1625-0057_SS_r0_2013_calc-sheet_App-A-to-F

1625-0057

Appendix A: Assumptions Driving Calculations
Subchapter

K Reg

T Reg

K
K
K
K

115.310
116.520
116.530
116.610 (g)(4)

Title

K

122.282

K
K, T
K, T

122.515
115.302
115.306

Certification expiration date stickers
Emergency evacuation plan
Fire control plan
Ventilation ducts
Logbook for vessels of >19.8 mtrs (65ft) with
overnight accomodation for >49 passengers
Passenger safety bill
176.302 Certificates and Permits
176.306 Stability letter

K, T

115.710

176.710 Inspection and testing prior to hot work

K, T

115.810 (b)

176.810 (b) Fire protection

K, T
K, T
K, T

120.220 (d)
121.420
121.506

183.220 (d) General safety provisions
184.420 Charts and nautical publications
184.506 Emergency broadcast placard

K, T

122.220

K, T

122.280

185.280

K, T
K, T

122.340( c)
122.402

185.340( c)
185.402

K, T

122.506

185.506

K, T
K, T
K, T
K, T
3
K, T
K, T
K, T
K, T
K, T

122.510
122.514
122.516
122.518
122.602
122.604
122.606
122.608
122.610
122.612

185.510
185.514
185.516
185.518
185.602
185.604
185.606
185.608
185.610
185.612

K, T
K, T
T

122.702
122.704 ( c)

185.220

185.702

115.105 (a)
115.202
115.204
115.500 (a)

185.704( c) Maintenance of falls

K, T

115.612

176.105 (a)
176.202
176.204
176.500 (a)

The inspection, as well as the preparation of the certificate, takes 15 minutes. The work is performed by an O-3/4 level individual. All K & T vessels need this once per year.
The inspection occurs every 3 years. The inspection and preparation of the certificate require one hour for completion. All other assumptions are as for 115.710 and 176.710.

Marking all electrical circuits and equipment takes 30 minutes, is performed once by an E-1 - 5, and affects all new K & T vessels.
Assembling all the necessary charts takes 2 hours and is performed annually. All K & T veseels require this and the work is performed by an O-1/2.
Posting this takes 5 minutes and is done once by an E-1 - 5, for all new K and T vessels per year.
Data from MSMS show 181 and 525 marine casualties in 1998 for K & T vessels respectively. Maintaining and assembling records takes 1 hour per casualty. The work is done by an ORecords of a voyage resulting in a marine casualty
1/2.
Only 5% of K & T vessels regularly make foreign voyages. Approximately 2 entries, each taking 5 minutes (0.08 hrs), are made in the logbook every day on a voyage. Voyages are 7
Official logbook for foreign voyages
days long and are undertaken 26 times per year. Logbook is maintained by an O-1/2.
Vessels carrying vehicles
Assume 5% of new K&T carry vehicles. It takes 20 minutes for each one to post all the "No Smoking" signs. The work is done by an E-1 - 5.
Licenses
It takes 30 minutes to assemble licenses. The work is done by an O-1/2. All T& K vessels must do this once annually.
All K&T vessels have to do this before every trip. The announcement is made by an O-1/2. There is 1 trip made per day for 274 days of the year (non foreign voyages - 80% of pop'n).
Passenger safety orientation
Vessels that regularly operate on foreign voyages make weekly trips for 26 weeks of the year. The announcement takes 2 minutes.
Emergency instructions
Mounting the instructions takes 5 minutes, is done once by all new K & T vessels and the work is done by an E-1 - 5.
Station bill
As for 122.510 and 185.510 above.
Life jacket placards
Posting life jacket placards takes 20 minutes. All other assumptions are as for 122.510 and 185.510 above.
Inflatable survival craft placards
Posting the placards takes10 minutes. "X" have inflatable survival craft. All other assumptions are as for 122.510 and 185.510 above.
Hull markings
Making all the necessary hull markings takes 1 hour, is done once by an E-1 - 5 for all new K & T vessels.
Lifesaving equipment markings
Complying with all the requirements here takes 2 hours. All other assumptions are as for 122.602 and 185.602.
Escape hatches and emergency exits
Marking emergency exits and escape hatches takes 10 minutes. All other assumptions are as for 122.602 and 185.602.
Fuel shutoff valves
Marking fuel shutoff valves takes 15 minutes. All other assumptions are as for 122.602 and 185.602.
Watertight doors and watertight hatches
Marking watertight doors and hatches takes 10 minutes. All other assumptions are as for 122.602 and 185.602.
Fire protection equipment
Marking all fire protection equipment takes 2 hrs. All other assumptions are as for 122.602 and 185.602.
This is done once and is required of all new K & T vessels that have primary lifesaving equipment (survival craft). Assume the same proportion of new vessels have survival craft. The
Maintenance
work is done by an O-1/2.

