Burden Computation Sheet

Burden Computation - Business Forms
March 09, 2023

Product: 1363
Description:
Variables
Responses

OMB Number: 1545-0685

2013

Changes (+ -)

2023

100,000

100,000

15

15

0.85

0.85

3

3

Line Items
Attached Forms
Percent Paid Preparor
Code References

Computation of Changes
Old Computation (Prog. Change)

100,000

×

4.25

=

425,000

New Computation

100,000

×

4.25

=

425,000

Balance

=

Old Computation (Adjustment)

100,000

×

4.25

=

425,000

New Computation

100,000

×

4.25

=

425,000

Balance

=

Summary
Old Burden

425,000

Program Change
Adjustment
New Burden

4.25

Paperwork Reduction Act Notice
Time Per Response
4.25
Average Hours Per Response
Record Keeping

3.59

3 hrs. , 35 min.

Learning

0.3

0 hrs. , 18 min.

Preparing

0.37

0 hrs. , 22 min.

Sending
Notes:

0.0