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
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0935-0118
ICR Reference No:
202401-0935-001
Status:
Active
Previous ICR Reference No:
202209-0935-003
Agency/Subagency:
HHS/AHRQ
Agency Tracking No:
Title:
Medical Expenditure Panel Survey - Household and Medical Provider Components
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/27/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/12/2024
Terms of Clearance:
OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2027
36 Months From Approved
11/30/2025
Responses
642,279
0
392,715
Time Burden (Hours)
76,499
0
88,531
Cost Burden (Dollars)
0
0
0
Abstract:
The MEPS was initiated in 1996. Each year a new panel of sample households is selected. Recent annual MEPS-HC sample sizes average about 13,500 households. Data can be analyzed at either the person, family, or event level. The panel design of the survey, which includes 5 Rounds of interviews covering 2 full calendar years, provides data for examining person level changes in selected variables such as expenditures, health insurance coverage, and health status (see Medical Expenditure Panel Survey Content Summary of the Household Interview (ahrq.gov) for information on how the Covid-19 pandemic impacted this design). Using a combination of computer assisted personal interviewing (CAPI), computer assisted video interviewing (CAVI), and self-administered paper and web questionnaires, information about each household member is collected, and the survey builds on this information from interview to interview. CAVI is a new data collection technology and offers the best of both telephone and in-person interviewing, while offering opportunities for cost savings and more accurate reporting.
Authorizing Statute(s):
US Code:
42 USC 299
Name of Law: Agency for Healthcare Research and Quality Act of 1999
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
88 FR 67291
09/29/2023
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 86650
12/14/2023
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
14
IC Title
Form No.
Form Name
Attachment 20 HC Adult SAQ Female
Attachment 19 , Attachment 20
Attachment 20 HC Adult SAQ Female
,
Attachment 19 HC Adult SAQ Male
COVID-19 Questions
1
PE COVID-19
Adult SAQ
1a
Adult SAQ
Attachment 19 – HC Adult SAQ – Male
Attachment 19 , Attachment 18
Attachment 19 – HC Adult SAQ – Male
,
Attachment 18 HC Adult SAQ
Attachment C – Social and Health Experiences Self-Administered Questionnaire
Attachment C
Attachment C
Authorization form for the MEPS-MPC Pharmacy Survey
Attachment 24
Attachment 24 HC Authorization Form for the MEPS MPC Pharmacy
Authorization form for the MEPS-MPC Provider and Pharmacy Survey
Attachment 25 , Attachment 24
Attachment 25 HC Authorization Form for the MEPS MPC Provider
,
Authorization Form for the MEPS MPC Pharmacy Survey
COVID-19 and Telehealth (telemedicine) questions included in the MEPS questionnaire
Attachment B, Attachment A – COVID-19 Questions
Attachment A – COVID-19 Questions
,
Attachment B
Cancer SAQ
2a
Cancer SAQ
Diabetes Care SAQ
Attachment 22, Attachment 23
Attachment 22 -- HC Diabetes SAQ - Proxy
,
Attachment 23 -- HC Diabetes SAQ - Self
HC Adult SAQ that includes Mental Health Questions
106a, 106b
Attachment 106a.REV_Female PSAQ with Mental Health Content
,
Attachment106b.REV_Male PSAQ with Mental Health Content
Health Insurance Cost Sharing Collection- 2020
107b, 107a, 107c, 107d
Attachment 107a.Protocol A (Medicare)
,
Attachment 107b.Protocol B (Employer)
,
Attachment 107c.Protocol C (Private with Medicare)_
,
Attachment 107d.Protocol D (Other)
Home Care Providers Event Form
4a, 5a
Home Health Event Form for Health Care Providers
,
Home Health Event Form for Non-Health Care Providers
Home care for non health care providers questionnaire
Attachment 82
Attachment 82 – MPC Home Care Provider Questionnaire for Non-Health Care Providers
Hospitals questionnaire
Attachment 91
Attachment 91 – MPC Hospital Provider Questionnaire
Institutions (non-hospital) questionnaire
Attachment 96
Attachment 96 – MPC Institution Provider Questionnaire
MEPS-HC Core Interview
MEPS-HC Validation Interview
Attachment 26
Attachment 26 HC MEPS Validation Interview
MPC Contact Guide/Screening Call
Attachment 73 , Attachment 72 , Attachment 74 , Attachment 75 , Attachment 76 , Attachment 77
Attachment 72 – MPC Hospital Contact Guide
,
Attachment 73 – MPC Office-Based Doctor Contact Guide
,
Attachment 74 – MPC Home Care Contact
,
Attachment 75 – MPC Institution Contact Guide
,
Attachment 76 – MPC Pharmacy Contact Guide
,
Attachment 77 – MPC Separate Billing Doctor Contact Guide
Office based providers questionnaire
Attachment 83
Attachment 83 – MPC Office-Based Doctor Provider Questionnaire
Pharmacies questionnaire
Attachment 98
Attachment 98 – MPC Pharmacy Provider Questionnaire
Pilot Test on Sampling NHIS Nonrespondents – 2020, R1 only of MEPS Core
108
Attachment 108 - Household Component Core Instrument Link
Preventive Care SAQ
5a
Preventative Care SAQ
Separately billing doctors questionnaire
Attachment 87
Attachment 87 – MPC Separately Billing Doctor Provider Questionnaire
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
642,279
392,715
0
249,564
0
0
Annual Time Burden (Hours)
76,499
88,531
0
-12,032
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Burden is decreased by 12,032 hours through a reduction in sample size and revised burden estimates.
Annual Cost to Federal Government:
$64,851,222
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
William Carroll 301 427-1647 william.carroll@ahrq.hhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/12/2024
An official website of the United States government
The .gov means it's official.
The site is secure.
