View Information Collection (IC)

View Information Collection (IC)

COVID-19 and Telehealth (telemedicine) questions included in the MEPS questionnaire
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment A – COVID-19 Questions Attachment A – COVID-19 Questions Attachment A. CV (COVID19 Access to Care) Updated.docx Yes Yes Fillable Fileable
Form and Instruction Attachment B Attachment B Attachment B. TH Draft V1.docx Yes Yes Fillable Fileable

Health Health Care Services


13,338 0
Individuals or Households
   90 %

  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 13,338 0 13,338 0 0 0
Annual IC Time Burden (Hours) 222 0 222 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.