183.320 (d) and (e) Generators and motors

K, T
K, T
K, T
K, T

Assumptions
Recordkeeping
The application of the stickers takes about 5 minutes (0.08 hrs.) and occurs every 3 years. All K vessels must do this. The work is done by an E1 - 5, outside government.
Posting the plan is done once, by an O1/2 level individual, and takes 0.5 hrs. It only affects new K vessels.
As above
Marking ventilation fire dampers is done once only and takes 10 minutes (0.17 hrs). It should only affect new K vessels and is performed by an E-1 - 5.
Approximately 2 entries, each taking 1minute (0.02 hrs), are made in the logbook every trip. Affected vessels make 1 trip per day and make trips on 75% of the year (274 days).
Logbook is maintained by an O-1/2
Identical assumptions to 116.520
It takes 10 minutes to post these. Posting is done once and is done by an E- 1- 5. All new T& K vessels must do this.
Posting takes 5 minutes. All other assumptions are as for 115.302 and 176.302, above.

How to obtain or renew
Permit to proceed
Permit to carry Excursion Party
When required

176.612 Notice and plans required

The information collection required - marking the falls- takes 5 minutes and must be performed every 2.5 years. The recordkeeping is done by an E-1 - 5 for all K & T vessels.
Attaching the nameplates to generators and motors takes 10 minutes per vessel. It is performed by an E-1 - 5 for all new T vessels and is done once per vessel. The report is made by an
O-1/2.
Reporting
This takes 30 minutes, occurs every 3 yrs., is required for all K and T vessels and is performed by an O-1/2.
This takes 15 minutes. All K & T vessels do this once every other year. The application is filled out and submitted by an O-1/2.
Assumptions identical to those of 115.202 and 176.202.
This takes a 5 minute phone call every 3 years. All K & T vessels are required to do this. The call is made by an O-1/2.
All K&T vessels have to be drydocked for safety related repairs or load line examination approximately once every 6 years. The notice and plans are prepared and submitted by an O-1/2.

K, T

115.700

K, T

115.704

K, T

115.920 ( c)

K, T
K, T

115.930
116.202

176.930 Equivalents
177.202 Plans and information required

Submitting drawings etc. for alterations and repairs takes 30 minutes and occurs once every other year for all K and T vessels. The submission is performed by an O-1/2. Preparation and
submission of plans takes 30 minutes.
Reporting takes 10 minutes and is necessary once every 10 years for all K & T vessels. The reporting is done by an O-1/2.
80% of all K & T do not regularly make foreign voyages. Of these, 50% do make 1 foreign voyage per year and have to apply for exemption. The time requirement is 30 minutes and
performed by an O-1/2.
Submitting the request for approval takes 15 minutes. All K & T vessels do this once per year. The submission is done by an O-1/2.
Submitting all the necessary information takes 1 hour. All K & T vessels do this once. The individual who does this is an O-1/2.

K, T

116.330

177.330 Sailing vessels

Submitting the required documents takes 20 minutes and is required of all new K & T that are sailing vessels (1% =1.5). The submission occurs once and is performed by an O-1/2.

