Burden estimate (preprinted)

Burden Computation - Business Forms
Page 1 of 1

November 10, 2011

Product:
Description:

2290/2290-V Preprinted

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2008

+550,000
_____________________________
+1
_____________________________
_____________________________
+0.85
_____________________________
_____________________________

550,000
______________
1
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
550,000 x _____________
Old Computation (Prog. Change) ______________
550,000 x _____________
0.24
New Computation.............. ______________
Balance...

=
=

_______________
132,000
_______________
_______________
+132,000

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

______________ x _____________
______________
550,000 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+132,000
_______________
_______________
132,000
_______________

Paperwork Reduction Act Notice
Time Per Response
0.24
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.24
______________
0.00
______________
0.00
______________
0.00
______________

Average Time
Per Response
0 hrs. , 14 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________