Cover Letter

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Questionnaire and Data Collection Testing, Evaluation, and Research for the Agency for Healthcare Research and Quality

Cover Letter

OMB: 0935-0124

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SUBMISSION OF INFORMATION COLLECTION UNDER THE

Request for Approval under AHRQ’s Generic Clearance “Cognitive Testing of the Medical Expenditure Panel Survey (MEPS) Health Insurance Verification Module” (OMB Control Number: 0935-0124)


DATE OF REQUEST: April 17, 2017


SUB AGENCY (I/C): HHS/AHRQ


TITLE: Testing for Potential Enhancements to the Medical Expenditure Panel Survey: Study on Employer-sponsored Insurance Plans


GENERIC CLEARANCE UNDER OMB#: 0935-0124 EXP. DATE: 11/30/202020


ABSTRACT: The purpose of this request is to conduct focus groups and in-home interviews to test the ability of respondents to accurately provide a set of requested documentation about their insurance coverage (e.g., their plan’s Summary of Benefits and Coverage (SBC)) during a MEPS Household Component interview. Further, the study aims to assess the ability to link information from the materials provided by the respondent to publicly available information about the details on their coverage. For example, AHRQ will assess whether information that is available on standard insurance cards can be used to retrieve detailed information about an insurance policy. Lastly, the study will assess the level of increased burden that is placed on respondents when asking them to locate and produce the requested documentation to determine whether such a request will diminish their willingness to participate in MEPS. This study will target individuals who hold employer-sponsored insurance plans. The findings will be used to design potential enhancements to the 2020 fielding of the MEPS Household Component.


This research has the following goal:

  1. Assess the feasibility of implementing the collection of health policy coverage and benefits information for employer-sponsored plans during the MEPS Household Component interview.

TOTAL ANNUAL BURDEN APPROVED: 8900 Hours Per year


BURDEN USED TO DATE: 300 hours.


BURDEN THIS REQUEST: 45 hours.


FEDERAL COST: The estimated annual cost to the Federal government is $41,136.80_____.


IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

______YES ______ NO _____x_ N/A






OBLIGATION TO RESPOND:

___x__VOLUNTARY

______ REQUIRED TO OBTAIN OR RETAIN BENEFITS

______ MANDATORY


HOW WILL THIS SURVEY BE OFFERED?

______ WEB SITE

__ X_ TELEPHONE INTERVIEW

_____ MAIL RESPONSE [email]

___X_ IN PERSON INTERVIEW

_____ OTHER: ___________________________________


CONTACT INFORMATION:

NAME: _Marie Stagnitti________________________________________

TELEPHONE NUMBER: _ (301) 427-1469 _____________________

EMAIL ADDRESS: [email protected] _________________________

File Typeapplication/msword
File TitleGeneric Clearance Form - 04/28/2008
SubjectGeneric Clearance Form - 04/28/2008
AuthorOD/USER
Last Modified BySYSTEM
File Modified2018-11-20
File Created2018-11-20

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