Burden for Form 5884-A

Burden Computation - Business Forms
Page 1 of 1

November 25, 2008

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

5884-A/
Credits for Affected Midwestern Disaster Area Employers
2005

Changes (+ -)

2008

250,000
______________
13
______________
0.00
______________
0.85
______________
4
______________

_____________________________
-3
_____________________________
_____________________________
_____________________________
-1
_____________________________

250,000
______________
10
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
250,000 x _____________
3.97
Old Computation (Prog. Change) ______________
250,000
3.04
New Computation.............. ______________ x _____________
Balance...

=
=

992,500
_______________
760,000
_______________
_______________
-232,500

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

992,500
_______________
-232,500
_______________
_______________
760,000
_______________

Paperwork Reduction Act Notice
Time Per Response
3.04
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
2.39
______________
0.30
______________
0.35
______________
0.00
______________

Notes:
Deleted 1 Code reference and 3 lines.

Average Time
Per Response
2 hrs. , 23 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 21 min.
___________________
0 hrs. , 00 min.
___________________