Information Collection

1987 National Medical Expenditure Survey (pretest Of Medical Provider Survey, Patient-identified Physicians Survey, And Health Insurance Plans Survey)

IC 112393 under ICR 198704-0937-001 · OMB 0937-0153.

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Information Collection (IC) Details

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IC Title:

1987 NATIONAL MEDICAL EXPENDITURE SURVEY (PRETEST OF MEDICAL PROVIDER SURVEY, PATIENT-IDENTIFIED PHYSICIANS SURVEY, AND HEALTH INSURANCE PLANS SURVEY)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 975

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	975	-1,608	2,583
Annual IC Time Burden (Hours)	513	-9,182	9,695
Annual IC Cost Burden (Dollars)	0	0	0

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table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.