Information Collection Request

Treatment Episode Data Set (TEDS)

ICR 202412-0930-004 · OMB 0930-0335 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form TEDS State Reporti TEDS State Reporting Characteristics Form and Instruction New Available
Form TEDS State Reporti TEDS State Reporting Characteristic Form and Instruction New Available
Form MHBG Application U MHBG Application URS Tables Form and Instruction New Available
Form TEDS MH-TEDS Data TEDS MH-TEDS Data Elements Form and Instruction New Available
Form TEDS MH-TEDS State TEDS MH-TEDS State Crosswalk Form and Instruction New Available
Form MH-CLD Data Elemen MH-CLD Data Elements Form and Instruction New Repair queued
Form MH-CLD State Cross MH-CLD State Crosswalk Form and Instruction New Available
Form MH-CLD State Cross TEDS MHCLD Tools Form and Instruction New Repair queued
Form MHBG Tables 2021 MHBG Tables 2021 Form and Instruction Removed Available
Form MHBG Tables 2021 MH-CLD BCI Data Form and Instruction Removed Repair queued
Form SABG Tables 2021 SABG Tables 2021 Form and Instruction Removed Available
Form TEDS Tables 2021 TEDS Tables 2021 Form and Instruction Removed Available
Form TEDS Tables 2021 TEDS Admission Data Form and Instruction Removed Repair queued
0930-0335 TEDS Supporting Statement 202412.docx Supporting Statement A Uploaded 2024-12-17 Available
0930-0335 TEDS Supporting Statement 202412.docx Supporting Statement A Uploaded 2024-12-17 Repair queued
Public Comments Response Matrix.xlsx Public Comments Uploaded 2024-12-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
273084 TEDS MHCLD Tools Form and Instruction NewTEDS State Reporting Characteristics
273084 TEDS MHCLD Tools Form and Instruction NewTEDS State Reporting Characteristic
273084 TEDS MHCLD Tools Form and Instruction NewMHBG Application URS Tables
273084 TEDS MHCLD Tools Form and Instruction NewTEDS MH-TEDS Data Elements
273084 TEDS MHCLD Tools Form and Instruction NewTEDS MH-TEDS State Crosswalk
273084 TEDS MHCLD Tools Form and Instruction NewMH-CLD Data Elements
273084 TEDS MHCLD Tools Form and Instruction NewMH-CLD State Crosswalk
273084 TEDS MHCLD Tools Form and Instruction New
219075 MH-TEDS Update/Discharge Data Other- Removed
219074 MH-TEDS Admissions Data Other- Removed
219073 MH-CLD SHR Data Other- Removed
219072 MH-CLD BCI Data Form and Instruction RemovedMHBG Tables 2021
219072 MH-CLD BCI Data Form and Instruction Removed
219071 TEDS Discharge Data Instruction Removed
204349 TEDS and MH-TEDS Crosswalks Instruction Removed
204348 TEDS Admission Data Form and Instruction RemovedSABG Tables 2021
204348 TEDS Admission Data Form and Instruction RemovedTEDS Tables 2021
204348 TEDS Admission Data Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2028 36 Months From Approved 01/31/2025
6,657 0 723
38,329 0 5,898
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
MH-CLD BCI Data MHBG Tables 2021
MH-CLD SHR Data
MH-TEDS Admissions Data
MH-TEDS Update/Discharge Data
TEDS Admission Data TEDS Tables 2021, SABG Tables 2021 ,  
TEDS Discharge Data
TEDS MHCLD Tools MHBG Application URS Tables, TEDS State Reporting Characteristic, TEDS State Reporting Characteristics, MH-CLD State Crosswalk, MH-CLD Data Elements, TEDS MH-TEDS State Crosswalk, TEDS MH-TEDS Data Elements ,   ,   ,   ,   ,   ,  
TEDS and MH-TEDS Crosswalks

table that charts list of burden
  Total Approved 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 6,657 723 0 6,657 -723 0
Annual Time Burden (Hours) 38,329 5,898 0 38,329 -5,898 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No