Information Collection

TEDS MHCLD Tools

IC 273084 under ICR 202602-0930-001 · OMB 0930-0335.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment 1_TEDS Attachment 1_TEDS State Reporting Characteristics TEDS MHCLD Tools	Form and Instruction
Form Attachment 3_MHBG Attachment 3_MHBG Application URS Tables TEDS MHCLD Tools	Form and Instruction
Form Attachment A_TEDS Attachment A_TEDS MH-TEDS Data Elements 202412 TEDS MHCLD Tools	Form and Instruction
Form Attachment B_TEDS Attachment B_TEDS MH-TEDS State Crosswalk 202412 TEDS MHCLD Tools	Form and Instruction
Form Attachment C_MH-CL Attachment C_MH-CLD Data Elements 2024 TEDS MHCLD Tools	Form and Instruction
Form Attachment D_MH-CL Attachment D_MH-CLD State Crosswalk 2024 TEDS MHCLD Tools	Form and Instruction
Form Attachment 2_SUPTR Attachment 2_SUPTRS Application Tables 14-20 TEDS MHCLD Tools	Form and Instruction
Attachment 1_TEDS Attachment 1_TEDS State Reporting Characteristics Attachment 1_TEDS State Reporting Characteristics.docx	Form and Instruction
Attachment 3_MHBG Attachment 3_MHBG Application URS Tables Attachment 3_MHBG Application URS Tables.xlsx	Form and Instruction
Attachment A_TEDS Attachment A_TEDS MH-TEDS Data Elements 202412 Attachment A_TEDS MH-TEDS Data Elements 202412.xlsx	Form and Instruction
Attachment B_TEDS Attachment B_TEDS MH-TEDS State Crosswalk 202412 Attachment B_TEDS MH-TEDS State Crosswalk 202412.xlsx	Form and Instruction
Attachment C_MH-CL Attachment C_MH-CLD Data Elements 2024 Attachment C_MH-CLD Data Elements 2024.xlsm	Form and Instruction
Attachment D_MH-CL Attachment D_MH-CLD State Crosswalk 2024 Attachment D_MH-CLD State Crosswalk 2024.xlsx	Form and Instruction
Attachment 2_SUPTR Attachment 2_SUPTRS Application Tables 14-20 Attachment 2_SUPTRS Application Tables 14-20.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

TEDS MHCLD Tools

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment 1_TEDS State Reporting Characteristics	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment 3_MHBG Application URS Tables	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment A_TEDS MH-TEDS Data Elements 202412	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment B_TEDS MH-TEDS State Crosswalk 202412	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment C_MH-CLD Data Elements 2024	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment D_MH-CLD State Crosswalk 2024	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment 2_SUPTRS Application Tables 14-20	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: TEDS

FR Citation: 75 FR 28264

Number of Respondents: 317

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,657	6,657
Annual IC Time Burden (Hours)	38,329	38,329
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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