Burden

Burden Computation - Business Forms
Page 1 of 1

March 24, 2015

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

8850/
Pre-Screening Notice and Certification Request for the Work Opportunity
2014

Changes (+ -)

2015

440,000
______________
27
______________
0.00
______________
0.85
______________
5
______________

_____________________________
_____________________________
_____________________________
_____________________________
-1
_____________________________

440,000
______________
27
______________
0.00
______________
0.85
______________
4
______________

Computation of Changes
440,000 x _____________
7.58
Old Computation (Prog. Change) ______________
440,000
7.37
New Computation.............. ______________ x _____________
Balance...

=
=

3,335,200
_______________
3,242,800
_______________
_______________
-92,400

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,335,200
_______________
-92,400
_______________
_______________
3,242,800
_______________

Paperwork Reduction Act Notice
Time Per Response
7.37
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
6.46
______________
0.40
______________
0.52
______________
0.00
______________

Average Time
Per Response
6 hrs. , 27 min.
___________________
0 hrs. , 24 min.
___________________
0 hrs. , 31 min.
___________________
0 hrs. , 00 min.
___________________