Agency Information Collection Activities; Proposals, Submissions, and Approvals
Federal Register: June 16, 2009 (Volume 74, Number 114)
Notices
Page 28504-28506
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
DOCID:fr16jn09-44
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) approve the proposed information collection project: ``2010-2011 Medical Expenditure Panel Survey Insurance
Component.'' In accordance with the Paperwork Reduction Act of 1995, 44
U.S.C. 3506(c)(2)(A), AHRQ invites the public to comment on this proposed information collection.
DATES: Comments on this notice must be received by August 17, 2009.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by e-mail at doris.lefkowitz@ahrq.hhs.gov.
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 e-mail at doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project 2010-2011 Medical Expenditure Panel Survey Insurance Component
AHRQ seeks to renew the Medical Expenditure Panel Survey Insurance
Component (MEPS-IC) for calendar years 2010 and 2011. The MEPS-IC, an annual survey of the characteristics of employer-sponsored health insurance, was first conducted by AHRQ in 1997 for the calendar year 1996. The survey has since been conducted annually for calendar years 1996 through 2009, except for 2007. A change from prior year collection to calendar year collection in 2008 meant that no data were collected for the 2007 calendar year, but the change has allowed for much earlier release of the survey results for the 2008 calendar year forward. AHRQ is authorized to conduct the MEPS-IC pursuant to 42 U.S.C. 299b-2.
Employment-based health insurance is the source of coverage for over 90 million workers and their family members, and is a cornerstone of the current U.S. health care system. The MEPS-IC measures the extent, cost, and coverage of employment-based health insurance.
Statistics are produced at the National, State, and sub-State
(metropolitan area) level.
The MEPS-IC is designed to provide data for Federal policymakers evaluating the effects of National and State health care reforms. It also provides descriptive data on the current employment-based health insurance system and data for modeling the differential impacts of proposed health policy initiatives. The MEPS-IC also supplies critical
State and National estimates of health insurance spending for the
National Health Accounts and Gross Domestic Product. Data to be collected from each employer will include a description of the organization (e.g., size, industry) and descriptions of health insurance plans available, plan enrollments, total plan costs and costs to employees. This survey will be conducted for AHRQ by the Bureau of the Census using an annual sample of employers selected from Census
Bureau lists of private sector employers and governments.
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The MEPS-IC is one of three components of the MEPS. The others are the Household and Medical Provider Components:
MEPS Household Component is a sample of households participating in the National Health Interview Survey in the prior calendar year. These households are interviewed 5 times over a 2\1/2\ year period for MEPS. The 5 interviews yield two years of information on use of and expenditures for health care, sources of payment for that health care, insurance status, employment, health status and health care quality.
MEPS Medical Provider Component collects information from medical and financial records maintained by hospitals, physicians, pharmacies, health care institutions, and home health agencies named as sources of care by household respondents.
This clearance request is for the MEPS-IC only.
Method of Collection
Data collection for the MEPS-IC takes place in three phases at each sample establishment: Prescreening interview, questionnaire mailout, and nonresponse follow-up. An establishment is a single location of a private sector or State and local government employer.
First, a prescreening interview is conducted by telephone. For those establishments that offer health insurance, its goal is to obtain the name and title of an appropriate person in each establishment to whom a MEPS-IC questionnaire will be mailed. For establishments which do not offer health insurance, a brief set of questions about establishment characteristics is administered at the end of the prescreening interview to close out the case. This step minimizes burden for many small establishments that do not offer health insurance.
The next phase, questionnaire mailout, makes use of two forms--one requests establishment-level information (e.g., total number of employees) and the other requests plan-level information (e.g., the plan premium for single coverage) for each plan (up to four) offered by the establishment.
In the final phase, establishments which do not respond to the initial MEPS-IC mail questionnaire are mailed a nonresponse follow-up package. Those establishments which fail to respond to the second mailing are contacted for a telephone follow-up using computer-assisted interviewing.
Data collection for the largest private sector and government units, which have high survey response burdens, may differ somewhat from the above pattern.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the respondents' time to provide the requested data. The Prescreener questionnaire will be completed by 32,006 respondents and takes about 5\1/2\ minutes to complete. The Establishment questionnaire will be completed by 24,965 respondents and takes about 23 minutes to complete.
The Plan questionnaire will be completed by 21,437 respondents and will require an average of 2.1 responses per respondent. Each Plan questionnaire takes about 11 minutes to complete. The total annualized burden hours are estimated to be 20,471 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 $546,576.
Exhibit 1--Estimated Annualized Burden Hours
Number of
Form name
Number of
responses per
Hours per
Total burden respondents
respondent
response
hours
Prescreener Questionnaire.......................
32,006
1
0.09
2,881
Establishment Questionnaire.....................
24,965
1
0.38
9,487
Plan Questionnaire..............................
21,437
2.1
0.18
8,103
Total.......................................
78,408
na
na
20,471
Note: The total number of respondents increased from previous clearances not due to any increase in sample size, but due to a change in the way the number of respondents is reported. While now total respondents are the sum of respondents per form, previously they were reported as the number of unique establishments completing at least one form.
Exhibit 2--Estimated Annualized Cost Burden
Number of
Total burden Average hourly
Total cost
Form name
respondents
hours
wage rate*
burden
Prescreener Questionnaire.......................
32,006
2,881
26.70
$76,923
Establishment Questionnaire.....................
24,965
9,487
26.70
253,303
Plan Questionnaire..............................
21,437
8,103
26.70
216,350
Total.......................................
78,408
20,471
na
546,576
* Based upon the mean wage for Compensation, benefits, and job analysis specialists, civilian workers, National
Compensation Survey: Occupational Earnings in the United States, 2007, U.S. Department of Labor, Bureau of
Labor Statistics.
Estimated Annual Costs to the Federal Government
Exhibit 3 shows the estimated total and annualized cost for this two year project. The annual cost to the Federal Government is estimated to be $10.3 million.
Page 28506
Exhibit 3--Estimated Total and Annualized Cost ($ Thousands)
Annualized
Cost component
Total cost
cost
Project Development.....................
$3,099
$1,550
Data Collection Activities..............
7,230
3,615
Data Processing and Analysis............
7,230
3,615
Project Management......................
2,066
1,033
Overhead................................
1,033
517
Total...............................
20,658
10,329
Note: Components may not sum to Total due to rounding.
Request for Comments
In accordance with the above-cited Paperwork Reduction Act legislation, 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, quality improvement and 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: June 4, 2009.
Carolyn M. Clancy,
Director.
FR Doc. E9-14079 Filed 6-15-09; 8:45 am
BILLING CODE 4160-90-P
