2004 - 2006 Medical Expenditure Panel Survey - Insurance Componenet (MEPS-IC)

ICR 200410-0935-002

OMB: 0935-0110

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
0935-0110 200410-0935-002
Historical Active 200112-0935-002
HHS/AHRQ
2004 - 2006 Medical Expenditure Panel Survey - Insurance Componenet (MEPS-IC)
Revision of a currently approved collection   No
Regular
Approved without change 02/03/2005
Retrieve Notice of Action (NOA) 10/20/2004
Approved consistent with the following terms of clearance: HHS shall continue their coordination efforts with DOL on their National Compensation Survey. HHS will report on the status of those coordination efforts and any changes made to the survey based on those coordination efforts in the next submission.
  Inventory as of this Action Requested Previously Approved
02/29/2008 02/29/2008 02/28/2005
36,264 0 35,131
20,922 0 21,191
0 0 0

Data is used by the Agency, other Federal, State and local agencies and the private sector to monitor and perform research on the topic of employer sponsor health insurance. Data from this survey supports calculation of Gross domestic product by the Bureau of Economic Analysis. Respondents are all public and private sector employers in the United States.

None
None


No

1
IC Title Form No. Form Name
2004 - 2006 Medical Expenditure Panel Survey - Insurance Componenet (MEPS-IC)

  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 36,264 35,131 0 1,133 0 0
Annual Time Burden (Hours) 20,922 21,191 0 -269 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
10/20/2004


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