Burden Computation for Ord. In Distr. Worksheet

Burden Computation - Business Forms
Page 1 of 1

November 14, 2007

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

5227/Ord In Dis WK

2006

Changes (+ -)

2007

100,000
______________
14
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100,000
______________
14
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
100,000 x _____________
3.40
Old Computation (Prog. Change) ______________
100,000
3.40
New Computation.............. ______________ x _____________
Balance...

=
=

340,000
_______________
340,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

340,000
_______________
0
_______________
_______________
340,000
_______________

Paperwork Reduction Act Notice
Time Per Response
3.40
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
3.35
______________
0.00
______________
0.05
______________
0.00
______________

Average Time
Per Response
3 hrs. , 21 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 03 min.
___________________
0 hrs. , 00 min.
___________________