Pilot Test of the Revised Data Collection Method for the Medical Expenditure Panel Survey - Insurance Component

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

OMB: 0935-0124

IC ID: 246524

Documents and Forms

Document Name Document Type
Form 1 Pilot Test of the Revised Data Collection Method for the Medical Expenditure Panel Survey - Insurance Component Form and Instruction
1 Pilot test – Establishment Questionnaire meps10_033121 v2.pdf Form and Instruction
2 Pilot test – Plan Questionnaire meps10s_033121 v2.pdf Form and Instruction
OMB Cover Letter.docx Cover Letter IC Document
Supporting Statement Part A - Pilot test MEPS-IC_v2_052421.docx Supporting Statement Part A IC Document
Supporting Statement Part B - Pilot Test of MEPS-IC Revised Data Collection Method - 3-24-2021 v2.docx Supporting Statement Part B IC Document
2021 Survey Forms-20D.pdf 2021 Forms 20D IC Document