2013 Burden

Burden Computation - Business Forms
Page 1 of 1

September 23, 2013

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

720CS/
Carrier Summary Report
2010

Changes (+ -)

2013

5,700
______________
26
______________
0.00
______________
0.85
______________
5
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,700
______________
26
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
5,700 x _____________
7.33
Old Computation (Prog. Change) ______________
5,700
7.33
New Computation.............. ______________ x _____________
Balance...

=
=

41,781
_______________
41,781
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

41,781
_______________
0
_______________
_______________
41,781
_______________

Paperwork Reduction Act Notice
Time Per Response
7.33
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
6.22
______________
0.50
______________
0.62
______________
0.00
______________

Average Time
Per Response
6 hrs. , 13 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 37 min.
___________________
0 hrs. , 00 min.
___________________