TEDS Admission Data

Treatment Episode Data Set (TEDS)

Documents and Forms

Document Name Document Type
Form TEDS Tables 2021 TEDS Admission Data Form and Instruction
TEDS Tables 2021 TEDS Tables 2021 Attachment A2 - 2021 TEDS - Table of TEDS Reporting Practices by State.docx Form and Instruction
TEDS Tables 2021 TEDS Tables 2021 Attachment A2 - 2021 TEDS - Table of TEDS Reporting Practices by State.docx Form and Instruction
SABG Tables 2021 SABG Tables 2021 Attachment A3 - 2021 TEDS - SABG Application Tables 14-20.docx Form and Instruction
SABG Tables 2021 SABG Tables 2021 Attachment A3 - 2021 TEDS - SABG Application Tables 14-20.docx Form and Instruction

Information Collection (IC) Details

IC Title:	TEDS Admission Data	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TEDS Tables 2021	TEDS Tables 2021	Attachment A2 - 2021 TEDS - Table of TEDS Reporting Practices by State.docx		Yes	Yes	Fillable Fileable
Form and Instruction	SABG Tables 2021	SABG Tables 2021	Attachment A3 - 2021 TEDS - SABG Application Tables 14-20.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	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	208	208
Annual IC Time Burden (Hours)	1,300	1,300
Annual IC Cost Burden (Dollars)	0	0

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.