ITEM 15 WORKSHEET FOR OMB NO. 1215-0160 (April, 2009)
REG. NO. |
FORM NO./ PROGRAM |
REASON
|
PREVIOUS BURDEN 2003 |
Pervious BURDEN 2006 |
New Burden 2009 |
DIFFERENCE |
TYPE OF CHANGE (PC/ADJ) |
0 |
ESA-100 |
|
840 |
840 |
840 |
0 |
|
0 |
LS-200 |
|
2,176 |
2,440 |
2,448 |
+8 |
ADJ |
|
LS-201 |
|
1,125 |
1,260 |
1,150 |
-110 |
ADJ |
|
LS-203 |
|
2,531 |
2,835 |
2,588 |
-247 |
ADJ |
|
LS-204 |
|
45,000 |
50,400 |
46,000 |
-4,400 |
ADJ |
|
LS-262 |
|
60 |
70 |
70 |
0 |
ADJ |
|
LS-267 |
|
43 |
48 |
48 |
0 |
ADJ |
|
LS-271 |
|
40 |
40 |
40 |
0 |
|
|
LS-274 |
|
412 |
619 |
563 |
-56 |
ADJ |
|
LS-513 |
|
450 |
309 |
282 |
-27 |
ADJ |
|
Liens (702.162) |
|
5 |
5 |
5 |
0 |
|
|
Certifications (702.174) |
|
4 |
4 |
4 |
0 |
ADJ |
|
Reinstatement (702.175) |
|
1 |
1 |
1 |
0 |
|
|
Settlements & Applications (702.242) |
|
9,000 |
10,080 |
10,080 |
0 |
ADJ |
|
Payments (702.321) |
|
2,750 |
2,425 |
2425 |
0 |
ADJ |
TOTAL |
|
|
64,437 |
71,376 |
66,544
|
-4832 |
ADJ |
PC – Program Change
ADJ - Adjustment
| File Type | application/msword |
| File Title | CHANGE WORKSHEET FOR OMB NO |
| Author | US Department of Labor |
| Last Modified By | U.S. Department of Labor |
| File Modified | 2009-04-24 |
| File Created | 2009-04-24 |