Bundled Burden Summary
Bundled Burden Table (06-20-2016).xlsx
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
Bundled Burden Summary
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⚠️ Notice: This form may be outdated.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) |
| 42 |
Covered Outpatient Drugs |
56 |
1 |
56 |
300 |
16,800 |
| 45 |
Maternal and Infant Health Quality |
56 |
2 |
112 |
1 |
112 |
| 47 |
Health Home Core Sets |
30 |
1 |
30 |
40 |
1,200 |
| TOTAL |
56 |
4 |
198 |
n/a |
18,112 |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |