Schedule B Burden

Burden Computation - Business Forms
Page 1 of 1

December 3, 2010

Product:
Description:

8939/Schedule B

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

______________
______________
______________
______________
______________

Changes (+ -)

2010

+43,000
_____________________________
+25
_____________________________
+2.00
_____________________________
+0.85
_____________________________
_____________________________

43,000
______________
25
______________
2.00
______________
0.85
______________
0
______________

Computation of Changes
43,000 x _____________
Old Computation (Prog. Change) ______________
43,000 x _____________
9.98
New Computation.............. ______________
Balance...

=
=

_______________
429,140
_______________
_______________
+429,140

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

______________ x _____________
______________
43,000 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+429,140
_______________
_______________
429,140
_______________

Paperwork Reduction Act Notice
Time Per Response
9.98
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
5.98
______________
0.74
______________
2.73
______________
0.54
______________

Average Time
Per Response
5 hrs. , 58 min.
___________________
0 hrs. , 44 min.
___________________
2 hrs. , 43 min.
___________________
0 hrs. , 32 min.
___________________