Part 2 burden

Burden Computation - Business Forms
Page 1 of 1

May 25, 2007

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

8817/PART 2

2004

Changes (+ -)

2007

1,100
______________
58
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,100
______________
58
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
1,100 x _____________
14.71
Old Computation (Prog. Change) ______________
1,100
14.71
New Computation.............. ______________ x _____________
Balance...

=
=

16,181
_______________
16,181
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

16,181
_______________
0
_______________
_______________
16,181
_______________

Paperwork Reduction Act Notice
Time Per Response
14.71
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
13.87
______________
0.30
______________
0.53
______________
0.00
______________

Average Time
Per Response
13 hrs. , 52 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 31 min.
___________________
0 hrs. , 00 min.
___________________