Burden

Burden Computation - Individual Forms
Page 1 of 1

August 24, 2015

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

8822/8822B- Application for Withhol
Change of Address
2015

Changes (+ -)

2015

5,079
______________
28
______________
1.00
______________
2,503.00
______________
17
______________
0.00
______________
4.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,079
______________
28
______________
1.00
______________
2,503.00
______________
17
______________
0.00
______________
4.00
______________
0.85
______________

Computation of Changes
5,079 x _____________
5.76
Old Computation (Prog. Change) ______________
5,079 x _____________
5.76
New Computation.............. ______________
Balance...

=
=

29,256
_______________
29,256
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
29,256
_______________
0
_______________
_______________
29,256
_______________

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

Paperwork Reduction Act Notice
Time Per Response
5.76
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
2.07
______________
2.22
______________
1.13
______________
0.34
______________

2 hrs. , 04 min.
___________________
2 hrs. , 13 min.
___________________
1 hrs. , 07 min.
___________________
0 hrs. , 20 min.
___________________