Part 3 burden

Burden Computation - Business Forms
Page 1 of 1

October 26, 2009

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

2220/SCH A PART 3

2009

Changes (+ -)

2009

2,940
______________
26
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2,940
______________
26
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
2,940 x _____________
6.32
Old Computation (Prog. Change) ______________
2,940
6.32
New Computation.............. ______________ x _____________
Balance...

=
=

18,581
_______________
18,581
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

18,581
_______________
0
_______________
_______________
18,581
_______________

Paperwork Reduction Act Notice
Time Per Response
6.32
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
6.22
______________
0.00
______________
0.10
______________
0.00
______________

Average Time
Per Response
6 hrs. , 13 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 00 min.
___________________