2009 Burden

Burden Computation - Business Forms
Page 1 of 1

November 20, 2012

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

851/
Affiliations Schedule
2009

Changes (+ -)

4,000
______________
45
______________
0.00
______________
0.85
______________
9
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2012
4,000
______________
45
______________
0.00
______________
0.85
______________
9
______________

Computation of Changes
4,000 x _____________
12.76
Old Computation (Prog. Change) ______________
4,000 x _____________
12.76
New Computation.............. ______________
Balance...

=
=

51,040
_______________
51,040
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

51,040
_______________
0
_______________
_______________
51,040
_______________

Paperwork Reduction Act Notice
Time Per Response
12.76
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
10.76
______________
0.89
______________
1.11
______________
0.00
______________

Average Time
Per Response
10 hrs. , 45 min.
___________________
0 hrs. , 53 min.
___________________
1 hrs. , 06 min.
___________________
0 hrs. , 00 min.
___________________