Burden Part III

Burden Computation - Business Forms
Page 1 of 1

February 10, 2009

Product:
Description:

5310A/PART III

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

2006

Changes (+ -)

2009

5,000
______________
19
______________
0.00
______________
0.85
______________
6
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,000
______________
19
______________
0.00
______________
0.85
______________
6
______________

Computation of Changes
5,000 x _____________
5.84
Old Computation (Prog. Change) ______________
5,000
5.84
New Computation.............. ______________ x _____________
Balance...

=
=

29,200
_______________
29,200
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

29,200
_______________
0
_______________
_______________
29,200
_______________

Paperwork Reduction Act Notice
Time Per Response
5.84
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
4.54
______________
0.59
______________
0.70
______________
0.00
______________

Average Time
Per Response
4 hrs. , 32 min.
___________________
0 hrs. , 35 min.
___________________
0 hrs. , 42 min.
___________________
0 hrs. , 00 min.
___________________