940-PR Worksheet burden

Burden Computation - Business Forms
Page 1 of 1

October 25, 2006

Product:
Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

940/WORKSHEET

2004

Changes (+ -)

2006

20,000
______________
8
______________
0.00
______________
0.00
______________
0
______________

_____________________________
+6
_____________________________
_____________________________
_____________________________
_____________________________

20,000
______________
14
______________
0.00
______________
0.00
______________
0
______________

Computation of Changes
20,000 x _____________
1.18
Old Computation (Prog. Change) ______________
20,000
2.06
New Computation.............. ______________ x _____________
Balance...

=
=

23,600
_______________
41,200
_______________
_______________
+17,600

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

23,600
_______________
+17,600
_______________
_______________
41,200
_______________

Paperwork Reduction Act Notice
Time Per Response
2.06
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
Added 6 line items.

Average Hours
Per Response
1.69
______________
0.00
______________
0.36
______________
0.00
______________

Average Time
Per Response
1 hrs. , 41 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 21 min.
___________________
0 hrs. , 00 min.
___________________