burden

Burden Computation - Business Forms
Page 1 of 1

May 21, 2009

Product:
Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

4461/
Application for Approval of Master or Prototype or Volume Submitter
2006

Changes (+ -)

2009

1,000
______________
181
______________
1.00
______________
0.85
______________
64
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,000
______________
181
______________
1.00
______________
0.85
______________
64
______________

Computation of Changes
1,000 x _____________
58.94
Old Computation (Prog. Change) ______________
1,000
58.94
New Computation.............. ______________ x _____________
Balance...

=
=

58,940
_______________
58,940
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

58,940
_______________
0
_______________
_______________
58,940
_______________

Paperwork Reduction Act Notice
Time Per Response
58.94
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
43.29
______________
6.73
______________
8.66
______________
0.27
______________

Average Time
Per Response
43 hrs. , 17 min.
___________________
6 hrs. , 43 min.
___________________
8 hrs. , 39 min.
___________________
0 hrs. , 16 min.
___________________