K, T
K, T
K, T

116.340
122.208
122.230

177.340 Alternate design considerations
185.208 Accidents to machinery
185.230 Report of an accident to an aid to navigation

K, T

122.502

185.502 Crew and passenger list

K, T

122.503

185.503 Voyage plan

K, T

122.504

185.504 Passenger count

Submission of the alternate design request takes 20 minutes, occurs once and 10% of all new K & T vessels will submit requests. The submission is done by an O-1/2.
The report takes 10 minutes to prepare and submit. All K& T vessels do this once every other year. The submission is performed by an O-1/2.
Assumptions identical to those of 122.208 and 185.208.
Recordkeeping and Reporting
Preparing and submitting the list takes 30 minutes. All K & T vessels do this prior to trips that meet certain criteria. Assume 50% of all K & T vessels need to do this 50 times per year.
Submission is by an O-1/2.
Preparing and submitting the list takes 40 minutes. All other assumptions are as for 122.502 and 185.502 above.
Preparing and submitting the list takes 5 minutes. All K & T vessels do this prior to trips that meet certain criteria. Assume 50% of all K & T vessels need to do this 274 times per year.
Submission is by an O-1/2.

176.700 Permission for repairs and alterations
176.704 Breaking of safety valve seals
176.920( c) Exemption

Page 1 of 6

1625-0057
Appendix B: Annual Responses and Respondents
Reporting Requirements
Subchapter
K Reg
T Reg
K, T
115.105 (a) 176.105 (a)
K, T
115.202
176.202
K, T
115.204
176.204
K, T
115.500 (a) 176.500 (a)
K, T
115.612
176.612
K, T
115.700
176.700
K, T
115.704
176.704
K, T
115.920 ( c) 176.920( c)
K, T
115.930
176.930
K, T
116.202
177.202
K, T
116.330
177.330
K, T
116.340
177.340
K, T
122.208
185.208
K, T
122.230
185.230
Total Annual Responses for this COI

Title
How to obtain or renew
Permit to proceed
Permit to carry Excursion Party
When required
Notice and plans required
Permission for repairs and alterations
Breaking of safety valve seals
Exemption
Equivalents
Plans and information required
Sailing vessels
Alternate design considerations
Accidents to machinery
Report of an accident to an aid to navigation

Responses
2,085
3,128
3,128
2,085
1,043
3,128
626
626
6,255
6,255
1
11
3,128
3,128
34,623

Populations
Category
Total Population of K Vessels
Total Population of T Vessels
Total Existing Population
Annual New Entrants K Vessels
Annual New Entrants T Vessels
Total New Entrants
Largest Grouping of Existing Reporting Annua
Largest Grouping of New Reporting Annually
Total Annual Respondents for this COI

Annual Respondents
Annual Responses

Page 2 of 6

Count
413
5,842
6,255
4
104
108
6,255
11
6,266

6,266
34,623

1625-0057

Appendix C: Industry Time and Costs by Section

Subchapter

K
K
K
K

K Reg

T Reg

Title

115.310
116.520
116.530
116.610 (g)(4)

K
K
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
T

122.282
122.515
115.302
115.306
115.710
115.810 (b)
120.220 (d)
121.420
121.506
122.220
122.280
122.340( c)
122.402
122.506
122.510
122.514
122.516
122.518
122.602
122.604
122.606
122.608
122.610
122.612
122.702
122.704 ( c)

K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T

115.105 (a)
115.202
115.204
115.500 (a)
115.612
115.700
115.704
115.920 ( c)
115.930
116.202
116.330
116.340
122.208
122.230

K, T
K, T
K, T

122.502
122.503
122.504

176.302
176.306
176.710
176.810 (b)
183.220 (d)
184.420
184.506
185.220
185.280
185.340( c)
185.402
185.506
185.510
185.514
185.516
185.518
185.602
185.604
185.606
185.608
185.610
185.612
185.702
185.704( c)
183.320 (d) and (e)
176.105 (a)
176.202
176.204
176.500 (a)
176.612
176.700
176.704
176.920( c)
176.930
177.202
177.330
177.340
185.208
185.230

