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OMB Control No: 0935-0118	ICR Reference No: 202603-0935-001
Status: Received in OIRA	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	Date Submitted to OIRA: 04/01/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	239,027	384,693
Time Burden (Hours)	50,264	67,489
Cost Burden (Dollars)	3,108,705	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	239,027	384,693	-5,675	-139,991
Annual Time Burden (Hours)	50,264	67,489	0	-17,225
Annual Cost Burden (Dollars)	3,108,705	0	0	3,108,705

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

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