5310 Burden

Burden Computation - Business Forms
Page 1 of 1

June 17, 2009

Product:
Description:

5310/
Application for Determination for Terminating Plan

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

Changes (+ -)
______________
______________
______________
______________
______________

2009

+15,000
_____________________________
+269
_____________________________
+2.00
_____________________________
+0.85
_____________________________
+210
_____________________________

15,000
______________
269
______________
2.00
______________
0.85
______________
210
______________

Computation of Changes
15,000 x _____________
Old Computation (Prog. Change) ______________
15,000 x _____________
111.91
New Computation.............. ______________
Balance...

=
=

_______________
1,678,650
_______________
+1,678,650
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+1,678,650
_______________
_______________
1,678,650
_______________

Paperwork Reduction Act Notice
Time Per Response
111.91
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
64.33
______________
21.59
______________
25.46
______________
0.54
______________

Average Time
Per Response
64 hrs. , 19 min.
___________________
21 hrs. , 35 min.
___________________
25 hrs. , 27 min.
___________________
0 hrs. , 32 min.
___________________