Burden estimate for 2009

Burden Computation - Individual Forms
Page 1 of 1

October 7, 2009

Product:
Description:

6198/
At-Risk Limitations

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

2006

Changes (+ -)

2009

230,332
______________
61
______________
1.00
______________
9,302.00
______________
17
______________
0.00
______________
11.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

230,332
______________
61
______________
1.00
______________
9,302.00
______________
17
______________
0.00
______________
11.00
______________
0.00
______________

Computation of Changes
230,332 x _____________
3.97
Old Computation (Prog. Change) ______________
230,332 x _____________
3.97
New Computation.............. ______________
Balance...

=
=

914,419
_______________
914,419
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

914,419
_______________
0
_______________
_______________
914,419
_______________

Paperwork Reduction Act Notice
Time Per Response
3.97
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
1.20
______________
1.00
______________
1.43
______________
0.34
______________

1 hrs. , 12 min.
___________________
1 hrs. , 00 min.
___________________
1 hrs. , 25 min.
___________________
0 hrs. , 20 min.
___________________