Burden Computation

Burden Computation - Business Forms
Page 1 of 1

April 11, 2016

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

5227/Ord In Dis WK

2009

Changes (+ -)

2009

100,000
______________
14
______________
0.00
______________
0.85
______________
0
______________

_____________________________
+14
_____________________________
_____________________________
_____________________________
_____________________________

100,000
______________
28
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
100,000 x _____________
3.40
Old Computation (Prog. Change) ______________
100,000
6.81
New Computation.............. ______________ x _____________
Balance...

=
=

340,000
_______________
681,000
_______________
_______________
+341,000

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

340,000
_______________
+341,000
_______________
_______________
681,000
_______________

Paperwork Reduction Act Notice
Time Per Response
6.81
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
6.70
______________
0.00
______________
0.11
______________
0.00
______________

Average Time
Per Response
6 hrs. , 42 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 00 min.
___________________