View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

MEPS-HC Core Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable
Other-CAPI Specs Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

15,000 0
   
Individuals or Households
 
   0 %

  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 37,500 0 -95,048 0 0 132,548
Annual IC Time Burden (Hours) 56,250 0 -28,934 0 0 85,184
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2 -- HC About MEPS Booklet 08/21/2009
Attachment 3 -- HC About MEPS-MPC Permission Form 08/21/2009
Attachment 4 -- HC Appointment Reminder Postcard 08/21/2009
Attachment 5 -- HC Community Authority Letter 08/21/2009
Attachment 6 -- HC Data protection is word ONE with MEPS 08/21/2009
Attachment 7 -- HC DVD Companion Booklet 08/21/2009
Attachment 8 -- HC Respondent Recruitment DVD 08/21/2009
Attachment 9 -- HC Important Information About Your Participation in MEPS 08/21/2009
Attachment 10 -- HC MEPS Change of Address Card 08/21/2009
Attachment 11 -- HC MEPS Data Example & FAQs 08/21/2009
Attachment 12 -- HC Rd 1 Prenotification Letter 08/21/2009
Attachment 13 -- HC Rd 1 Respondent Materials Cover Letter 08/21/2009
Attachment 14 -- HC Rd 3 Advance Letter 1 08/21/2009
Attachment 15 -- HC Rd 3 Advance Letter 2 08/21/2009
Attachment 16 -- HC Rd 5 Advance Letter 1 08/21/2009
Attachment 17 -- HC Rd 5 Advance Letter 2 08/21/2009
Attachment 18 -- HC Rds 2 & 4 Advance Letter 08/21/2009
Attachment 19 -- HC MEPS FAQs Brochure 08/21/2009
Attachment 20 -- HC MEPS Monthly Planner 08/21/2009
Attachment 21 -- HC MEPS Record Keeper 08/21/2009
Attachment 23 -- HC Showcards 08/21/2009
Attachment 24 -- HC Sorry I Missed You Note 08/21/2009
Attachment 25 -- HC Thank You Note 08/21/2009
Attachment 26 -- HC Validation Letter 08/21/2009
Attachment 27 -- HC Users of MEPS Data Handout 08/21/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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