Treatment Episode Data Set (TEDS)

Forms and Documents

Document Name	Status
Form MH Tables MH-CLD BCI Data Form and Instruction	Modified
Form TEDS Tables TEDS Admission Data Form and Instruction	Modified
TEDS Supporting Statement OMB Package 11.7.18.docx Supporting Statement A	2019-01-30

IC Document Collections

IC ID	Document Title	Status
219075	MH-TEDS Update/Discharge Data Other-null	Unchanged
219074	MH-TEDS Admissions Data Other-null	Unchanged
219073	MH-CLD SHR Data Other-null	Unchanged
219072	MH-CLD BCI Data Form and Instruction	Modified
219071	TEDS Discharge Data Instruction	Modified
204349	TEDS and MH-TEDS Crosswalks Instruction	Modified
204348	TEDS Admission Data Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0335	ICR Reference No: 201901-0930-005
Status: Active	Previous ICR Reference No: 201511-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Treatment Episode Data Set (TEDS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/19/2019
	Date Received in OIRA: 01/31/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved	04/30/2019
Responses	723	0	723
Time Burden (Hours)	5,898	0	5,898
Cost Burden (Dollars)	0	0	0

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Abstract: TEDS includes admissions to all drug abuse and alcoholism treatment facilities in the United States, the District of Columbia, and Puerto Rico that receive public funds through the State substance abuse agencies or are monitored for administrative purposes through those agencies. Because TEDS is a compilation of data from the State administrative systems, the scope of facilities included in TEDS is affected by differences in State licensure and accreditation practices and disbursement of public funds.

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Authorizing Statute(s): US Code: 42 USC 505 Name of Law: Data Collection
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 55731	11/07/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 787	01/31/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
TEDS Discharge Data
MH-CLD BCI Data	MH Tables	MH Tables
TEDS and MH-TEDS Crosswalks
MH-TEDS Update/Discharge Data
TEDS Admission Data	TEDS Tables, SABG Tables	TEDS Tables ,   SABG Tables
MH-CLD SHR Data
MH-TEDS Admissions Data

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ICR Summary 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	723	723	0	0	0	0
Annual Time Burden (Hours)	5,898	5,898	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $15,000,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/31/2019

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