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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:
Unchanged
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 since last OMB clearance 02182015.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:
Health Care Services
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)
57,857
0
0
0
0
57,857
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 2 - HC Why is Participation in MEPS so Important
02-HC Why is Participation in MEPS so Important.pdf
09/10/2015
Attachment 4 -- HC Policy Impact Award
Attachment 4 -- HC Policy Impact Award.doc
09/24/2012
Attachment 3 -- HC MEPS A Survey of Health Care Use and Spending
03-HC MEPS A Survey of Health Care Use and Spending.pdf
09/10/2015
Attachment 8 – HC Important Information About Your Participation in MEPS
08-HC Important Information About Your Participatio in MEPS.doc
09/11/2015
Attachment 9 – HC MEPS Data Example & FAQs
09-HC MEPS Data Example&FAQs.docx
09/11/2015
Attachment 10 – HC Respondent Letters, Postcards and Notes
10-HC Respondent Letters, Postcards and Notes.docx
09/11/2015
Attachment 11 – HC MEPS FAQs Brochure
11-HC MEPS FAQs Brochure.docx
09/11/2015
Attachment 12 – HC MEPS Monthly Planner
12-HC MEPS Monthly Planner.pdf
09/11/2015
Attachment 13 – HC MEPS Record Keeper
13-HC MEPS Record Keeper.pdf
09/11/2015
Attachment 14 – HC Showcards
14-HC Showcards.docx
09/11/2015
Attachment 16 – HC Certificate of Appreciation
16-HC Certificate of Appreciation.pdf
09/11/2015
Attachment 17 – HC Who Uses MEPS Data
17-HC Who Uses MEPS Data.docx
09/11/2015
Attachment 24 – HC MEPS Tip Sheet
24-MEPS Tip Sheet.docx
09/11/2015
Attachment 25 – HC Tips for Making Your MEPS Interview Easier
25-HC Tips for Making Your MEPS Interview Easier.docx
09/11/2015
Attachment 5 – HC About the MEPS-MPC Authorization Form
05-HC About the MEPS-MPC Authorization Form.docx
09/10/2015
Attachment 6 – HC Data protection is word ONE with MEPS
06-HC Data protection is word ONE with MEPS.doc
09/11/2015
Attachment 15 – HC Validation Letter
15-HC Validation Letter.doc
09/11/2015
Attachment 4 – HC What MEPS tells us about…Charts
04-HC What MEPS tells us about...Charts.docx
09/10/2015
Attachment 7 – HC Respondent Recruitment Video
Attachment 7 HC Respondent Recruitment Video Link.msg
09/11/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.