Burden estimate for Form 8935

Burden Computation - Individual Forms
Page 1 of 1

February 20, 2009

Product:
Description:

8935/
Airline Payments Report

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

______________
______________
______________
______________
______________
______________
______________
______________

Changes (+ -)

2009

+20
_____________________________
+16
_____________________________
+0.50
_____________________________
+2,177.00
_____________________________
+6
_____________________________
_____________________________
_____________________________
+0.85
_____________________________

20
______________
16
______________
0.50
______________
2,177.00
______________
6
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
20 x _____________
Old Computation (Prog. Change) ______________
20 x _____________
1.60
New Computation.............. ______________
Balance...

=
=

_______________
32
_______________
_______________
+32

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

______________ x _____________
20 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+32
_______________
_______________
32
_______________

Paperwork Reduction Act Notice
Time Per Response
1.60
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
New form.

Average Hours
Per Response
0.00
______________
0.97
______________
0.40
______________
0.23
______________

0 hrs. , 00 min.
___________________
0 hrs. , 58 min.
___________________
0 hrs. , 24 min.
___________________
0 hrs. , 13 min.
___________________