943-V(PR) preprinted burden

Burden Computation - Business Forms
Page 1 of 1

July 20, 2007

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

943PR/943-V(PR) Preprinted

2004

Changes (+ -)

2007

4,000
______________
1
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,000
______________
1
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
4,000 x _____________
0.24
Old Computation (Prog. Change) ______________
4,000
0.24
New Computation.............. ______________ x _____________
Balance...

=
=

960
_______________
960
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

960
_______________
0
_______________
_______________
960
_______________

Paperwork Reduction Act Notice
Time Per Response
0.24
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.24
______________
0.00
______________
0.00
______________
0.00
______________

Average Time
Per Response
0 hrs. , 14 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________