MEPS-HC Validation Interview

Medical Expenditure Panel Survey - Household and Medical Provider Components

Documents and Forms

Document Name Document Type
Form 54a MEPS-HC Validation Interview Form and Instruction
54a Validation Letter Attachment 54a -- Validation Letter.docx Form and Instruction
54a Validation Letter Attachment 54a -- Validation Letter.docx Form and Instruction
54b Phone Validation Form Attachment 54b -- Phone Validation Form.docx Form and Instruction
54b Phone Validation Form Attachment 54b -- Phone Validation Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	MEPS-HC Validation Interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	54a	Validation Letter	Attachment 54a -- Validation Letter.docx		No		Paper Only
Form and Instruction	54b	Phone Validation Form	Attachment 54b -- Phone Validation Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,826	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,826	-2,399	4,225
Annual IC Time Burden (Hours)	152	-200	352
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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