Burden Computation 8655

Burden Computation - Business Forms
Page 1 of 1

September 15, 2010

Product:
Description:

8655/
Reporting Agent Authorization

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

______________
______________
______________
______________
______________

Changes (+ -)

2010

+110,000
_____________________________
+25
_____________________________
_____________________________
+0.85
_____________________________
+5
_____________________________

110,000
______________
25
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
110,000 x _____________
Old Computation (Prog. Change) ______________
110,000 x _____________
7.09
New Computation.............. ______________
Balance...

=
=

_______________
779,900
_______________
_______________
+779,900

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

______________ x _____________
______________
110,000 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+779,900
_______________
_______________
779,900
_______________

Paperwork Reduction Act Notice
Time Per Response
7.09
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
5.98
______________
0.50
______________
0.62
______________
0.00
______________

Average Time
Per Response
5 hrs. , 58 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 37 min.
___________________
0 hrs. , 00 min.
___________________