Burden for Form 2848

Burden Computation - Individual Forms
Page 1 of 1

February 17, 2009

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2848/
Power of Attorney and Declaration of Representative
2007

Changes (+ -)

2008

433,333
______________
19
______________
2.00
______________
4,827.00
______________
10
______________
0.00
______________
1.00
______________
0.00
______________

-75,000
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

358,333
______________
19
______________
2.00
______________
4,827.00
______________
10
______________
0.00
______________
1.00
______________
0.00
______________

Computation of Changes
358,333 x _____________
1.66
Old Computation (Prog. Change) ______________
358,333 x _____________
1.66
New Computation.............. ______________
Balance...

=
=

594,833
_______________
594,833
_______________
_______________
0

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

1.66
______________
433,333 x _____________
358,333 x _____________
1.66
______________

=
=

719,333
_______________
594,833
_______________
_______________
-124,500

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

719,333
_______________
0
_______________
-124,500
_______________
594,833
_______________

Paperwork Reduction Act Notice
Time Per Response
1.66
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
0.11
______________
0.53
______________
0.44
______________
0.58
______________

0 hrs. , 06 min.
___________________
0 hrs. , 31 min.
___________________
0 hrs. , 26 min.
___________________
0 hrs. , 34 min.
___________________

Notes:
Decreased estimated responses due to creation of New Form 2848-SP.