2008 and 2009 Medical Expenditure Panel Survey - Insurance Component Prescreener Questionnaire

2008 and 2009 Medical Expenditure Panel Survey - Insurance Componenet (MEPS-IC)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0110 can be found here:

Documents and Forms

Document Name Document Type
Form Form #1 2008 and 2009 Medical Expenditure Panel Survey - Insurance Component Prescreener Questionnaire Form
Form #1 Prescreener CATI Questionnaire ATTACHMENT P prescreener.doc Form

Information Collection (IC) Details

IC Title:	2008 and 2009 Medical Expenditure Panel Survey - Insurance Component Prescreener Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form #1	Prescreener CATI Questionnaire	ATTACHMENT P prescreener.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31,319	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions, Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	31,319	31,319
Annual IC Time Burden (Hours)	2,957	2,957
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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