Sch 6 (F8849) Burden

Burden Computation - Business Forms
Page 1 of 1

January 15, 2008

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

8849 (SCH 6)/
Other Claims
2007

Changes (+ -)

2008

3,000
______________
9
______________
0.00
______________
0.85
______________
4
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

3,000
______________
9
______________
0.00
______________
0.85
______________
4
______________

Computation of Changes
3,000 x _____________
3.00
Old Computation (Prog. Change) ______________
3,000
3.00
New Computation.............. ______________ x _____________
Balance...

=
=

9,000
_______________
9,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

9,000
_______________
0
_______________
_______________
9,000
_______________

Paperwork Reduction Act Notice
Time Per Response
3.00
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
2.15
______________
0.40
______________
0.45
______________
0.00
______________

Average Time
Per Response
2 hrs. , 09 min.
___________________
0 hrs. , 24 min.
___________________
0 hrs. , 27 min.
___________________
0 hrs. , 00 min.
___________________