OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

TEDS MHCLD Tools

IC 273084 under ICR 202412-0930-004 · OMB 0930-0335.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

TEDS MHCLD Tools
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MH-CLD State Crosswalk MH-CLD State Crosswalk Attachment D_MH-CLD State Crosswalk 2024.xlsx Yes Yes Fillable Fileable
Form and Instruction MH-CLD Data Elements MH-CLD Data Elements Attachment C_MH-CLD Data Elements 2024.xlsm Yes Yes Fillable Fileable
Form and Instruction TEDS MH-TEDS State Crosswalk TEDS MH-TEDS State Crosswalk Attachment B_TEDS MH-TEDS State Crosswalk 202412.xlsx Yes Yes Fillable Fileable
Form and Instruction TEDS MH-TEDS Data Elements TEDS MH-TEDS Data Elements Attachment A_TEDS MH-TEDS Data Elements 202412.xlsx Yes Yes Fillable Fileable
Form and Instruction MHBG Application URS Tables MHBG Application URS Tables Attachment 3_MHBG Application URS Tables.xlsx Yes Yes Fillable Fileable
Form and Instruction TEDS State Reporting Characteristic TEDS State Reporting Characteristic Attachment 1_TEDS State Reporting Characteristics.docx Yes Yes Fillable Fileable
Form and Instruction TEDS State Reporting Characteristics TEDS State Reporting Characteristics Attachment 1_TEDS State Reporting Characteristics.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

TEDS  75 FR 28264

317 0
   
State, Local, and Tribal Governments
 
   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 6,657 0 6,657 0 0 0
Annual IC Time Burden (Hours) 38,329 0 38,329 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
TEDS Supporting Statement A 0930-0335 TEDS Supporting Statement 202412.docx 12/17/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.