Burden Computation - Individual Forms
November 14, 2012
Page 1 of 1
Responses....... ______________ _____________________________ ______________
Line Items...... ______________ _____________________________ ______________
Pages........... ______________ _____________________________ ______________
Words........... ______________ _____________________________ ______________
Code References. ______________ _____________________________ ______________
Income Records.. ______________ _____________________________ ______________
Other Records... ______________ _____________________________ ______________
Avg Lines used.. ______________ _____________________________ ______________
0.50
20
2,177.00
6
0.00
0.00
0.85
16
20
16
0.50
2,177.00
6
0.00
0.00
0.85
Computation of Changes
Summary
Old Burden................................................... _______________
Program Change............................................... _______________
Adjustment................................................... _______________
New Burden................................................... _______________
Old Computation (Prog. Change) ______________ x _____________ = _______________
New Computation.............. ______________ x _____________ = _______________
Balance... _______________
Old Computation (Adjustment) ______________ x _____________ = _______________
New Computation.............. ______________ x _____________ = _______________
Balance... _______________
Old Computation.............. ______________ x _____________ = _______________
New Computation.............. ______________ x _____________ = _______________
Balance... _______________
0
32
32
Paperwork Reduction Act Notice
Time Per Response
Average Hours
Per Response
Notes:
Recordkeeping............. ______________ ___________________
Learning.................. ______________ ___________________
Preparing................. ______________ ___________________
Sending................... ______________ ___________________
0.00
0.97
0.40
0.23
0 hrs. , 00 min.
0 hrs. , 58 min.
0 hrs. , 24 min.
0 hrs. , 13 min.
1.60
No change.
Variables
Changes (+ -)
2009
2012
Product:
Description:
8935/
Airline Payments Report
20
1.60
32
20
1.60
32
0
| File Type | application/pdf |
| File Title | 2012 8935.burden |
| Author | Oracle Reports |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |