Information Collection

MEPS Telephone Interviews

IC 232672 under ICR 201606-0607-003 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2018 MEPS-10 Form MEPS Telephone Interviews	Form and Instruction
Form 2 2018 MEPS-10S Form MEPS Telephone Interviews	Form and Instruction
Form 3 2017 MEPS-10 Form MEPS Telephone Interviews	Form and Instruction
Form 4 2017 MEPS-10S Form MEPS Telephone Interviews	Form and Instruction
1 2018 MEPS-10 Form meps10_022118.pdf	Form and Instruction
2 2018 MEPS-10S Form meps10s_022118.pdf	Form and Instruction
3 2017 MEPS-10 Form meps10_050417_D10.pdf	Form and Instruction
4 2017 MEPS-10S Form meps10s_032917_D6.pdf	Form and Instruction
MEPS_IC_OMB_letter_2018_final.docx OMB Memo	IC Document
MEPS Interview Protocol_final.docx Protocol	IC Document

IC Title:

MEPS Telephone Interviews

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	2018 MEPS-10 Form	meps10_022118.pdf	No	Fillable Fileable
Form and Instruction	2	2018 MEPS-10S Form	meps10s_022118.pdf	No	Fillable Fileable
Form and Instruction	3	2017 MEPS-10 Form	meps10_050417_D10.pdf	No	Fillable Fileable
Form and Instruction	4	2017 MEPS-10S Form	meps10s_032917_D6.pdf	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	MEPS_IC_OMB_letter_2018_final.docx	08/14/2018
Protocol	MEPS Interview Protocol_final.docx	08/14/2018

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