Information Collection Request

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

ICR 202506-0935-001 · OMB 0935-0110 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form #3 Plan Questionnaire Form and Instruction Modified Available
Form Form #3 Plan Questionnaire Form and Instruction Modified Repair queued
Form Form #2 Establishment Questionnaire Form and Instruction Modified Available
Form Form #2 Establishment Questionnaire Form and Instruction Modified Repair queued
Form Form #1 Precanvass/Prescreener Questionnaire Form and Instruction Modified Available
Form Form #1 Prescreener Questionnaire Form and Instruction Modified Repair queued
Attachement O - Non-Response Bias Analysis of the 2022 MEPS-IC.pdf Supplementary Document Uploaded 2025-08-27 Available
Attachment Q - Initial Letter for Governments.pdf Supplementary Document Uploaded 2025-06-12 Available
Attachment Q - Initial Letter for Governments.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment P - Initial Letter for Privates.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment P - Initial Letter for Privates.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment O -- Non-Response Bias Analysis of the 2014 MEPS-IC.pdf Supplementary Document Uploaded 2025-06-12 Available
Attachment O -- Non-Response Bias Analysis of the 2014 MEPS-IC.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment N - Definitions.pdf Supplementary Document Uploaded 2025-06-12 Available
Attachment N - Definitions.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment M - Multi Unit Private Sector.pdf Supplementary Document Uploaded 2025-06-12 Available
Attachment M - Multi Unit Private Sector.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment L - Single Unit Private Sector.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment L - Single Unit Private Sector.pdf Supplementary Document Uploaded 2025-06-12 Missing upstream
Attachment K- CMU Advance Letter.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment K- CMU Advance Letter.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment J - Certainty Government Initial Letter.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment J - Certainty Government Initial Letter.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment I - Certainty Government Advance Letter.pdf Supplementary Document Uploaded 2025-06-12 Available
Attachment I - Certainty Government Advance Letter.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment H -Non Certainty Government Initial Letter.pdf Supplementary Document Uploaded 2025-06-12 Available
Attachment H -Non Certainty Government Initial Letter.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment G - Sample Strata 2025-2027.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment G - Sample Strata 2025-2027.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment F - Allocation by State 2025-2027.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment F - Allocation by State 2025-2027.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment E -- Confidentiality Form.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment E -- Confidentiality Form.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment C - Plan Questionnaire.pdf Supplementary Document Uploaded 2025-06-12 Available
Attachment C - Plan Questionnaire.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment D - 60 day FRN MEPS-IC 2025-2027.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment D - 60 day FRN MEPS-IC 2025-2027.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment B -Establishment Questionnaire.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment B -Establishment Questionnaire.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment A - Precanvass Questionnaire.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Attachment A - Precanvass Questionnaire.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
SS Part B -- MEPS-IC 2023 - 2025 FINAL - OMB AHRQ Response Clean.docx Supporting Statement B Uploaded 2025-08-27 Available
SS Part B -- MEPS-IC 2023 - 2025 FINAL.docx Supporting Statement B Uploaded 2025-06-12 Repair queued
SS Part A -- MEPS-IC 2024 Extension FINAL 8 27 25.docx Supporting Statement A Uploaded 2025-08-27 Available
SS Part A -- MEPS-IC 2024 Extension FINAL.docx Supporting Statement A Uploaded 2025-06-12 Repair queued
Attachment R - Public Comment.pdf Public Comments Uploaded 2024-12-14 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
182461 Plan Questionnaire Form and Instruction ModifiedPlan Questionnaire
182461 Plan Questionnaire Form and Instruction Modified
182460 Establishment Questionnaire Form and Instruction ModifiedEstablishment Questionnaire
182460 Establishment Questionnaire Form and Instruction Modified
182459 Prescreener Questionnaire Form and Instruction ModifiedPrecanvass/Prescreener Questionnaire
182459 Prescreener Questionnaire Form and Instruction Modified
ICR Details
0935-0110 202506-0935-001
Active 202301-0935-001
HHS/AHRQ 20656
Medical Expenditure Panel Survey - Insurance Component (MEPS-IC)
Extension without change of a currently approved collection   No
Regular
Approved with change 08/28/2025
Retrieve Notice of Action (NOA) 06/17/2025
  Inventory as of this Action Requested Previously Approved
08/31/2028 36 Months From Approved 01/31/2026
84,270 0 91,204
16,844 0 17,461
0 0 0

In 2021 employer-sponsored health insurance was the source of coverage for 90.5 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.

US Code: 42 USC 299b-2 Name of Law: Health Care Quality Act of 1999
  
None

Not associated with rulemaking

  89 FR 89643 11/13/2024
90 FR 21308 05/19/2025
Yes

  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 84,270 91,204 0 -6,934 0 0
Annual Time Burden (Hours) 16,844 17,461 0 -617 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Total burden hours will go down slightly from previous clearance estimates. The change reflects a decrease in expected response to the Establishment questionnaires completed by each establishment offering insurance. There has been a steady decline in response by businesses to establishment surveys in recent years.

$10,092,686
Yes Part B of Supporting Statement
    No
    No
Yes
No
No
No
Amie Park 301 427-1662 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/17/2025