Burden

Burden Computation - Business Forms
Page 1 of 1

September 24, 2009

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

940PR/WORKSHEET

2006

Changes (+ -)

1,400
______________
8
______________
0.00
______________
0.00
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2009
1,400
______________
8
______________
0.00
______________
0.00
______________
0
______________

Computation of Changes
1,400 x _____________
1.18
Old Computation (Prog. Change) ______________
1,400 x _____________
1.18
New Computation.............. ______________
Balance...

=
=

1,652
_______________
1,652
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,652
_______________
0
_______________
_______________
1,652
_______________

Paperwork Reduction Act Notice
Time Per Response
1.18
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.97
______________
0.00
______________
0.21
______________
0.00
______________

Average Time
Per Response
0 hrs. , 58 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 00 min.
___________________