2011 Burden Form 5305A-SEP

Burden Computation - Business Forms
Page 1 of 1

November 9, 2011

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

5305A-SEP/
Salary Reduction Simplified Employee Pension--Individual Retirement
2008

Changes (+ -)

2011

100,000
______________
32
______________
0.00
______________
0.00
______________
33
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100,000
______________
32
______________
0.00
______________
0.00
______________
33
______________

Computation of Changes
100,000 x _____________
9.72
Old Computation (Prog. Change) ______________
100,000
9.72
New Computation.............. ______________ x _____________
Balance...

=
=

972,000
_______________
972,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

972,000
_______________
0
_______________
_______________
972,000
_______________

Paperwork Reduction Act Notice
Time Per Response
9.72
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.87
______________
5.02
______________
0.83
______________
0.00
______________

Average Time
Per Response
3 hrs. , 52 min.
___________________
5 hrs. , 01 min.
___________________
0 hrs. , 49 min.
___________________
0 hrs. , 00 min.
___________________