Burden Computation

Burden Computation - Business Forms
Page 1 of 1

August 26, 2010

Product:
Description:

8947/
Report of Branded Prescription Drug Information

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

______________
______________
______________
______________
______________

Changes (+ -)

2010

+400
_____________________________
+27
_____________________________
_____________________________
+0.85
_____________________________
+13
_____________________________

400
______________
27
______________
0.00
______________
0.85
______________
13
______________

Computation of Changes
400 x _____________
Old Computation (Prog. Change) ______________
400 x _____________
9.20
New Computation.............. ______________
Balance...

=
=

_______________
3,680
_______________
_______________
+3,680

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

______________ x _____________
______________
400 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+3,680
_______________
_______________
3,680
_______________

Paperwork Reduction Act Notice
Time Per Response
9.20
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
6.46
______________
1.29
______________
1.45
______________
0.00
______________

Average Time
Per Response
6 hrs. , 27 min.
___________________
1 hrs. , 17 min.
___________________
1 hrs. , 27 min.
___________________
0 hrs. , 00 min.
___________________