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
Form and Instruction 1 No   Fillable Fileable
Form and Instruction 2 Yes Yes Fillable Fileable
Form and Instruction 3 Yes Yes Fillable Fileable
Form and Instruction 4 Yes Yes Fillable Fileable
Form and Instruction 5 Yes Yes Fillable Fileable
Form and Instruction 6 Yes Yes Fillable Fileable
Form and Instruction 7 Yes Yes Fillable Fileable
Form and Instruction 8 Yes Yes Fillable Fileable
Form and Instruction 9 Yes Yes Fillable Fileable
Form and Instruction 10 Yes Yes Fillable Fileable
Form and Instruction 11 Yes Yes Fillable Fileable
Form and Instruction 12 Yes Yes Fillable Fileable
Form and Instruction 13 Yes Yes Fillable Fileable
Form and Instruction 14 Yes Yes Fillable Fileable
Form and Instruction 15 Yes Yes Fillable Fileable
Form and Instruction 16 Yes Yes Fillable Fileable
Form and Instruction 17 Yes Yes Fillable Fileable
Form and Instruction 18 Yes Yes Fillable Fileable
Form and Instruction 19 Yes Yes Fillable Fileable
Form and Instruction 20 Yes Yes Fillable Fileable
Form and Instruction 21 Yes Yes Fillable Fileable
Form and Instruction 22 Yes Yes Fillable Fileable
Form and Instruction 23 Yes Yes Fillable Fileable
Form and Instruction 24 Yes Yes Fillable Fileable
Form and Instruction 25 Yes Yes Fillable Fileable
Form and Instruction 26 Yes Yes Fillable Fileable
Form and Instruction 27 Yes Yes Fillable Fileable
Form and Instruction 28 Yes Yes Fillable Fileable
Form and Instruction 29 Yes Yes Fillable Fileable
Form and Instruction 30 Yes Yes Fillable Fileable
Form and Instruction 31 Yes Yes Fillable Fileable
Form and Instruction 32 Yes Yes Fillable Fileable
Form and Instruction 33 Yes Yes Fillable Fileable
Form and Instruction 34 Yes Yes Fillable Fileable
Form and Instruction 35 Yes Yes Fillable Fileable
Form and Instruction 36 Yes Yes Fillable Fileable
Form and Instruction 37 Yes Yes Fillable Fileable
Form and Instruction 38 Yes Yes Fillable Fileable
Form and Instruction 39 Yes Yes Fillable Fileable
Form and Instruction 40 Yes Yes Fillable Fileable
Form and Instruction 41 Yes Yes Fillable Fileable
Form and Instruction 42 Yes Yes Fillable Fileable
Form and Instruction 43 Yes Yes Fillable Fileable
Form and Instruction 45 Yes Yes Fillable Fileable
Form and Instruction 46 Yes Yes Fillable Fileable
Form and Instruction 47 Yes Yes Fillable Fileable

Health Health Care Services

 

10,350 0
   
Individuals or Households
 
   100 %

  Requested 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 25,875 0 -5,833 0 0 31,708
Annual IC Time Burden (Hours) 37,519 0 0 -8,986 0 46,505
Annual IC Cost Burden (Dollars) 2,450,741 0 0 2,450,741 0 0

Title Document Date Uploaded
MEPS HC Show Card 03/05/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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