Burden

Burden Computation - Business Forms
Page 1 of 1

June 27, 2012

Product:
Description:

8957/
Registration for Participating, Limited, or Registered Deemed Compliant

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2012

+260,000
_____________________________
+31
_____________________________
_____________________________
+0.85
_____________________________
+3
_____________________________

260,000
______________
31
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
260,000 x _____________
Old Computation (Prog. Change) ______________
260,000 x _____________
8.14
New Computation.............. ______________
Balance...

=
=

_______________
2,116,400
_______________
_______________
+2,116,400

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

______________ x _____________
______________
260,000 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+2,116,400
_______________
_______________
2,116,400
_______________

Paperwork Reduction Act Notice
Time Per Response
8.14
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
7.41
______________
0.30
______________
0.43
______________
0.00
______________

Average Time
Per Response
7 hrs. , 24 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 25 min.
___________________
0 hrs. , 00 min.
___________________