Information Collection

MEPS-HC Core Interview

IC 37877 under ICR 202401-0935-001 · OMB 0935-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0118 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 3 - Economic Burden Questions added to the 2024 Core MEPS-HC.docx meps.ahrq.gov/mepsweb/survey_comp/survey_results_ques_sections.jsp?Section=All&Year1=2021&Submit1=Search	Other-Explanatory
Attachment 3 - Economic Burden Questions added to the 2024 Core MEPS-HC.docx meps.ahrq.gov/mepsweb/survey_comp/survey_results_ques_sections.jsp?Section=All&Year1=2021&Submit1=Search	Other-Explanatory
Attachment 1 - MEPS Respondent Materials.pdf Attachment 1 - MEPS Respondent Materials	IC Document
Attachment 1 - MEPS Respondent Materials.pdf Attachment 1 - MEPS Respondent Materials	IC Document
Attachment 2 - MEPS Promotional Materials.pdf Attachment 2 - MEPS Promotional Materials	IC Document
Attachment 2 - MEPS Promotional Materials.pdf Attachment 2 - MEPS Promotional Materials	IC Document

IC Title:

MEPS-HC Core Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Explanatory			Attachment 3 - Economic Burden Questions added to the 2024 Core MEPS-HC.docx	https://meps.ahrq.gov/mepsweb/survey_comp/survey_results_ques_sections.jsp?Section=All&Year1=2021&Submit1=Search	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	29,375	-3,970	33,345
Annual IC Time Burden (Hours)	43,083	-8,046	51,129
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 1 - MEPS Respondent Materials	Attachment 1 - MEPS Respondent Materials.pdf	01/08/2024
Attachment 2 - MEPS Promotional Materials	Attachment 2 - MEPS Promotional Materials.pdf	01/08/2024

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