Burden Summary

Burden Computation - Individual Forms
Page 1 of 1

August 2, 2006

Product:
Description:

8582CR/
Passive Activity Credit Limitations

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

300,000
______________
21
______________
0.75
______________
9,100.00
______________
16
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

300,000
______________
21
______________
0.75
______________
9,100.00
______________
16
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
300,000 x _____________
2.95
Old Computation (Prog. Change) ______________
300,000 x _____________
2.95
New Computation.............. ______________
Balance...

=
=

885,000
_______________
885,000
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

885,000
_______________
0
_______________
_______________
885,000
_______________

Paperwork Reduction Act Notice
Time Per Response
2.95
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.00
______________
2.14
______________
0.53
______________
0.28
______________

0 hrs. , 00 min.
___________________
2 hrs. , 08 min.
___________________
0 hrs. , 31 min.
___________________
0 hrs. , 16 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 2, 2006

Product:
Description:

8582CR/PART II

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

150,000
______________
18
______________
0.25
______________
677.00
______________
5
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
18
______________
0.25
______________
677.00
______________
5
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
1.51
Old Computation (Prog. Change) ______________
150,000 x _____________
1.51
New Computation.............. ______________
Balance...

=
=

226,500
_______________
226,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

226,500
_______________
0
_______________
_______________
226,500
_______________

Paperwork Reduction Act Notice
Time Per Response
1.51
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.00
______________
0.89
______________
0.45
______________
0.17
______________

0 hrs. , 00 min.
___________________
0 hrs. , 53 min.
___________________
0 hrs. , 27 min.
___________________
0 hrs. , 10 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 2, 2006

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

8582CR/PART III

2005

Changes (+ -)

2006

150,000
______________
23
______________
0.50
______________
479.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
23
______________
0.50
______________
479.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
1.39
Old Computation (Prog. Change) ______________
150,000 x _____________
1.39
New Computation.............. ______________
Balance...

=
=

208,500
_______________
208,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

208,500
_______________
0
_______________
_______________
208,500
_______________

Paperwork Reduction Act Notice
Time Per Response
1.39
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No Change

Average Hours
Per Response
0.00
______________
0.58
______________
0.58
______________
0.23
______________

0 hrs. , 00 min.
___________________
0 hrs. , 34 min.
___________________
0 hrs. , 34 min.
___________________
0 hrs. , 13 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/PART IV

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

30,000
______________
18
______________
0.25
______________
168.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

30,000
______________
18
______________
0.25
______________
168.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
30,000 x _____________
1.07
Old Computation (Prog. Change) ______________
30,000 x _____________
1.07
New Computation.............. ______________
Balance...

=
=

32,100
_______________
32,100
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

32,100
_______________
0
_______________
_______________
32,100
_______________

Paperwork Reduction Act Notice
Time Per Response
1.07
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.00
______________
0.45
______________
0.45
______________
0.17
______________

0 hrs. , 00 min.
___________________
0 hrs. , 27 min.
___________________
0 hrs. , 27 min.
___________________
0 hrs. , 10 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/PART V

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

300,000
______________
2
______________
0.25
______________
116.00
______________
1
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

300,000
______________
2
______________
0.25
______________
116.00
______________
1
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
300,000 x _____________
0.36
Old Computation (Prog. Change) ______________
300,000 x _____________
0.36
New Computation.............. ______________
Balance...

=
=

108,000
_______________
108,000
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

108,000
_______________
0
_______________
_______________
108,000
_______________

Paperwork Reduction Act Notice
Time Per Response
0.36
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.00
______________
0.14
______________
0.05
______________
0.17
______________

0 hrs. , 00 min.
___________________
0 hrs. , 08 min.
___________________
0 hrs. , 03 min.
___________________
0 hrs. , 10 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/PART VI

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2006

Changes (+ -)

2006

75,000
______________
5
______________
0.25
______________
662.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

75,000
______________
5
______________
0.25
______________
662.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
75,000 x _____________
0.44
Old Computation (Prog. Change) ______________
75,000 x _____________
0.44
New Computation.............. ______________
Balance...

=
=

33,000
_______________
33,000
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

33,000
_______________
0
_______________
_______________
33,000
_______________

Paperwork Reduction Act Notice
Time Per Response
0.44
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.00
______________
0.14
______________
0.13
______________
0.17
______________

0 hrs. , 00 min.
___________________
0 hrs. , 08 min.
___________________
0 hrs. , 07 min.
___________________
0 hrs. , 10 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/WKST 1

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

150,000
______________
7
______________
0.00
______________
250.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
7
______________
0.00
______________
250.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
1.09
Old Computation (Prog. Change) ______________
150,000 x _____________
1.09
New Computation.............. ______________
Balance...

