burden

Burden Computation - Business Forms
Page 1 of 1

February 15, 2012

Product:
Description:

8820/
Orphan Drug Credit

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

2008

Changes (+ -)

67
______________
8
______________
0.00
______________
0.85
______________
10
______________

_____________________________
+5
_____________________________
_____________________________
_____________________________
_____________________________

2011
67
______________
13
______________
0.00
______________
0.85
______________
10
______________

Computation of Changes
67 x _____________
3.97
Old Computation (Prog. Change) ______________
67 x _____________
5.19
New Computation.............. ______________
Balance...

=
=

266
_______________
348
_______________
+82
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

266
_______________
+82
_______________
_______________
348
_______________

Paperwork Reduction Act Notice
Time Per Response
5.19
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
Added 5 line items

Average Hours
Per Response
3.11
______________
1.00
______________
1.09
______________
0.00
______________

Average Time
Per Response
3 hrs. , 06 min.
___________________
1 hrs. , 00 min.
___________________
1 hrs. , 05 min.
___________________
0 hrs. , 00 min.
___________________