2013 burden caculation

Burden Computation - Business Forms
Page 1 of 1

December 26, 2013

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

5300/
Application for Determination for Employee Benefit Plan
2010

Changes (+ -)

2013

85,000
______________
142
______________
7.00
______________
0.85
______________
76
______________

_____________________________
+45
_____________________________
+10.00
_____________________________
_____________________________
-46
_____________________________

85,000
______________
187
______________
17.00
______________
0.85
______________
30
______________

Computation of Changes
85,000 x _____________
63.60
Old Computation (Prog. Change) ______________
85,000 x _____________
84.72
New Computation.............. ______________
Balance...

=
=

5,406,000
_______________
7,201,200
_______________
_______________
+1,795,200

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

5,406,000
_______________
+1,795,200
_______________
_______________
7,201,200
_______________

Paperwork Reduction Act Notice
Time Per Response
84.72
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
44.72
______________
9.25
______________
26.19
______________
4.56
______________

Average Time
Per Response
44 hrs. , 43 min.
___________________
9 hrs. , 15 min.
___________________
26 hrs. , 11 min.
___________________
4 hrs. , 33 min.
___________________