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OMB Control No: 0930-0335	ICR Reference No: 202602-0930-001
Status: Received in OIRA	Previous ICR Reference No: 202412-0930-004
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Treatment Episode Data Set (TEDS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/06/2026

	Requested	Previously Approved
Expiration Date	01/31/2028	01/31/2028
Responses	6,657	6,657
Time Burden (Hours)	38,329	38,329
Cost Burden (Dollars)	0	0

Number of Information Collection (IC) in this ICR: 1

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	, , , , , ,

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	6,657	6,657
Annual Time Burden (Hours)	38,329	38,329
Annual Cost Burden (Dollars)	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: Due to the proposed changes of TEDS data elements along with the newly added State Reporting Characteristics and the number of states that chose MH-TEDS and MH-CLD as their reporting method

Annual Cost to Federal Government: $15,400,000

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? No

Agency Contact: Alicia Broadus 240 276-0166 alicia.broadus@samhsa.hhs.gov

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