Certification expiration date stickers
Emergency evacuation plan
Fire control plan
Ventilation ducts
Logbook for vessels of >19.8 mtrs (65ft) with overnight
accomodation for >49 passengers
Passenger safety bill
Certificates and Permits
Stability letter
Inspection and testing prior to hot work
Fire protection
General safety provisions
Charts and nautical publications
Emergency broadcast placard
Records of a voyage resulting in a marine casualty
Official logbook for foreign voyages
Vessels carrying vehicles
Licenses
Passenger safety orientation
Emergency instructions
Station bill
Life jacket placards
Inflatable survival craft placards
Hull markings
Lifesaving equipment markings
Escape hatches and emergency exits
Fuel shutoff valves
Watertight doors and watertight hatches
Fire protection equipment
Maintenance
Maintenance of falls
Generators and motors
How to obtain or renew
Permit to proceed
Permit to carry Excursion Party
When required
Notice and plans required
Permission for repairs and alterations
Breaking of safety valve seals
Exemption
Equivalents
Plans and information required
Sailing vessels
Alternate design considerations
Accidents to machinery
Report of an accident to an aid to navigation

185.502 Crew and passenger list
185.503 Voyage plan
185.504 Passenger count

Time
burden
(minutes)

Time burden
(hours)

Frequency

Recordkeeping
5
0.08 Every 3 yrs.
30
0.50 One time
30
0.50 One time
10
0.17 One time
1
30
10
5
15
60
30
120
5
60
5
20
30
2
5
5
20
10
60
120
10
15
10
120
15
5
10

0.02 Every trip
0.50 One time
0.17 One time
0.08 One time
0.25 As needed
1.00 Every 3 years
0.50 One time
2.00 Annual
0.08 One time
1.00 As needed
0.08 Every voyage
0.33 One time
0.50 Annual
0.03 Every trip
0.08 One time
0.08 One time
0.33 One time
0.17 One time
1.00 One time
2.00 One time
0.17 One time
0.25 One time
0.17 One time
2.00 One time
0.25 One time
0.08 Every 2.5 years
0.17 One time
Reporting
30
0.50 Every 3 yrs.
15
0.25 As needed
15
0.25 As needed
5
0.08 Every 3 yrs.
30
0.50 Every 6 yrs.
30
0.50 As needed
10
0.17 As needed
30
0.50 As needed
15
0.25 As needed
60
1.00 One time
20
0.33 One time
20
0.33 One time
10
0.17 As needed
10
0.17 As needed
Recordkeeping and Reporting
30
0.50 All approp. trips
40
0.67 All approp. trips
5
0.08 All approp. trips

Page 3 of 6

Annual time
burden/ vessel
(hours)

Frequency
(numeric)
3
1
1
1
N/A
1
1
1
N/A
3
1
1
1
1
N/A
1
1
N/A
1
1
1
1
1
1
1
1
1
1
1
3
1
3
N/A
N/A
3
6
N/A
N/A
N/A
N/A
1
1
1
N/A
N/A
N/A
N/A
N/A

0.03
0.50
0.50
0.17

Number of vessels
affected
All K
New K
New K
New K

9.13 Some K
0.50 New K
0.17 New K & T
0.08 New K & T
0.25 All K & T
0.33 All K & T
0.50 New K & T
2.00 All K & T
0.08 New K & T
1.00 Some K & T
30.33 Some K & T
0.33 Some New K & T
0.50 All K & T
*** All K & T
0.08 New K & T
0.08 New K & T
0.33 New K & T
0.17 New K & T
1.00 New K & T
2.00 New K & T
0.17 New K & T
0.25 New K & T
0.17 New K & T
2.00 New K & T
0.25 Some new K & T
0.03 Some K & T
0.17 New T
0.17
0.00
0.03
0.03
0.08
0.25
0.00
0.50
0.00
1.00
0.33
0.33
0.08
0.08

All K & T
All K & T
All K & T
All K & T
All K & T
All K & T
All K & T
Some K & T
All K & T
New K & T
Some new K & T
Some new K & T
All K & T
All K & T

25.00 Some K & T
33.33 Some K & T
20.73 Some K & T
Total Annual Hours

Total annual time
burden (hours)

Standard
Rate
11
2
2
1

Associated
Wage rate
($/hour)

