Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)

Forms and Documents

Document Name	Status
MEPS supporting statement v17.doc Supporting Statement B	2006-09-01
MEPS & MPC memocoverletter[1].doc Justification for No Material/Nonsubstantive Change	2006-09-01
MEPS supporting statement v17.doc Supporting Statement A	2006-09-01

IC Document Collections

IC ID	Document Title	Status
37877	Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC 2004 and 2005)	Modified

ICR Details

OMB Control No: 0935-0118	ICR Reference No: 200609-0935-001
Status: Historical Active	Previous ICR Reference No: 200605-0935-001
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/14/2006
	Date Received in OIRA: 09/28/2006
Terms of Clearance: This ICR is approved on the following conditions: 1) the incentives paid for the 2007 survey will be no more than $30; 2) AHRQ agrees to submit, in time for the 2008 survey, a plan to build in an experiment about how different incentive amounts affect response rates; 3) AHRQ agrees to explore, in time for the 2008 survey, the utility of collecting information about children with diabetes as well as women with gestational diabetes, given the link that has been established between the two; 4) AHRQ agrees to continue to explore adding quality of care and outcome measures for the priority conditions added to the survey, as these standards and outcomes evidence become available.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved	02/28/2007
Responses	132,548	0	83,700
Time Burden (Hours)	85,184	0	249,848
Cost Burden (Dollars)	0	0	0

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Abstract: The MEPS includes the collection of data from household and medic medical providers to provide nationally representative unbiased estimates of health care use and expenditures for the U.S. civilian noninstitutionalized population.

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Authorizing Statute(s): US Code: 9 USC 580 Name of Law: Agency for Healthcare Research and Quality
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 32092	06/02/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 48548	08/21/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC 2004 and 2005)

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ICR Summary of Burden

	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	132,548	83,700	0	48,848	0	0
Annual Time Burden (Hours)	85,184	249,848	0	-164,664	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Differences in the questionnaire between the existing MEPS instrument are minor and limited to two areas. Questions ascertaining whether household members have had specific diseases or condition have been moved from round 3 and 5 to round 1. Questions about score throat were removed and questions about chronic bronchitis, high cholesterol, cancer, and ADHD/ADD were added. In addition, questions that ascertain family relationships among members of the household have been revised for ease of administration. In this later instance, the changes do not change the nature of the data collected but rather increase the ease with which the respondent and interviewer can record the information. In addition, the software will allow for the CAPI to display either English or Spanish test for the interviewer. In the past, MEPS interviewers have used a paper translation guide.

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Annual Cost to Federal Government: $46

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/28/2006

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