2011 Burden

Burden Computation - Business Forms
Page 1 of 1

May 11, 2011

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

5309/
Application for Determination of Employee Stock Ownership Plan
2010

Changes (+ -)

2011

2,500
______________
26
______________
0.00
______________
0.85
______________
22
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2,500
______________
26
______________
0.00
______________
0.85
______________
22
______________

Computation of Changes
2,500 x _____________
10.79
Old Computation (Prog. Change) ______________
2,500
10.79
New Computation.............. ______________ x _____________
Balance...

=
=

26,975
_______________
26,975
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

26,975
_______________
0
_______________
_______________
26,975
_______________

Paperwork Reduction Act Notice
Time Per Response
10.79
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
6.22
______________
2.18
______________
2.38
______________
0.00
______________

Average Time
Per Response
6 hrs. , 13 min.
___________________
2 hrs. , 10 min.
___________________
2 hrs. , 22 min.
___________________
0 hrs. , 00 min.
___________________