Disclosure Statement

Burden Computation - Business Forms
Page 1 of 1

December 19, 2006

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

8275/
Disclosure Statement
2005

Changes (+ -)

2006

333,333
______________
15
______________
0.00
______________
0.85
______________
10
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

333,333
______________
15
______________
0.00
______________
0.85
______________
10
______________

Computation of Changes
333,333 x _____________
5.68
Old Computation (Prog. Change) ______________
333,333
5.68
New Computation.............. ______________ x _____________
Balance...

=
=

1,893,332
_______________
1,893,332
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,893,332
_______________
0
_______________
_______________
1,893,332
_______________

Paperwork Reduction Act Notice
Time Per Response
5.68
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.59
______________
1.00
______________
1.10
______________
0.00
______________

Average Time
Per Response
3 hrs. , 35 min.
___________________
1 hrs. , 00 min.
___________________
1 hrs. , 06 min.
___________________
0 hrs. , 00 min.
___________________