Burden Part 4

Burden Computation - Business Forms
Page 1 of 1

July 16, 2009

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

8804-W/PART IV

2006

Changes (+ -)

500
______________
25
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2009
500
______________
25
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
500 x _____________
6.28
Old Computation (Prog. Change) ______________
500 x _____________
6.28
New Computation.............. ______________
Balance...

=
=

3,140
_______________
3,140
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,140
_______________
0
_______________
_______________
3,140
_______________

Paperwork Reduction Act Notice
Time Per Response
6.28
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
5.98
______________
0.10
______________
0.20
______________
0.00
______________

Average Time
Per Response
5 hrs. , 58 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 00 min.
___________________