Medical Expenditure Panel Survey Medical Provider Component (MEPS-MPC) for 2001 and 2002

ICR 200112-0935-001

OMB: 0935-0108

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
0935-0108 200112-0935-001
Historical Active 199905-0935-001
HHS/AHRQ
Medical Expenditure Panel Survey Medical Provider Component (MEPS-MPC) for 2001 and 2002
Revision of a currently approved collection   No
Regular
Approved without change 02/11/2002
Retrieve Notice of Action (NOA) 12/11/2001
Approved consistent with memos dated 2/7/02.
  Inventory as of this Action Requested Previously Approved
02/28/2005 02/28/2005 05/31/2002
53,660 0 21,200
23,216 0 11,759
0 0 0

The MEPS-MPC is the collection of data from medical providers that will serve as an imputation source for medical utilization and expenditure data report by household respondents. This data will supplement and verify information providers associated with specific health care encounters and the missing........

None
None


No

1
IC Title Form No. Form Name
Medical Expenditure Panel Survey Medical Provider Component (MEPS-MPC) for 2001 and 2002

  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 53,660 21,200 0 32,460 0 0
Annual Time Burden (Hours) 23,216 11,759 0 11,457 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.
12/11/2001


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