Burden for Form 8934

Burden Computation - Business Forms
Page 1 of 1

January 13, 2009

Product:
Description:

8934/
Application for Approval of a Mechanical Dye Injection System

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2008

+50
_____________________________
+29
_____________________________
_____________________________
+0.85
_____________________________
+3
_____________________________

50
______________
29
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
50 x _____________
Old Computation (Prog. Change) ______________
50 x _____________
7.66
New Computation.............. ______________
Balance...

=
=

_______________
383
_______________
_______________
+383

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

______________ x _____________
______________
50 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+383
_______________
_______________
383
_______________

Paperwork Reduction Act Notice
Time Per Response
7.66
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
New form.

Average Hours
Per Response
6.94
______________
0.30
______________
0.42
______________
0.00
______________

Average Time
Per Response
6 hrs. , 56 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 25 min.
___________________
0 hrs. , 00 min.
___________________