Part 2 of Burden Computation

Burden Computation - Business Forms
Page 1 of 1

April 4, 2007

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

8868/Part I (Automatic 3-Mo. Exte

2004

Changes (+ -)

2007

138,928
______________
23
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

138,928
______________
23
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
138,928 x _____________
5.79
Old Computation (Prog. Change) ______________
138,928
5.79
New Computation.............. ______________ x _____________
Balance...

=
=

804,394
_______________
804,394
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

804,394
_______________
0
_______________
_______________
804,394
_______________

Paperwork Reduction Act Notice
Time Per Response
5.79
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No Changes.

Average Hours
Per Response
5.50
______________
0.10
______________
0.19
______________
0.00
______________

Average Time
Per Response
5 hrs. , 30 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 11 min.
___________________
0 hrs. , 00 min.
___________________