Form 5578 Burden

Burden Computation - Business Forms
Page 1 of 1

May 2, 2007

Product:
Description:

5578/
Annual Certification of Racial Nondiscrimination for a Private School

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

2004

Changes (+ -)

2007

1,000
______________
12
______________
0.00
______________
0.85
______________
4
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,000
______________
12
______________
0.00
______________
0.85
______________
4
______________

Computation of Changes
1,000 x _____________
3.73
Old Computation (Prog. Change) ______________
1,000
3.73
New Computation.............. ______________ x _____________
Balance...

=
=

3,730
_______________
3,730
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,730
_______________
0
_______________
_______________
3,730
_______________

Paperwork Reduction Act Notice
Time Per Response
3.73
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
2.87
______________
0.40
______________
0.46
______________
0.00
______________

Average Time
Per Response
2 hrs. , 52 min.
___________________
0 hrs. , 24 min.
___________________
0 hrs. , 27 min.
___________________
0 hrs. , 00 min.
___________________