View Information Collection Request (ICR) Package
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Common Form Info.
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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:
202406-0935-002
Status:
Active
Previous ICR Reference No:
202401-0935-001
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 without change
Conclusion Date:
09/10/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/02/2024
Terms of Clearance:
OMB is approving this information collection request for a period of two years. CMS must update all race and ethnicity questions to comply with SPD15 before a renewal in 2026, as the National Health Interview Survey is updated.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2026
36 Months From Approved
03/31/2027
Responses
384,693
0
642,279
Time Burden (Hours)
67,489
0
76,499
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. This Information Collection Request (ICR) is for a revision to the Medical Expenditures Panel Survey – Household Component (MEPS-HC). These changes will be fielded in the Spring and Fall of 2025 and includes the addition of the Burdens and Economic Impacts of Medical Care Self-Administered Questionnaire (ESAQ), minor changes to questions in both the Core MEPS Interview and the Adult SAQ and removing the Cancer SAQ (CSAQ).
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:
89 FR 28784
04/19/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 54466
07/01/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
14
IC Title
Form No.
Form Name
Adult SAQ
48
Adult SAQ
Authorization Form for the MEPS-MPC Provider and Pharmacy Survey
52, 53
Permission Form for Medical Providers
,
Permission Form for Pharmacies
Burdens and Economic Impacts of Medical Care SAQ
63
Burdens and Economic Impacts of Medical Care SAQ
Cancer SAQ
2a
Cancer SAQ
Diabetes Care SAQ
50
Diabetes Care SAQ
Home Care Providers Event Form
56, 57
Home Healthcare for Healthcare Providers
,
Home Healthcare for Non-healthcare Providers
Hospitals Event Form
60
Hospital Event Form
Institutions (non-hospital) Event Form
61
Institutions (non-hospital) Event Form
MEPS-HC Core Interview
26, 1, 11, 2, 46, 29, 3, 4, 5, 6, 7, 8, 9, 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 27, 28, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45
Access to Care
,
Additional Health Questions
,
Assets
,
Calendar Section
,
Closing Section
,
Contacting Module Section
,
Charge Payment Section
,
Child Preventive Health Section
,
Dental Visit Section
,
Event Driver Section
,
Event Enumeration Section
,
Event Follow-Up Section
,
Employment Section
,
Employment Driver Section
,
Emergency Room Section
,
Event Roster Section
,
Employment Wages Section
,
Flat Fee Section
,
Food Security Section
,
Global Section
,
Health Status Section
,
Home Health Section
,
Health Insurance Detail Section
,
Time Period Covered Detail Section
,
Hospital Stay Section
,
Health Insurance Section
,
Institutional Care Stay Section
,
Income Section
,
Institutional Care Section
,
Medical Visit Section
,
Old Employment-Private Related Insurance Section
,
Off Path Navigation Section
,
Other Medical Expenses Section
,
Outpatient Department Section
,
Priority Condition Section
,
Prescribed Medicines Section
,
Provider Probes Section
,
Old Public Related Insurance Section
,
Provider Roster Section
,
Quality Supplement Section
,
Reenumeration A Section
,
Reenumeration B Section
,
Respondent Forms Section
,
Review of Employment Section
,
Start-Restart Section
,
Telehealth Section
MEPS-HC Validation Interview
54a, 54b
Validation Letter
,
Phone Validation Form
MPC Contact Guide/Screening Call
55
MPC Contact Guide & Screening Call
Office Based Providers Form
58
Office Based Provider Event Form
Pharmacies Event Form
62
Pharmacies Event Form
Preventive Care SAQ
49
PSAQ
Separately Billing Doctors Form
59
Separately Billing Doctors Event Form
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
384,693
642,279
0
-257,586
0
0
Annual Time Burden (Hours)
67,489
76,499
0
-9,010
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:
The changes in burden hours are due primarily to more accurate estimates in both the number of respondents and the time required for completing some of the forms.
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:
07/02/2024
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