Bundled GenIC Burden Table
Bundled Burden Table (04-15-2015 submission).xlsx
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
Bundled GenIC Burden Table
OMB: 0938-1148
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1148 can be found here:
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| GenIC ID # |
Title |
Respondents |
Responses (per Respondent) |
Total Responses |
Time (per Response) (hr) |
Total Time (hr) |
| 7 |
CHIPRA Cycle III |
n/a |
n/a |
n/a |
n/a |
n/a |
| 7 |
CHIPRA Cycle IV |
10 |
2 |
20 |
20 |
400 |
| 39 |
Learning Collaboratives Assessment |
7 |
5 |
35 |
0.75 (45 min) |
26.25 |
| 40 |
BIPP Template |
18 |
4 |
72 |
20 |
1,440 |
| TOTAL |
35 |
n/a |
127 |
n/a |
1,866.25 |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |