Burden Computation

Burden Computation - Business Forms
Page 1 of 1

October 19, 2007

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

8925/
Report of Employer-Owned Life Insurance Contracts
2007

Changes (+ -)

2007

20,000
______________
7
______________
0.00
______________
0.85
______________
2
______________

_____________________________
+3
_____________________________
_____________________________
_____________________________
+3
_____________________________

20,000
______________
10
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
20,000 x _____________
2.11
Old Computation (Prog. Change) ______________
20,000
3.45
New Computation.............. ______________ x _____________
Balance...

=
=

42,200
_______________
69,000
_______________
_______________
+26,800

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

20,000 x _____________
2.11
______________
20,000 x _____________
2.11
______________

=
=

42,200
_______________
42,200
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

42,200
_______________
+26,800
_______________
0
_______________
69,000
_______________

Paperwork Reduction Act Notice
Time Per Response
3.45
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
New form

Average Hours
Per Response
2.39
______________
0.50
______________
0.56
______________
0.00
______________

Average Time
Per Response
2 hrs. , 23 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 33 min.
___________________
0 hrs. , 00 min.
___________________