2019 Burden Form 4461-A

Burden Computation - Business Forms
July 15, 2019

Product: 4461A
OMB Number: 1545-0169
Description: Application for Approval of Master or Prototype or Volume SubmitterDefined
Benefit Plan
Variables

2015

Changes (+ -)

2019

Responses

250

Line Items

176

176

1

1

0.85

0.85

56

56

Attached Forms
Percent Paid Preparor
Code References

-150

100

Computation of Changes
Old Computation (Prog. Change)

100

×

56.10

=

5,610

New Computation

100

×

56.10

=

5,610

Balance

=

Old Computation (Adjustment)

250

×

56.10

=

14,025

New Computation

100

×

56.10

=

5,610

=

-8,415

Balance

Summary
Old Burden

14,025

Program Change
Adjustment

-8,415

New Burden

56.10

Paperwork Reduction Act Notice
Time Per Response
56.1
Average Hours Per Response
Record Keeping

42.09

42 hrs. , 05 min.

Learning

5.93

5 hrs. , 55 min.

Preparing

7.81

7 hrs. , 48 min.

Sending

0.27

0 hrs. , 16 min.

Notes: