MEPS-HC Core Interview

Medical Expenditure Panel Survey - Household and Medical Provider Components

OMB: 0935-0118

IC ID: 37877

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	No		Fillable Fileable
Form and Instruction	2	Yes	Yes	Fillable Fileable
Form and Instruction	3	Yes	Yes	Fillable Fileable
Form and Instruction	4	Yes	Yes	Fillable Fileable
Form and Instruction	5	Yes	Yes	Fillable Fileable
Form and Instruction	6	Yes	Yes	Fillable Fileable
Form and Instruction	7	Yes	Yes	Fillable Fileable
Form and Instruction	8	Yes	Yes	Fillable Fileable
Form and Instruction	9	Yes	Yes	Fillable Fileable
Form and Instruction	10	Yes	Yes	Fillable Fileable
Form and Instruction	11	Yes	Yes	Fillable Fileable
Form and Instruction	12	Yes	Yes	Fillable Fileable
Form and Instruction	13	Yes	Yes	Fillable Fileable
Form and Instruction	14	Yes	Yes	Fillable Fileable
Form and Instruction	15	Yes	Yes	Fillable Fileable
Form and Instruction	16	Yes	Yes	Fillable Fileable
Form and Instruction	17	Yes	Yes	Fillable Fileable
Form and Instruction	18	Yes	Yes	Fillable Fileable
Form and Instruction	19	Yes	Yes	Fillable Fileable
Form and Instruction	20	Yes	Yes	Fillable Fileable
Form and Instruction	21	Yes	Yes	Fillable Fileable
Form and Instruction	22	Yes	Yes	Fillable Fileable
Form and Instruction	23	Yes	Yes	Fillable Fileable
Form and Instruction	24	Yes	Yes	Fillable Fileable
Form and Instruction	25	Yes	Yes	Fillable Fileable
Form and Instruction	26	Yes	Yes	Fillable Fileable
Form and Instruction	27	Yes	Yes	Fillable Fileable
Form and Instruction	28	Yes	Yes	Fillable Fileable
Form and Instruction	29	Yes	Yes	Fillable Fileable
Form and Instruction	30	Yes	Yes	Fillable Fileable
Form and Instruction	31	Yes	Yes	Fillable Fileable
Form and Instruction	32	Yes	Yes	Fillable Fileable
Form and Instruction	33	Yes	Yes	Fillable Fileable
Form and Instruction	34	Yes	Yes	Fillable Fileable
Form and Instruction	35	Yes	Yes	Fillable Fileable
Form and Instruction	36	Yes	Yes	Fillable Fileable
Form and Instruction	37	Yes	Yes	Fillable Fileable
Form and Instruction	38	Yes	Yes	Fillable Fileable
Form and Instruction	39	Yes	Yes	Fillable Fileable
Form and Instruction	40	Yes	Yes	Fillable Fileable
Form and Instruction	41	Yes	Yes	Fillable Fileable
Form and Instruction	42	Yes	Yes	Fillable Fileable
Form and Instruction	43	Yes	Yes	Fillable Fileable
Form and Instruction	45	Yes	Yes	Fillable Fileable
Form and Instruction	46	Yes	Yes	Fillable Fileable
Form and Instruction	47	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,875	-5,833	0	31,708
Annual IC Time Burden (Hours)	37,519	0	-8,986	46,505
Annual IC Cost Burden (Dollars)	2,450,741	0	2,450,741	0

Documents for IC

Title	Document	Date Uploaded
MEPS HC Show Card		03/05/2026

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

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