E1/5
O1/2
O1/2
E1/5
O1/2

Total time cost
60
43
68
68
43

$488
$135
$135
$28

3,440
2
18
9
1,564
2,085
54
12,510
9
143
9,487
2
3,128
54,494
9
9
36
18
108
216
18
27
18
216
6
7
17

O1/2
E1/5
E1/5
O3/4
O3/4
E1/5
O1/2
E1/5
O1/2
O1/2
E1/5
O1/2
O1/2
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
O1/2
E1/5
E1/5

68
68
43
43
102
102
43
68
43
68
68
43
68
68
43
43
43
43
43
43
43
43
43
43
68
43
43

$232,208
$135
$765
$383
$158,721
$211,628
$2,295
$844,425
$383
$9,653
$640,356
$77
$211,106
$3,678,350
$383
$383
$1,530
$765
$4,590
$9,180
$765
$1,148
$765
$9,180
$398
$288
$737

1,043
16
156
174
521
1,564
10
1,486
16
108
0.4
4
521
521

O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2

68
68
68
68
68
68
68
68
68
68
68
68
68
68

$70,369
$1,056
$10,555
$11,728
$35,184
$105,553
$704
$100,275
$1,056
$7,290
$24
$243
$35,184
$35,184

78,188
104,250
123,178
399,420

O1/2
O1/2
O1/2

68
68
68

$5,277,656
$7,036,875
$8,314,508
$27,064,824

Total Cost

1625-0057
Appendix D: Total Estimated Annual Burden from Recordkeeping and Reporting on Industry
Annual Respondents
Annual Responses

Recordkeeping
Reporting
Recordkeeping and Reporting
Total

6,266
34,623
Hour Burden
87,665
6,139
305,615
399,420

Cost Burden
$6,021,379
$414,406
$20,629,039
$27,064,824

Total Respondents
Total Responses
Total Hour Burden
Total Cost Burden

6,266
34,623
399,420
$27,064,824

Page 4 of 6

1625-0057

Appendix E: Government Time and Costs by Section

Subchapter

K
K
K
K

K Reg

T Reg

Title

115.310
116.520
116.530
116.610 (g)(4)

K
K
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
T

122.282
122.515
115.302
115.306
115.710
115.810 (b)
120.220 (d)
121.420
121.506
122.220
122.280
122.340( c)
122.402
122.506
122.510
122.514
122.518
122.516
122.602
122.604
122.606
122.608
122.610
122.612
122.702
122.704 ( c)

K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T
K, T

115.105 (a)
115.202
115.204
115.500 (a)
115.612
115.700
115.704
115.920 ( c)
115.930
116.202
116.330
116.340
122.208
122.230

K, T
K, T
K, T

122.502
122.503
122.504

Certification expiration date stickers
Emergency evacuation plan
Fire control plan
Ventilation ducts

176.302
176.306
176.710
176.810 (b)
183.220 (d)
184.420
184.506
185.220
185.280
185.340( c)
185.402
185.506
185.510
185.514
185.518
185.516
185.602
185.604
185.606
185.608
185.610
185.612
185.702
185.704( c)
183.320 (d) and (e)
176.105 (a)
176.202
176.204
176.500 (a)
176.612
176.700
176.704
176.920( c)
176.930
177.202
177.330
177.340
185.208
185.230

Logbook for vessels of >19.8 mtrs (65ft) with overnight
accomodation for >49 passengers
Passenger safety bill
Certificates and Permits
Stability letter
Inspection and testing prior to hot work
Fire protection
General safety provisions
Charts and nautical publications
Emergency broadcast placard
Records of a voyage resulting in a marine casualty
Official logbook for foreign voyages
Vessels carrying vehicles
Licenses
Passenger safety orientation
Emergency instructions
Station bill
Inflatable survival craft placards
Life jacket placards
Hull markings
Lifesaving equipment markings
Escape hatches and emergency exits
Fuel shutoff valves
Watertight doors and watertight hatches
Fire protection equipment
Maintenance
Maintenance of falls
Generators and motors
How to obtain or renew
Permit to proceed
Permit to carry Excursion Party
When required
Notice and plans required
Permission for repairs and alterations
Breaking of safety valve seals
Exemption
Equivalents
Plans and information required
Sailing vessels
Alternate design considerations
Accidents to machinery
Report of an accident to an aid to navigation

