Burden

Burden Computation - Business Forms
Page 1 of 1

December 2, 2009

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

1000/
Ownership Certificate
2006

Changes (+ -)

2009

1,500
______________
13
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,500
______________
13
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
1,500 x _____________
3.36
Old Computation (Prog. Change) ______________
1,500
3.36
New Computation.............. ______________ x _____________
Balance...

=
=

5,040
_______________
5,040
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

5,040
_______________
0
_______________
_______________
5,040
_______________

Paperwork Reduction Act Notice
Time Per Response
3.36
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
3.11
______________
0.10
______________
0.15
______________
0.00
______________

Average Time
Per Response
3 hrs. , 06 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 09 min.
___________________
0 hrs. , 00 min.
___________________