2012 Burden Part 3

Burden Computation - Individual Forms
Page 1 of 1

April 4, 2013

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

8582CR/PART III

2009

Changes (+ -)

2009

150,000
______________
23
______________
0.50
______________
479.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

150,000
______________
23
______________
0.50
______________
479.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
150,000 x _____________
1.39
Old Computation (Prog. Change) ______________
150,000 x _____________
1.39
New Computation.............. ______________
Balance...

=
=

208,500
_______________
208,500
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

208,500
_______________
0
_______________
_______________
208,500
_______________

Paperwork Reduction Act Notice
Time Per Response
1.39
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
0.58
______________
0.58
______________
0.23
______________

0 hrs. , 00 min.
___________________
0 hrs. , 34 min.
___________________
0 hrs. , 34 min.
___________________
0 hrs. , 13 min.
___________________