View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
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IC List
Burden
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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:
202603-0935-001
Status:
Active
Previous ICR Reference No:
202406-0935-002
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:
06/02/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/01/2026
Terms of Clearance:
This collection is approved for 3 years under the following terms. As agreed, in order to reduce respondent burden and improve the utility and consistency of the Preventive Care Self-Administered Questionnaire (PSAQ), AHRQ will document the response category definitions in the following two places: 1. Full Year Consolidated Data File Documentation, released alongside the 2026 data file in August 2028. 2. FAQ section of the Medical Expenditure Panel Survey (MEPS) participant Corner: https://meps.ahrq.gov/mepsweb/communication/household_participant.jsp
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2029
36 Months From Approved
09/30/2026
Responses
239,027
0
384,693
Time Burden (Hours)
50,264
0
67,489
Cost Burden (Dollars)
3,108,705
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:
90 FR 61150
12/30/2025
30-day Notice:
Federal Register Citation:
Citation Date:
91 FR 15999
03/31/2026
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
Adult SAQ
49
Adult SAQ
Authorization Form for the MEPS-MPC Provider and Pharmacy Survey
51, 52
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
Diabetes Care SAQ
50
Diabetes Care SAQ
Home Health Care Providers Event Form
55, 56
Home Healthcare for Healthcare Providers Event Form
,
Home Healthcare for Non-healthcare Providers
Hospitals Event Form
59
Hospital Event Form
Institutions (non-hospital) Event Form
60
Institutions (non-hospital) Event Form
MEPS-HC Core Interview
7, 25, 8, 22, 18 , 31, 35, 3, 5, 6, 9 , 10 , 11, 12, 13, 14, 21, 23, 24, 26, 27, 28, 29, 30 , 32, 33, 45, 46, 19 , 34, 16, 17 , 39 , 40 , 41, 42, 43, 20 , 38 , 2, 15, 36, 37, 47, 1, 4
Additional Questions
,
Assets
,
Closing Section
,
Contracting Module
,
Dental Visit Section
,
Event Driver Section
,
Event Enumeration Section
,
Event Follow Up Section
,
Employment Section
,
Employment Driver Section
,
Event Roster Section
,
Employment Wages Section
,
Food Security Section
,
Financial Well Being Section
,
Global Section
,
Home Health Section
,
Health Insurance Detail Section
,
Hospital Stay Section
,
Health Insurance Section
,
Institutional Care Stay Section
,
Income Section
,
Managed Care Section
,
Old Empl-Priv Related Ins Section
,
Off Path Navigation Section
,
Other Medical Expenses Section
,
Provider Probes Section
,
Old Public Related Insurance Section
,
Provider Roster Section
,
Quality Supplement Section
,
Renumeration A Section
,
Reenumeration Section B Section
,
Review of Employment Section
,
Start-Restart Section
,
Access to Care
,
Calendar Section
,
Charge Payment Section
,
Emergency Room Section
,
Child Preventive Health Section
,
Health Status Section
,
Time Period Covered Detail Section
,
Flat Fee Section
,
Medical Visit Section
,
Outpatient Department Section
,
Priority Condition Enumeration Section
,
Prescribed Medicines Section
,
Telehealth Section
MEPS-HC Validation Interview
53b, 53a
Phone Validation Form
,
Validation Letter
MPC Contact Guide/Screening Call
54
MPC Contact Guide and Screening Call
Office Based Providers Form
57
Office Based Provider Form
Pharmacies Event Form
61
Pharmacies Event Form
Preventive Care SAQ
50
PSAQ
Separately Billing Doctors Form
58
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
239,027
384,693
0
-5,675
-139,991
0
Annual Time Burden (Hours)
50,264
67,489
0
0
-17,225
0
Annual Cost Burden (Dollars)
3,108,705
0
0
0
3,108,705
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$63,897,239
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:
Margie Shofer 301 427-1696 margie.shofer@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:
04/01/2026
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