=
=

163,500
_______________
163,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

163,500
_______________
0
_______________
_______________
163,500
_______________

Paperwork Reduction Act Notice
Time Per Response
1.09
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.52
______________
0.18
______________
0.28
______________
0.11
______________

0 hrs. , 31 min.
___________________
0 hrs. , 10 min.
___________________
0 hrs. , 16 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/WKST 2

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

150,000
______________
7
______________
0.00
______________
211.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
7
______________
0.00
______________
211.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
1.09
Old Computation (Prog. Change) ______________
150,000 x _____________
1.09
New Computation.............. ______________
Balance...

=
=

163,500
_______________
163,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

163,500
_______________
0
_______________
_______________
163,500
_______________

Paperwork Reduction Act Notice
Time Per Response
1.09
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.52
______________
0.18
______________
0.28
______________
0.11
______________

0 hrs. , 31 min.
___________________
0 hrs. , 10 min.
___________________
0 hrs. , 16 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/WKST 3

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

30,000
______________
7
______________
0.00
______________
89.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

30,000
______________
7
______________
0.00
______________
89.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

Computation of Changes
30,000 x _____________
1.08
Old Computation (Prog. Change) ______________
30,000 x _____________
1.08
New Computation.............. ______________
Balance...

=
=

32,400
_______________
32,400
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

32,400
_______________
0
_______________
_______________
32,400
_______________

Paperwork Reduction Act Notice
Time Per Response
1.08
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.52
______________
0.17
______________
0.28
______________
0.11
______________

0 hrs. , 31 min.
___________________
0 hrs. , 10 min.
___________________
0 hrs. , 16 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/WKST 4

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

150,000
______________
7
______________
0.00
______________
89.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
7
______________
0.00
______________
89.00
______________
0
______________
0.00
______________
1.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
1.08
Old Computation (Prog. Change) ______________
150,000 x _____________
1.08
New Computation.............. ______________
Balance...

=
=

162,000
_______________
162,000
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

162,000
_______________
0
_______________
_______________
162,000
_______________

Paperwork Reduction Act Notice
Time Per Response
1.08
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.52
______________
0.17
______________
0.28
______________
0.11
______________

0 hrs. , 31 min.
___________________
0 hrs. , 10 min.
___________________
0 hrs. , 16 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

8582CR/WKST 5

2005

Changes (+ -)

2006

150,000
______________
9
______________
0.00
______________
265.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
9
______________
0.00
______________
265.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
0.57
Old Computation (Prog. Change) ______________
150,000 x _____________
0.57
New Computation.............. ______________
Balance...

=
=

85,500
_______________
85,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

85,500
_______________
0
_______________
_______________
85,500
_______________

Paperwork Reduction Act Notice
Time Per Response
0.57
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.00
______________
0.23
______________
0.23
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/WKST 6

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

150,000
______________
9
______________
0.00
______________
248.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
9
______________
0.00
______________
248.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
0.57
Old Computation (Prog. Change) ______________
150,000 x _____________
0.57
New Computation.............. ______________
Balance...

=
=

85,500
_______________
85,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

85,500
_______________
0
_______________
_______________
85,500
_______________

Paperwork Reduction Act Notice
Time Per Response
0.57
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.00
______________
0.23
______________
0.23
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:

8582CR/WKST 7

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2005

Changes (+ -)

2006

30,000
______________
9
______________
0.00
______________
190.00
______________
0
______________
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

30,000
______________
9
______________
0.00
______________
190.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
30,000 x _____________
0.57
Old Computation (Prog. Change) ______________
30,000 x _____________
0.57
New Computation.............. ______________
Balance...

=
=

17,100
_______________
17,100
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

17,100
_______________
0
_______________
_______________
17,100
_______________

Paperwork Reduction Act Notice
Time Per Response
0.57
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.00
______________
0.23
______________
0.23
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

8582CR/WKST 8

2005

Changes (+ -)

2006

150,000
______________
10
______________
0.00
______________
132.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
10
______________
0.00
______________
132.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
0.61
Old Computation (Prog. Change) ______________
150,000 x _____________
0.61
New Computation.............. ______________
Balance...

=
=

91,500
_______________
91,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

91,500
_______________
0
_______________
_______________
91,500
_______________

Paperwork Reduction Act Notice
Time Per Response
0.61
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.00
______________
0.25
______________
0.25
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 15 min.
___________________
0 hrs. , 15 min.
___________________
0 hrs. , 06 min.
___________________

Burden Computation - Individual Forms
Page 1 of 1

August 4, 2006

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

8582CR/WKST 9

2005

Changes (+ -)

2006

150,000
______________
8
______________
0.00
______________
120.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
8
______________
0.00
______________
120.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
0.51
Old Computation (Prog. Change) ______________
150,000 x _____________
0.51
New Computation.............. ______________
Balance...

=
=

76,500
_______________
76,500
_______________
_______________
0

Old Computation (Adjustment)
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

76,500
_______________
0
_______________
_______________
76,500
_______________

Paperwork Reduction Act Notice
Time Per Response
0.51
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.00
______________
0.20
______________
0.20
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 06 min.
___________________