burden

Burden Computation - Special Business Forms
Page 1 of 1

August 2, 2011

Product:
Description:

3922/
Transfer of Stock Acquired Through an Employee Stock Purchase Plan

Variables
Responses.......
Line Items......
Forms Prepared..

2008

Changes (+ -)

2011

500
______________
13
______________
0.85
______________

_____________________________
+1
_____________________________
_____________________________

500
______________
14
______________
0.85
______________

Computation of Changes
500 x _____________
0.20
Old Computation (Prog. Change) ______________
500 x _____________
0.22
New Computation.............. ______________
Balance...

=
=

100
_______________
110
_______________
+10
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

100
_______________
+10
_______________
_______________
110
_______________

Paperwork Reduction Act Notice
Time Per Response
0.22
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:
Added one line item.

Average Hours
Per Response
______________
______________
______________
0.22
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 13 min.
___________________