Burden Computation to account for changes to form

Burden Computation - Business Forms
Page 1 of 1

January 26, 2012

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

5884/
Work Opportunity Credit
2009

Changes (+ -)

2012

11,677
______________
19
______________
0.00
______________
0.85
______________
10
______________

_____________________________
-6
_____________________________
+1.00
_____________________________
_____________________________
-1
_____________________________

11,677
______________
13
______________
1.00
______________
0.85
______________
9
______________

Computation of Changes
11,677 x _____________
6.65
Old Computation (Prog. Change) ______________
11,677
6.94
New Computation.............. ______________ x _____________
Balance...

=
=

77,653
_______________
81,039
_______________
_______________
+3,386

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

77,653
_______________
+3,386
_______________
_______________
81,039
_______________

Paperwork Reduction Act Notice
Time Per Response
6.94
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.11
______________
1.26
______________
2.30
______________
0.27
______________

Average Time
Per Response
3 hrs. , 06 min.
___________________
1 hrs. , 15 min.
___________________
2 hrs. , 18 min.
___________________
0 hrs. , 16 min.
___________________