Burden

Burden Computation - Business Forms
Page 1 of 1

September 24, 2009

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

940PR/Vouchers OTC

2006

Changes (+ -)

1,000
______________
5
______________
0.00
______________
0.00
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2009
1,000
______________
5
______________
0.00
______________
0.00
______________
0
______________

Computation of Changes
1,000 x _____________
0.74
Old Computation (Prog. Change) ______________
1,000 x _____________
0.00
New Computation.............. ______________
Balance...

=
=

740
_______________
0
_______________
-740
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

740
_______________
-740
_______________
_______________
0
_______________

Paperwork Reduction Act Notice
Time Per Response
0.00
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
______________

Average Time
Per Response
___________________
___________________
___________________
___________________