures, implement workforce training, and revise the patient confidentiality notice. Please see the Supporting Statement for a full description of all changes to burdens and the justification for each change.

$2,214,100
No
    No
    Yes
No
No
No
No
Sherri Morgan 202 774-3042 sherri.morgan@hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/29/2025


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