B burden

Burden Computation - Business Forms
Page 1 of 1

May 21, 2009

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

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

Changes (+ -)

2009

4,000
______________
25
______________
1.00
______________
0.85
______________
5
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,000
______________
25
______________
1.00
______________
0.85
______________
5
______________

Computation of Changes
4,000 x _____________
9.04
Old Computation (Prog. Change) ______________
4,000
9.04
New Computation.............. ______________ x _____________
Balance...

=
=

36,160
_______________
36,160
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

36,160
_______________
0
_______________
_______________
36,160
_______________

Paperwork Reduction Act Notice
Time Per Response
9.04
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
5.98
______________
0.87
______________
1.94
______________
0.27
______________

Average Time
Per Response
5 hrs. , 58 min.
___________________
0 hrs. , 52 min.
___________________
1 hrs. , 56 min.
___________________
0 hrs. , 16 min.
___________________