Information Collection Request

Treatment Episode Data Set (TEDS)

ICR 202602-0930-001 · OMB 0930-0335 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Attachment 2_SUPTR Attachment 2_SUPTRS Application Tables 14-20 Form and Instruction Modified Available
Form Attachment D_MH-CL Attachment D_MH-CLD State Crosswalk 2024 Form and Instruction Modified Available
Form Attachment C_MH-CL Attachment C_MH-CLD Data Elements 2024 Form and Instruction Modified Available
Form Attachment B_TEDS Attachment B_TEDS MH-TEDS State Crosswalk 202412 Form and Instruction Modified Available
Form Attachment A_TEDS Attachment A_TEDS MH-TEDS Data Elements 202412 Form and Instruction Modified Available
Form Attachment 3_MHBG Attachment 3_MHBG Application URS Tables Form and Instruction Modified Available
Form Attachment 1_TEDS Attachment 1_TEDS State Reporting Characteristics Form and Instruction Modified Available
0930-0335 TEDS MHCLD No Material or Nonsub Change Justification.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-02-25 Available
0930-0335 TEDS Supporting Statement 202412.docx Supporting Statement A Uploaded 2024-12-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
273084 TEDS MHCLD Tools Form and Instruction ModifiedAttachment 2_SUPTRS Application Tables 14-20
273084 TEDS MHCLD Tools Form and Instruction ModifiedAttachment D_MH-CLD State Crosswalk 2024
273084 TEDS MHCLD Tools Form and Instruction ModifiedAttachment C_MH-CLD Data Elements 2024
273084 TEDS MHCLD Tools Form and Instruction ModifiedAttachment B_TEDS MH-TEDS State Crosswalk 202412
273084 TEDS MHCLD Tools Form and Instruction ModifiedAttachment A_TEDS MH-TEDS Data Elements 202412
273084 TEDS MHCLD Tools Form and Instruction ModifiedAttachment 3_MHBG Application URS Tables
273084 TEDS MHCLD Tools Form and Instruction ModifiedAttachment 1_TEDS State Reporting Characteristics

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
01/31/2028 01/31/2028
6,657 6,657
38,329 38,329
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
TEDS MHCLD Tools Attachment 1_TEDS State Reporting Characteristics, Attachment A_TEDS MH-TEDS Data Elements 202412, Attachment B_TEDS MH-TEDS State Crosswalk 202412, Attachment C_MH-CLD Data Elements 2024, Attachment D_MH-CLD State Crosswalk 2024, Attachment 2_SUPTRS Application Tables 14-20, Attachment 3_MHBG Application URS Tables ,   ,   ,   ,   ,   ,  

table that charts list of burden
  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 6,657 6,657 0 0 0 0
Annual Time Burden (Hours) 38,329 38,329 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No