Form 6406 Burden

Burden Computation - Business Forms
Page 1 of 1

November 29, 2007

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

6406/
Short Form Application for Determination for Minor Amendment of
2004

Changes (+ -)

2007

25,000
______________
60
______________
2.00
______________
0.85
______________
15
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

25,000
______________
60
______________
2.00
______________
0.85
______________
15
______________

Computation of Changes
25,000 x _____________
21.53
Old Computation (Prog. Change) ______________
25,000
21.53
New Computation.............. ______________ x _____________
Balance...

=
=

538,250
_______________
538,250
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

538,250
_______________
0
_______________
_______________
538,250
_______________

Paperwork Reduction Act Notice
Time Per Response
21.53
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
14.35
______________
2.22
______________
4.42
______________
0.54
______________

Average Time
Per Response
14 hrs. , 21 min.
___________________
2 hrs. , 13 min.
___________________
4 hrs. , 25 min.
___________________
0 hrs. , 32 min.
___________________