burden computation

Burden Computation - Business Forms
Page 1 of 1

October 24, 2006

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

8453C/
U.S. Corporation Declaration and Signature for Electronic and Magnetic
2003

Changes (+ -)

2006

2,000
______________
20
______________
1.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2,000
______________
20
______________
1.00
______________
0.85
______________
1
______________

Computation of Changes
2,000 x _____________
7.02
Old Computation (Prog. Change) ______________
2,000
7.02
New Computation.............. ______________ x _____________
Balance...

=
=

14,040
_______________
14,040
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

14,040
_______________
0
_______________
_______________
14,040
_______________

Paperwork Reduction Act Notice
Time Per Response
7.02
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
4.78
______________
0.47
______________
1.50
______________
0.27
______________

Average Time
Per Response
4 hrs. , 46 min.
___________________
0 hrs. , 28 min.
___________________
1 hrs. , 30 min.
___________________
0 hrs. , 16 min.
___________________