Part 3 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 II Addit'l 3 Mo. Exten

2004

Changes (+ -)

2007

110,004
______________
24
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

110,004
______________
24
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
110,004 x _____________
5.83
Old Computation (Prog. Change) ______________
110,004
5.83
New Computation.............. ______________ x _____________
Balance...

=
=

641,324
_______________
641,324
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

641,324
_______________
0
_______________
_______________
641,324
_______________

Paperwork Reduction Act Notice
Time Per Response
5.83
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No Changes

Average Hours
Per Response
5.74
______________
0.00
______________
0.09
______________
0.00
______________

Average Time
Per Response
5 hrs. , 44 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 05 min.
___________________
0 hrs. , 00 min.
___________________