OMB control number

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

OMB 0935-0110 · HHS/AHRQ.

OMB 0935-0110

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.

The latest form for Medical Expenditure Panel Survey - Insurance Component (MEPS-IC) expires 2028-08-31 and is listed under ICR 202506-0935-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form #3 Plan QuestionnaireForm and Instruction
Form Form #3 Plan QuestionnaireForm and Instruction
Form Form #2 Establishment QuestionnaireForm and Instruction
Form Form #2 Establishment QuestionnaireForm and Instruction
Form Form #1 Precanvass/Prescreener QuestionnaireForm and Instruction
Form Form #1 Prescreener QuestionnaireForm and Instruction
Attachement O - Non-Response Bias Analysis of the 2022 MEPS-IC.pdfSupplementary Document
Attachment Q - Initial Letter for Governments.pdfSupplementary Document
Attachment Q - Initial Letter for Governments.pdf Supplementary Document
Attachment P - Initial Letter for Privates.pdfSupplementary Document
Attachment P - Initial Letter for Privates.pdf Supplementary Document
Attachment O -- Non-Response Bias Analysis of the 2014 MEPS-IC.pdfSupplementary Document
Attachment O -- Non-Response Bias Analysis of the 2014 MEPS-IC.pdf Supplementary Document
Attachment N - Definitions.pdfSupplementary Document
Attachment N - Definitions.pdf Supplementary Document
Attachment M - Multi Unit Private Sector.pdfSupplementary Document
Attachment M - Multi Unit Private Sector.pdf Supplementary Document
Attachment L - Single Unit Private Sector.pdfSupplementary Document
Attachment K- CMU Advance Letter.pdfSupplementary Document
Attachment K- CMU Advance Letter.pdf Supplementary Document
Attachment J - Certainty Government Initial Letter.pdfSupplementary Document
Attachment I - Certainty Government Advance Letter.pdfSupplementary Document
Attachment I - Certainty Government Advance Letter.pdf Supplementary Document
Attachment H -Non Certainty Government Initial Letter.pdfSupplementary Document
Attachment H -Non Certainty Government Initial Letter.pdf Supplementary Document
Attachment G - Sample Strata 2025-2027.pdfSupplementary Document
Attachment F - Allocation by State 2025-2027.pdfSupplementary Document
Attachment F - Allocation by State 2025-2027.pdf Supplementary Document
Attachment E -- Confidentiality Form.pdfSupplementary Document
Attachment C - Plan Questionnaire.pdfSupplementary Document
Attachment C - Plan Questionnaire.pdf Supplementary Document
Attachment D - 60 day FRN MEPS-IC 2025-2027.pdfSupplementary Document
Attachment D - 60 day FRN MEPS-IC 2025-2027.pdf Supplementary Document
Attachment B -Establishment Questionnaire.pdfSupplementary Document
Attachment B -Establishment Questionnaire.pdf Supplementary Document
Attachment A - Precanvass Questionnaire.pdfSupplementary Document
Attachment A - Precanvass Questionnaire.pdf Supplementary Document
SS Part B -- MEPS-IC 2023 - 2025 FINAL - OMB AHRQ Response Clean.docxSupporting Statement B
SS Part B -- MEPS-IC 2023 - 2025 FINAL.docxSupporting Statement B
SS Part A -- MEPS-IC 2024 Extension FINAL 8 27 25.docxSupporting Statement A
SS Part A -- MEPS-IC 2024 Extension FINAL.docxSupporting Statement A
Attachment R - Public Comment.pdfPublic Comments
Plan Questionnaire Form and Instruction
Plan Questionnaire Form and Instruction
Establishment Questionnaire Form and Instruction
Establishment Questionnaire Form and Instruction
Prescreener Questionnaire Form and Instruction
Prescreener Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202506-0935-001 Extension without change of a currently approved collection 2025-06-17
202301-0935-001 Revision of a currently approved collection 2023-01-09 Approved with change
202212-0935-001 Extension without change of a currently approved collection 2022-12-02 Improperly submitted and continue
201910-0935-001 Extension without change of a currently approved collection 2019-11-04 Approved without change
201707-0935-005 Revision of a currently approved collection 2017-08-02 Approved with change
201509-0935-002 Extension without change of a currently approved collection 2015-09-16 Approved without change
201504-0935-001 Revision of a currently approved collection 2015-05-08 Approved without change
201404-0935-001 Revision of a currently approved collection 2014-04-22 Approved with change
201310-0935-001 Revision of a currently approved collection 2013-10-17 Approved without change
201303-0935-001 Revision of a currently approved collection 2013-03-25 Approved without change
201110-0935-001 Extension without change of a currently approved collection 2011-10-05 Approved without change
200909-0935-003 Extension without change of a currently approved collection 2009-09-11 Approved with change
200710-0935-001 Revision of a currently approved collection 2007-10-25 Approved without change
200410-0935-002 Revision of a currently approved collection 2004-10-20 Approved without change
200112-0935-002 Revision of a currently approved collection 2001-12-11 Approved without change
199912-0935-001 New collection (Request for a new OMB Control Number) 1999-12-23 Approved without change

OMB Details

Prescreener Questionnaire

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form Form #1Precanvass/Prescreener QuestionnaireFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.