View Information Collection (IC)

View Information Collection (IC)

ECON - Cognitive Testing on the Medical Expenditure Panel Survey – Insurance Component
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Form 1 Attachment E_meps10_030922.pdf No   Fillable Fileable
Form and Instruction 2 Form 2 Attachment F_meps10s_030922.pdf No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

160 0
   
Private Sector Businesses or other for-profits
 
   60 %

  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 160 0 160 0 0 0
Annual IC Time Burden (Hours) 55 0 55 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Letter 2023 MEPS_IC_OMB_letter.docx 06/28/2022
Protocol telephone Attachment A_2023 MEPS_IC Pre-test_Protocol_telephone_OMB_Updated 7_28.docx 08/01/2022
Protocol online Attachment B_2023 MEPS_IC Pre-test_Protocol_online_OMB_Updated 7_28.docx 08/01/2022
Pre-test Questions only Attachment C_2023 MEPS_IC Pre-test_Questions_only.docx 06/28/2022
Consent Form Attachment D_MEPS Pretest Consent form_REVISED 627_OMB_Updated 7_28.docx 08/01/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.