2015 CHIME - Comparing Health Insurance Measurement Error

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
white_paper_v8.doc	Supplementary Document	Uploaded 2015-04-17	Available
supporting_statement_b_FINAL.doc	Supporting Statement B	Uploaded 2015-04-16	Available
advanceletter_MedicaFinal_v2.pdf	Supplementary Document	Uploaded 2015-01-14	Available
pre_submission_notice.doc	Supplementary Document	Uploaded 2015-01-14	Available
chime questionnaire v9.doc	Supplementary Document	Uploaded 2015-01-14	Repair queued
advanceletter_MedicaFinal.pdf	Supplementary Document	Uploaded 2015-01-14	Available
supporting_statement_a_FINAL.doc	Supporting Statement A	Uploaded 2015-04-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216180	20152 CHIME-Comparing Health Insurance Measurement Error	Other-Invitation to participate	New

ICR Details

OMB Control No:	ICR Reference No: 201501-0607-005
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: 2015 CHIME - Comparing Health Insurance Measurement Error
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 05/04/2015
	Date Received in OIRA: 04/17/2015
Terms of Clearance: re-load into ROICs with only correct documents.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This experimental survey will examine reporting accuracy of health insurance health insurance coverage under the newly-redesigned Current Population Survey Annual Social and Economic Supplement (CPS) and the American Community Survey (ACS) by comparing survey reports to data from administrative records from the Medica Health Plan in Minnesota. This survey will be conducted by telephone with sample of Medica enrollees. The data will inform efforts to reduce misreporting of coverage in the CPS and ACS and to understand measurement error in surveys that measure health insurance. A single household respondent (18 and over) will be asked to answer questions about other household members.

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Authorizing Statute(s): US Code: 13 USC Sections 9, 141, 182, and 193 Name of Law: null
  

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:
	79 FR 68405	01/16/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 19987	04/14/2015
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
20152 CHIME-Comparing Health Insurance Measurement Error

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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: No

Burden Reduction Due to:

Short Statement: This is a new collection. No previous burden hours were requested.

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Annual Cost to Federal Government: $336,530

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 04/17/2015

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