Burden Computation_Worksheet

Burden Computation - Business Forms
Page 1 of 1

January 23, 2009

Product:
Description:

5452/Worksheet -Current Yr Earnings

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

______________
______________
______________
______________
______________

Changes (+ -)

2009

+1,700
_____________________________
+95
_____________________________
+2.00
_____________________________
+0.85
_____________________________
+1
_____________________________

1,700
______________
95
______________
2.00
______________
0.85
______________
1
______________

Computation of Changes
1,700 x _____________
Old Computation (Prog. Change) ______________
1,700 x _____________
27.20
New Computation.............. ______________
Balance...

=
=

_______________
46,240
_______________
_______________
+46,240

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

______________ x _____________
______________
1,700 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+46,240
_______________
_______________
46,240
_______________

Paperwork Reduction Act Notice
Time Per Response
27.20
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
22.72
______________
0.84
______________
3.10
______________
0.54
______________

Average Time
Per Response
22 hrs. , 43 min.
___________________
0 hrs. , 50 min.
___________________
3 hrs. , 06 min.
___________________
0 hrs. , 32 min.
___________________