Burden Calculation

Burden Computation - Business Forms
Page 1 of 1

April 13, 2017

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

2032/
Contract Coverage Under Title II of the Social Security Act
2013

Changes (+ -)

2016

160
______________
20
______________
______________
0.85
______________
6
______________

-134
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

26
______________
20
______________
0.00
______________
0.85
______________
6
______________

Computation of Changes
26 x _____________
6.08
Old Computation (Prog. Change) ______________
26
6.08
New Computation.............. ______________ x _____________
Balance...

=
=

159
_______________
159
_______________
_______________
0

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

160 x _____________
6.08
______________
______________
26 x _____________
6.08

=
=

973
_______________
_______________
159
_______________
-814

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

973
_______________
0
_______________
-814
_______________
159
_______________

Paperwork Reduction Act Notice
Time Per Response
6.08
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
4.78
______________
0.59
______________
0.70
______________
0.00
______________

Average Time
Per Response
4 hrs. , 46 min.
___________________
0 hrs. , 35 min.
___________________
0 hrs. , 42 min.
___________________
0 hrs. , 00 min.
___________________