2013 Burden

Burden Computation - Business Forms
Page 1 of 1

April 26, 2013

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

5306A/
Application for Approval of Prototype Simplified Employee Pension (SEP)
2010

Changes (+ -)

2013

5,000
______________
66
______________
0.00
______________
0.85
______________
14
______________

_____________________________
+2
_____________________________
_____________________________
_____________________________
_____________________________

5,000
______________
68
______________
0.00
______________
0.85
______________
14
______________

Computation of Changes
5,000 x _____________
18.88
Old Computation (Prog. Change) ______________
5,000
19.37
New Computation.............. ______________ x _____________
Balance...

=
=

94,400
_______________
96,850
_______________
_______________
+2,450

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
94,400
_______________
+2,450
_______________
_______________
96,850
_______________

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

Paperwork Reduction Act Notice
Time Per Response
19.37
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
16.26
______________
1.39
______________
1.71
______________
0.00
______________

Average Time
Per Response
16 hrs. , 15 min.
___________________
1 hrs. , 23 min.
___________________
1 hrs. , 42 min.
___________________
0 hrs. , 00 min.
___________________

Notes:
Added 2 lines to account for changes since the last review.