Medical Expenditure Panel Survey Household Component (MEPS-HC) - 2001 through 2004

ICR 200102-0935-001

OMB: 0935-0104

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0935-0104 200102-0935-001
Historical Active 199907-0935-001
HHS/AHRQ
Medical Expenditure Panel Survey Household Component (MEPS-HC) - 2001 through 2004
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/14/2001
Retrieve Notice of Action (NOA) 02/02/2001
Approved consistent with changes and clarifications described in AHRQ memo of 3-13-01 and revised supporting statement attached. AHRQ should continue to take additional steps to improve the response rates.
  Inventory as of this Action Requested Previously Approved
03/31/2004 03/31/2004
52,306 0 0
49,105 0 0
0 0 0

Household Component (MEPS-HC) is a survey sample of households participating in the National Health Interview Survey (NHIS) in the prior calendar year are interviewed 5 times over a 2 and 1/2 year period. These 5 interviews yield two years of information on use of an expenditures for healthcare, sources of payment for that health care, insurance status, employment, health status and health care quality.

None
None


No

1
IC Title Form No. Form Name
Medical Expenditure Panel Survey Household Component (MEPS-HC) - 2001 through 2004

  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 52,306 0 0 52,306 0 0
Annual Time Burden (Hours) 49,105 0 0 49,105 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/02/2001


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