Burden computation to address increase in response estimates.

Burden Computation - Business Forms
Page 1 of 1

May 7, 2010

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

5309/
Application for Determination of Employee Stock Ownership Plan
2008

Changes (+ -)

2010

462
______________
28
______________
0.00
______________
0.85
______________
23
______________

+2,038
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2,500
______________
28
______________
0.00
______________
0.85
______________
23
______________

Computation of Changes
2,500 x _____________
11.47
Old Computation (Prog. Change) ______________
2,500
11.47
New Computation.............. ______________ x _____________
Balance...

=
=

28,675
_______________
28,675
_______________
_______________
0

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

462 x _____________
11.47
______________
______________
2,500 x _____________
11.47

=
=

5,300
_______________
_______________
28,675
_______________
+23,375

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

5,300
_______________
0
_______________
+23,375
_______________
28,675
_______________

Paperwork Reduction Act Notice
Time Per Response
11.47
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
6.70
______________
2.29
______________
2.49
______________
0.00
______________

Average Time
Per Response
6 hrs. , 42 min.
___________________
2 hrs. , 17 min.
___________________
2 hrs. , 29 min.
___________________
0 hrs. , 00 min.
___________________

Notes:
In crease in number of responses by 2038 based on originator request.