over the counter burden

Burden Computation - Business Forms
Page 1 of 1

July 20, 2007

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

943/OVER THE COUNTER

2004

Changes (+ -)

2007

332,000
______________
44
______________
1.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

332,000
______________
44
______________
1.00
______________
0.85
______________
3
______________

Computation of Changes
332,000 x _____________
13.25
Old Computation (Prog. Change) ______________
332,000
13.25
New Computation.............. ______________ x _____________
Balance...

=
=

4,399,000
_______________
4,399,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

4,399,000
_______________
0
_______________
_______________
4,399,000
_______________

Paperwork Reduction Act Notice
Time Per Response
13.25
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change

Average Hours
Per Response
10.52
______________
0.67
______________
1.79
______________
0.27
______________

Average Time
Per Response
10 hrs. , 31 min.
___________________
0 hrs. , 40 min.
___________________
1 hrs. , 47 min.
___________________
0 hrs. , 16 min.
___________________