Agency Information Collection Activities: Proposed Collection; Comment Request

Published date08 August 2019
Citation84 FR 38984
Record Number2019-17001
SectionNotices
CourtAgency For Healthcare Research And Quality,Health And Human Services Department
Federal Register, Volume 84 Issue 153 (Thursday, August 8, 2019)
[Federal Register Volume 84, Number 153 (Thursday, August 8, 2019)]
                [Notices]
                [Pages 38984-38986]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2019-17001]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Agency for Healthcare Research and Quality
                Agency Information Collection Activities: Proposed Collection;
                Comment Request
                AGENCY: Agency for Healthcare Research and Quality, HHS.
                ACTION: Notice.
                -----------------------------------------------------------------------
                SUMMARY: This notice announces the intention of the Agency for
                Healthcare Research and Quality (AHRQ) to request that the Office of
                Management and Budget (OMB) reapprove the proposed information
                collection project: ``Medical Expenditure Panel Survey--Insurance
                Component.''
                [[Page 38985]]
                DATES: Comments on this notice must be received by 60 days after date
                of publication.
                ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
                Reports Clearance Officer, AHRQ, by email at
                [email protected].
                 Copies of the proposed collection plans, data collection
                instruments, and specific details on the estimated burden can be
                obtained from the AHRQ Reports Clearance Officer.
                FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
                Clearance Officer, (301) 427-1477, or by email at
                [email protected].
                SUPPLEMENTARY INFORMATION:
                Proposed Project
                Medical Expenditure Panel Survey--Insurance Component
                 Employer-sponsored health insurance is the source of coverage for
                84.4 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.
                 This study is being conducted by AHRQ through the Bureau of the
                Census, pursuant to AHRQ's statutory authority to conduct and support
                research on healthcare and on systems for the delivery of such care,
                including activities with respect to the cost and use of health care
                services and with respect to health statistics and surveys. 42 U.S.C.
                299a(a)(3) and (8); 42 U.S.C. 299b-2.
                Method of Collection
                 To achieve the goals of this project the following data collections
                for both private sector and state and local government employers will
                be implemented:
                 (1) Prescreener Questionnaire--The purpose of the Prescreener
                Questionnaire, which is collected via telephone, varies depending on
                the insurance status of the establishment contacted (establishment is
                defined as a single, physical location in the private sector and a
                governmental unit in state and local governments). For establishments
                that do not offer health insurance to their employees, the prescreener
                is used to collect basic information such as number of employees.
                Collection is completed for these establishments through this telephone
                call. For establishments that do offer health insurance, contact name
                and address information is collected that is used for the mailout of
                the establishment and plan questionnaires. Obtaining this contact
                information helps ensure that the questionnaires are directed to the
                person in the establishment best equipped to complete them.
                 (2) Establishment Questionnaire--The purpose of the mailed
                Establishment Questionnaire is to obtain general information from
                employers that provide health insurance to their employees. Information
                such as total active enrollment in health insurance, other employee
                benefits, demographic characteristics of employees, and retiree health
                insurance is collected through the establishment questionnaire.
                 (3) Plan Questionnaire--The purpose of the mailed Plan
                Questionnaire is to collect plan-specific information on each plan (up
                to four plans) offered by establishments that provide health insurance
                to their employees. This questionnaire obtains information on total
                premiums, employer and employee contributions to the premium, and plan
                enrollment for each type of coverage offered--single, employee-plus-
                one, and family--within a plan. It also asks for information on
                deductibles, copays, and other plan characteristics.
                 The primary objective of the MEPS-IC is to collect information on
                employer-sponsored health insurance. Such information is needed in
                order to provide the tools for Federal, State, and academic researchers
                to evaluate current and proposed health policies and to support the
                production of important statistical measures for other Federal
                agencies.
                Estimated Annual Respondent Burden
                 Exhibit 1 shows the estimated annualized burden hours for the
                respondents' time to participate in the MEPS-IC. The Prescreener
                questionnaire will be completed by 29,931 respondents and takes about 5
                minutes to complete. The Establishment questionnaire will be completed
                by 25,819 respondents and takes about 23 minutes to complete. The Plan
                questionnaire will be completed by 22,859 respondents and will require
                an average of 2.2 responses per respondent. Each Plan questionnaire
                takes about 11 minutes to complete. The total annualized burden hours
                are estimated to be 21,611 hours.
                 Exhibit 2 shows the estimated annualized cost burden associated
                with the respondents' time to participate in this data collection. The
                annualized cost burden is estimated to be $705,599.
                 Exhibit 1--Estimated Annualized Burden Hours for the 2020-2021 MEPS-IC
                ----------------------------------------------------------------------------------------------------------------
                 Number of
                 Form name Number of responses per Hours per Total burden
                 respondents respondent response hours
                ----------------------------------------------------------------------------------------------------------------
                Prescreener Questionnaire....................... 29,931 1 5/60 2,494
                Establishment Questionnaire..................... 25,819 1 * 23/60 9,897
                Plan Questionnaire.............................. 22,859 2.2 11/60 9,220
                 ---------------------------------------------------------------
                 Total....................................... 78,609 na na 21,611
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                * The burden estimate printed on the establishment questionnaire is 45 minutes which includes the burden
                 estimate for completing the establishment questionnaire and two plan questionnaires (on average, each
                 establishment completes 2.2 plan questionnaires), plus the prescreener. The establishment and plan
                 questionnaires are sent to the respondent as a package and are completed by the respondent at the same time.
                [[Page 38986]]
                 Exhibit 2--Estimated Annualized Cost Burden for the 2020-2021 MEPS-IC
                ----------------------------------------------------------------------------------------------------------------
                 Number of Total burden Average hourly Total cost
                 Form name respondents hours wage rate * burden
                ----------------------------------------------------------------------------------------------------------------
                Prescreener Questionnaire....................... 29,931 2,494 $32.65 $81,429
                Establishment Questionnaire..................... 25,819 9,897 32.65 323,137
                Plan Questionnaire.............................. 22,859 9,220 32.65 301,033
                 ---------------------------------------------------------------
                 Total....................................... 78,609 21,611 na 705,599
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                * Based upon the mean hourly wage for Compensation, Benefits, and Job Analysis Specialists occupation code 13-
                 1141, at https://www.bls.gov/oes/current/oes131141.htm (U.S. Department of Labor, Bureau of Labor
                 Statistics.).
                Request for Comments
                 In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
                3521, comments on AHRQ's information collection are requested with
                regard to any of the following: (a) Whether the proposed collection of
                information is necessary for the proper performance of AHRQ health care
                research and health care information dissemination functions, including
                whether the information will have practical utility; (b) the accuracy
                of AHRQ's estimate of burden (including hours and costs) of the
                proposed collection(s) of information; (c) ways to enhance the quality,
                utility, and clarity of the information to be collected; and (d) ways
                to minimize the burden of the collection of information upon the
                respondents, including the use of automated collection techniques or
                other forms of information technology.
                 Comments submitted in response to this notice will be summarized
                and included in the Agency's subsequent request for OMB approval of the
                proposed information collection. All comments will become a matter of
                public record.
                 Dated: August 5, 2019.
                Virginia L. Mackay-Smith,
                Associate Director.
                [FR Doc. 2019-17001 Filed 8-7-19; 8:45 am]
                 BILLING CODE 4160-90-P
                

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