View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
MEPS-HC Core Interview
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
Attachment 1 -- MEPS-HC Section Summary and Changes
Attachment 1 -- MEPS-HC Section Summary and Changes 9.23.2014.docx
http://meps.ahrq.gov/mepsweb/survey_comp/survey_questionnaires.jsp
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15,093
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
37,733
0
0
0
0
37,733
Annual IC Time Burden (Hours)
54,084
0
0
0
0
54,084
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 2 -- HC About MEPS Booklet
Attachment 2 -- HC About MEPS Booklet.docx
09/24/2012
Attachment 3 -- HC Why is Participation in MEPS so Important
Attachment 3 -- HC Why is Participation in MEPS so Important.pdf
09/24/2012
Attachment 4 -- HC Policy Impact Award
Attachment 4 -- HC Policy Impact Award.doc
09/24/2012
Attachment 5 -- HC MEPS A Survey of Health Care Use and Spending
Attachment 5 -- HC MEPS A Survey of Health Care Use and Spending.docx
09/24/2012
Attachment 8 -- HC Data protection is word ONE with MEPS
Attachment 8 -- HC Data protection is word ONE with MEPS.doc
09/24/2012
Attachment 9 -- HC DVD Companion Booklet
Attachment 9 -- HC DVD Companion Booklet.docx
09/24/2012
Attachment 10 -- HC Respondent Recruitment DVD
Attachment 10 -- HC Respondent Recruitment DVD.docx
09/24/2012
Attachment 11 -- HC Important Information About Your Participation in MEPS
Attachment 11 -- HC Important Information About Your Participation in MEPS.doc
09/24/2012
Attachment 12 -- HC MEPS Data Example & FAQs
Attachment 12 -- HC MEPS Data Example & FAQs.docx
09/24/2012
Attachment 13 -- HC Respondent Letters, Postcards and Notes
Attachment 13 -- HC Respondent Letters, Postcards and Notes.docx
09/24/2012
Attachment 14 -- HC MEPS FAQs Brochure
Attachment 14 -- HC MEPS FAQs Brochure.docx
09/24/2012
Attachment 16 -- HC MEPS Record Keeper
Attachment 16 -- HC MEPS Record Keeper.pdf
09/24/2012
Attachment 17 -- HC Showcards 2013
Attachment 17 -- HC Showcards 2013.doc
09/24/2012
Attachment 18 -- HC Validation Letter
Attachment 18 -- HC Validation Letter.doc
09/24/2012
Attachment 19 -- HC Certificate of Appreciation
Attachment 19 -- HC Certificate of Appreciation.docx
09/24/2012
Attachment 20 -- HC Who Uses MEPS Data
Attachment 20 -- HC Who Uses MEPS Data.docx
09/24/2012
Attachment 7 -- HC About the MEPS-MPC Authorization Form
Attachment 7 -- HC About the MEPS-MPC Authorization Form.zip
09/24/2012
Attachment 6 -- HC Statistical Brief Abstracts
Attachment 6 -- HC Statistical Brief Abstracts.zip
09/24/2012
Attachment 15 -- HC MEPS Monthly Planner 2013-2014
Attachment 15 -- HC MEPS Monthly Planner 2013-2014.zip
09/24/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.