Authorization form for the MEPS-MPC Pharmacy Survey

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC)

OMB: 0935-0118

IC ID: 204198

Information Collection (IC) Details

View Information Collection (IC)

Authorization form for the MEPS-MPC Pharmacy Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment 24 Attachment 24 HC Authorization Form for the MEPS MPC Pharmacy Attachment 24 HC Authorization Form for the MEPS MPC Pharmacy.pdf Yes Yes Fillable Fileable

Health Immunization Management

 

12,804 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 39,692 0 -5,224 0 0 44,916
Annual IC Time Burden (Hours) 1,985 0 -261 0 0 2,246
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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