burden

Burden Computation - Business Forms
Page 1 of 1

August 13, 2010

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

5308/
Request for Change in Plan/Trust Year
2007

Changes (+ -)

2010

480
______________
25
______________
0.00
______________
0.85
______________
9
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

480
______________
25
______________
0.00
______________
0.85
______________
9
______________

Computation of Changes
480 x _____________
7.90
Old Computation (Prog. Change) ______________
480
7.90
New Computation.............. ______________ x _____________
Balance...

=
=

3,792
_______________
3,792
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,792
_______________
0
_______________
_______________
3,792
_______________

Paperwork Reduction Act Notice
Time Per Response
7.90
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
5.98
______________
0.89
______________
1.03
______________
0.00
______________

Average Time
Per Response
5 hrs. , 58 min.
___________________
0 hrs. , 53 min.
___________________
1 hrs. , 01 min.
___________________
0 hrs. , 00 min.
___________________