Burden Calculation Form W-14

Burden Computation - Business Forms
Page 1 of 1

June 28, 2017

Product:
Description:

W-14/
Certificate of Foreign Contracting Party Receiving Federal Procurement

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

______________
______________
______________
______________
______________

Changes (+ -)

2017

+2,000
_____________________________
+16
_____________________________
_____________________________
+0.85
_____________________________
+10
_____________________________

2,000
______________
16
______________
0.00
______________
0.85
______________
10
______________

Computation of Changes
2,000 x _____________
Old Computation (Prog. Change) ______________
2,000 x _____________
5.92
New Computation.............. ______________
Balance...

=
=

_______________
11,840
_______________
_______________
+11,840

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+11,840
_______________
_______________
11,840
_______________

Paperwork Reduction Act Notice
Time Per Response
5.92
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.83
______________
1.00
______________
1.10
______________
0.00
______________

Average Time
Per Response
3 hrs. , 49 min.
___________________
1 hrs. , 00 min.
___________________
1 hrs. , 06 min.
___________________
0 hrs. , 00 min.
___________________