Burden

Burden Computation - Business Forms
Page 1 of 1

September 21, 2010

Product:
Description:

8944/
Preparer Hardship Waiver Request

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

______________
______________
______________
______________
______________

Changes (+ -)

2010

+90,000
_____________________________
+24
_____________________________
+1.00
_____________________________
+0.85
_____________________________
+1
_____________________________

90,000
______________
24
______________
1.00
______________
0.85
______________
1
______________

Computation of Changes
90,000 x _____________
Old Computation (Prog. Change) ______________
90,000 x _____________
7.99
New Computation.............. ______________
Balance...

=
=

_______________
719,100
_______________
_______________
+719,100

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+719,100
_______________
_______________
719,100
_______________

Paperwork Reduction Act Notice
Time Per Response
7.99
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
New form.

Average Hours
Per Response
5.74
______________
0.47
______________
1.51
______________
0.27
______________

Average Time
Per Response
5 hrs. , 44 min.
___________________
0 hrs. , 28 min.
___________________
1 hrs. , 30 min.
___________________
0 hrs. , 16 min.
___________________