Burden Form 5307

Burden Computation - Business Forms
Page 1 of 1

March 10, 2014

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

5307/
Application for Determination for Adopters of Master or Prototype or
2010

Changes (+ -)

2013

100,000
______________
119
______________
6.00
______________
0.85
______________
53
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100,000
______________
119
______________
6.00
______________
0.85
______________
53
______________

Computation of Changes
100,000 x _____________
51.39
Old Computation (Prog. Change) ______________
100,000
51.39
New Computation.............. ______________ x _____________
Balance...

=
=

5,139,000
_______________
5,139,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

5,139,000
_______________
0
_______________
_______________
5,139,000
_______________

Paperwork Reduction Act Notice
Time Per Response
51.39
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
28.46
______________
7.47
______________
13.85
______________
1.61
______________

Average Time
Per Response
28 hrs. , 27 min.
___________________
7 hrs. , 28 min.
___________________
13 hrs. , 51 min.
___________________
1 hrs. , 36 min.
___________________