Burden Part I

Burden Computation - Business Forms
Page 1 of 1

February 10, 2009

Product:
Description:

5310A/PART I

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

2006

Changes (+ -)

2009

15,000
______________
9
______________
1.00
______________
0.85
______________
7
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

15,000
______________
9
______________
1.00
______________
0.85
______________
7
______________

Computation of Changes
15,000 x _____________
5.56
Old Computation (Prog. Change) ______________
15,000
5.56
New Computation.............. ______________ x _____________
Balance...

=
=

83,400
_______________
83,400
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

83,400
_______________
0
_______________
_______________
83,400
_______________

Paperwork Reduction Act Notice
Time Per Response
5.56
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
2.15
______________
1.06
______________
2.08
______________
0.27
______________

Average Time
Per Response
2 hrs. , 09 min.
___________________
1 hrs. , 03 min.
___________________
2 hrs. , 04 min.
___________________
0 hrs. , 16 min.
___________________