Burden

Burden Computation - Business Forms
Page 1 of 1

April 27, 2015

Product:
Description:

8899/
Notice of Income From Donated Intellectual Property

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

______________
______________
______________
______________
______________

Changes (+ -)

2015

+1,000
_____________________________
+14
_____________________________
_____________________________
+0.85
_____________________________
+10
_____________________________

1,000
______________
14
______________
0.00
______________
0.85
______________
10
______________

Computation of Changes
1,000 x _____________
Old Computation (Prog. Change) ______________
1,000 x _____________
5.43
New Computation.............. ______________
Balance...

=
=

_______________
5,430
_______________
_______________
+5,430

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

______________ x _____________
1,000 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+5,430
_______________
_______________
5,430
_______________

Paperwork Reduction Act Notice
Time Per Response
5.43
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.35
______________
1.00
______________
1.09
______________
0.00
______________

Average Time
Per Response
3 hrs. , 21 min.
___________________
1 hrs. , 00 min.
___________________
1 hrs. , 05 min.
___________________
0 hrs. , 00 min.
___________________