Medical Expenditure Panel Survey - Insurance Component (MEPS-IC)

Forms and Documents

Document Name	Status
Form Form #3 Plan Questionnaire Form and Instruction	Modified
Form Form #2 Establishment Questionnaire Form and Instruction	Modified
Form Form #1 Prescreener Questionnaire Form and Instruction	Modified
Attachment O -- Non-Response Bias Analysis of the 2014 MEPS-IC.docx Supplementary Document	2017-07-31
Attachment N -- Definitions.pdf Supplementary Document	2017-07-31
Attachment M -- Initial Letter for Multi Unit Private Sector.pdf Supplementary Document	2017-07-31
Attachment L -- Initial Letter for Single Unit Private Sector.pdf Supplementary Document	2017-07-31
Attachment K -- CMU Advance Letter.pdf Supplementary Document	2017-07-31
Attachment J -- Certainty Government Initial Letter.pdf Supplementary Document	2017-07-31
Attachment I -- Certainty Government Advance Letter.pdf Supplementary Document	2017-07-31
Attachment H -- Noncertainity Government Initial Letter.pdf Supplementary Document	2017-07-31
Attachment G -- Sample Strata 2018-2019.docx Supplementary Document	2017-07-31
Attachment F -- Allocation by State 2018-2019.docx Supplementary Document	2017-07-31
Attachment E -- Confidentiality Form.docx Supplementary Document	2017-07-31
SS Part B -- MEPS-IC 2020 - 2021 062819.docx Supporting Statement B	2019-11-04
SS Part A -- MEPS-IC 2020 -2021 071619 kd.docx Supporting Statement A	2019-11-04

IC Document Collections

IC ID	Document Title	Status
182461	Plan Questionnaire Form and Instruction	Modified
182460	Establishment Questionnaire Form and Instruction	Modified
182459	Prescreener Questionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 0935-0110	ICR Reference No: 201910-0935-001
Status: Active	Previous ICR Reference No: 201707-0935-005
Agency/Subagency: HHS/AHRQ	Agency Tracking No: 20656
Title: Medical Expenditure Panel Survey - Insurance Component (MEPS-IC)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/11/2020
	Date Received in OIRA: 11/04/2019
Terms of Clearance: In subsequent revision or extension requests, AHRQ will provide a description of any changes in question wording, if applicable, in its submission to OMB.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved	11/30/2020
Responses	106,040	0	113,313
Time Burden (Hours)	21,611	0	22,953
Cost Burden (Dollars)	0	0	0

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Abstract: In 2017 employer-sponsored health insurance was the source of coverage for 84.4 million current and former workers, plus many of their family members, and is a cornerstone of the U.S. health care system. The Medical Expenditure Panel Survey – Insurance Component (MEPS-IC) measures the extent, cost, and coverage of employer-sponsored health insurance on an annual basis. These statistics are produced at the National, State, and sub-State (metropolitan area) level for private industry. Statistics are also produced for State and Local governments. This research has the following goals: 1) to provide data for Federal policymakers evaluating the effects of National and State health care reforms. 2) to provide descriptive data on the current employer-sponsored health insurance system and data for modeling the differential impacts of proposed health policy initiatives. 3) to supply critical State and National estimates of health insurance spending for the National Health Accounts and Gross Domestic Product.

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Authorizing Statute(s): US Code: 42 USC 299b-2 Name of Law: Health Care Quality Act of 1999
  

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:
	84 FR 38984	08/08/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 58718	11/01/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Prescreener Questionnaire	Form #1	Prescreener Questionnaire
Establishment Questionnaire	Form #2	Establishment Questionnaire
Plan Questionnaire	Form #3	Plan Questionnaire

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	106,040	113,313	0	-7,273	0	0
Annual Time Burden (Hours)	21,611	22,953	0	-1,342	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Total burden hours will go down by an estimated 1,342 hours, about 6.2 percent from the 2018-2019 clearance estimates. The change reflects a smaller sample of State and Local Government questionnaires and a small decrease in the average number of plan questionnaires completed by each establishment offering insurance

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Annual Cost to Federal Government: $9,707,337

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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: 11/04/2019

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