Burden Computation

Burden Computation - Business Forms
Page 1 of 1

March 22, 2007

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

5306A/
Application for Approval of Prototype Simplified Employee Pension or
2004

Changes (+ -)

2007

5,000
______________
66
______________
0.00
______________
0.85
______________
14
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,000
______________
66
______________
0.00
______________
0.85
______________
14
______________

Computation of Changes
5,000 x _____________
18.88
Old Computation (Prog. Change) ______________
5,000
18.88
New Computation.............. ______________ x _____________
Balance...

=
=

94,400
_______________
94,400
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

94,400
_______________
0
_______________
_______________
94,400
_______________

Paperwork Reduction Act Notice
Time Per Response
18.88
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No Changes.

Average Hours
Per Response
15.78
______________
1.39
______________
1.70
______________
0.00
______________

Average Time
Per Response
15 hrs. , 46 min.
___________________
1 hrs. , 23 min.
___________________
1 hrs. , 42 min.
___________________
0 hrs. , 00 min.
___________________