185.502 Crew and passenger list
185.503 Voyage plan
185.504 Passenger count

Time
Time
burden
burden
(minutes) (hours)
Recordkeeping
0
0.00
30
0.50
5
0.08
0
0.00

Frequency

Every 3 years
One time
One time
One time

0
0.00 Every trip
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 As needed
0
0.00 Every 3 years
0
0.00 One time
0
0.00 Annual
0
0.00 One time
0
0.00 As needed
0
0.00 Every voyage
0
0.00 One time
0
0.00 Annual
0
0.00 Every trip
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 One time
0
0.00 Every 2.5 years
0
0.00 One time
Reporting
10
0.17 Every 3 yrs.
5
0.08 As needed
5
0.08 As needed
5
0.08 Every 3 yrs.
30
0.50 Every 6 years
10
0.17 As needed
10
0.17 As needed
10
0.17 As needed
10
0.17 As needed
60
1.00 One time
20
0.33 One time
20
0.33 One time
10
0.17 As needed
10
0.17 As needed
Recordkeeping and Reporting
1
0.02 All approp. trips
1
0.02 All approp. trips
1
0.02 All approp. trips

Page 5 of 6

Frequency
(numeric)

Annual time
burden/ vessel

Number of vessels
affected

Total annual
time burden
(hours)

Standard
Rate

3
1
1
1

0.00
0.50
0.08
0.00

All K
New K
New K
New K

0
2
0
0

N/A
1
1
1
N/A
3
1
1
1
1
N/A
1
1
N/A
1
1
1
1
1
1
1
1
1
1
1
3
1

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Some K
New K
New K & T
New K & T
All K & T
All K & T
New K & T
All K & T
New K & T
Some K & T
Some K & T
Some New K & T
All K & T
All K & T
New K & T
New K & T
New T
New K & T
New K & T
New K & T
New K & T
New K & T
New K & T
New K & T
Some new K & T
Some K & T
New T

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

3
N/A
N/A
3
6
N/A
N/A
N/A
N/A
1
1
1
N/A
N/A

0.06
0.00
0.01
0.03
0.08
0.08
0.00
0.17
0.00
1.00
0.33
0.33
0.08
0.08

All K & T
All K & T
All K & T
All K & T
All K & T
All K & T
All K & T
Some K & T
All K & T
New K & T
Some new K & T
Some new K & T
All K & T
All K & T

N/A
N/A
N/A

0.83 Some K & T
0.83 Some K & T
4.15 Some K & T
Total Annual Hours

Associated
Wage Rate
($/hour)

Total time cost
60
36
55
55
36

$0
$110
$18
$0

O1/2
E1/5
E1/5
O3/4
O3/4
E1/5
O1/2
E1/5
O1/2
O1/2
E1/5
O1/2
O1/2
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
E1/5
O1/2
E1/5
E1/5

55
55
36
36
81
81
36
55
36
55
55
36
55
55
36
36
36
36
36
36
36
36
36
36
55
36
36

$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0

348
5
52
174
521
521
10
2,971
10
108
0
4
521
521

O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2
O1/2

55
55
55
55
55
55
55
55
55
55
55
55
55
55

$19,113
$287
$2,867
$9,556
$28,669
$28,669
$573
$163,412
$573
$5,940
$20
$198
$28,669
$28,669

2,606
2,606
24,636
35,618

O1/2
O1/2
O1/2

55
55
55

$143,344
$143,344
$1,354,957
$1,958,986

E1/5
O1/2
O1/2
E1/5
O1/2

Total Cost

1625-0057
Appendix F: Total Estimated Annual Federal Government Cost
Annual Respondents
Annual Responses

Recordkeeping
Reporting
Recordkeeping and Reporting
Total

6,266
34,623
Hour Burden
2
5,768
29,848
35,618

Cost Burden
$128
$317,214
$1,641,644
$1,958,986

Total Respondents
Total Responses
Total Cost

6,266
34,623
$1,958,986

Page 6 of 6