Information Collection

MEPS-HC Core Interview

IC 37877 under ICR 201209-0935-001 · OMB 0935-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0118 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form #1 MEPS-HC Core Interview	Form
Form #1 Attachment 1 -- MEPS-HC Section Summary and Changes Attachment 1 -- MEPS-HC Section Summary and Changes.docx meps.ahrq.gov/mepsweb/survey_comp/survey_questionnaires.jsp	Form
Attachment 2 -- HC About MEPS Booklet.docx Attachment 2 -- HC About MEPS Booklet	IC Document
Attachment 3 -- HC Why is Participation in MEPS so Important.pdf Attachment 3 -- HC Why is Participation in MEPS so Important	IC Document
Attachment 4 -- HC Policy Impact Award.doc Attachment 4 -- HC Policy Impact Award	IC Document
Attachment 5 -- HC MEPS A Survey of Health Care Use and Spending.docx Attachment 5 -- HC MEPS A Survey of Health Care Use and Spending	IC Document
Attachment 8 -- HC Data protection is word ONE with MEPS.doc Attachment 8 -- HC Data protection is word ONE with MEPS	IC Document
Attachment 9 -- HC DVD Companion Booklet.docx Attachment 9 -- HC DVD Companion Booklet	IC Document
Attachment 10 -- HC Respondent Recruitment DVD.docx Attachment 10 -- HC Respondent Recruitment DVD	IC Document
Attachment 11 -- HC Important Information About Your Participation in MEPS.doc Attachment 11 -- HC Important Information About Your Participation in MEPS	IC Document
Attachment 12 -- HC MEPS Data Example & FAQs.docx Attachment 12 -- HC MEPS Data Example & FAQs	IC Document
Attachment 13 -- HC Respondent Letters, Postcards and Notes.docx Attachment 13 -- HC Respondent Letters, Postcards and Notes	IC Document
Attachment 14 -- HC MEPS FAQs Brochure.docx Attachment 14 -- HC MEPS FAQs Brochure	IC Document
Attachment 16 -- HC MEPS Record Keeper.pdf Attachment 16 -- HC MEPS Record Keeper	IC Document
Attachment 17 -- HC Showcards 2013.doc Attachment 17 -- HC Showcards 2013	IC Document
Attachment 18 -- HC Validation Letter.doc Attachment 18 -- HC Validation Letter	IC Document
Attachment 19 -- HC Certificate of Appreciation.docx Attachment 19 -- HC Certificate of Appreciation	IC Document
Attachment 20 -- HC Who Uses MEPS Data.docx Attachment 20 -- HC Who Uses MEPS Data	IC Document
Attachment 7 -- HC About the MEPS-MPC Authorization Form.zip Attachment 7 -- HC About the MEPS-MPC Authorization Form	IC Document
Attachment 6 -- HC Statistical Brief Abstracts.zip Attachment 6 -- HC Statistical Brief Abstracts	IC Document
Attachment 15 -- HC MEPS Monthly Planner 2013-2014.zip Attachment 15 -- HC MEPS Monthly Planner 2013-2014	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

MEPS-HC Core Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form #1	Attachment 1 -- MEPS-HC Section Summary and Changes	Attachment 1 -- MEPS-HC Section Summary and Changes.docx	http://meps.ahrq.gov/mepsweb/survey_comp/survey_questionnaires.jsp	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,093

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	37,733	233	37,500
Annual IC Time Burden (Hours)	54,084	-2,166	56,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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