Burden

Burden Computation - Business Forms
Page 1 of 1

January 3, 2012

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

5305SEP/
Simplified Employee Pension-Individual Retirement Accounts Contribution
2008

Changes (+ -)

2011

100,000
______________
7
______________
0.00
______________
0.85
______________
16
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100,000
______________
7
______________
0.00
______________
0.85
______________
16
______________

Computation of Changes
100,000 x _____________
4.95
Old Computation (Prog. Change) ______________
100,000
4.95
New Computation.............. ______________ x _____________
Balance...

=
=

495,000
_______________
495,000
_______________
_______________
0

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

100,000 x _____________
4.95
______________
______________
100,000 x _____________
4.95

=
=

495,000
_______________
_______________
495,000
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

495,000
_______________
0
_______________
0
_______________
495,000
_______________

Paperwork Reduction Act Notice
Time Per Response
4.95
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
1.67
______________
1.59
______________
1.69
______________
0.00
______________

Average Time
Per Response
1 hrs. , 40 min.
___________________
1 hrs. , 35 min.
___________________
1 hrs. , 41 min.
___________________
0 hrs. , 00 min.
___________________