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Sch 5 (F8849) Burden
ICR 200709-1545-006 · OMB 1545-1420 · Object 4239101.
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Burden Computation - Business Forms Page 1 of 1 September 10, 2007 Product: Description: 8849 (SCH 5)/ Section 4081(e) Claims Variables Responses....... Line Items...... Attachments..... Forms Prepared.. Code References. 2006 Changes (+ -) 2007 1,000 ______________ 15 ______________ 0.00 ______________ 0.85 ______________ 1 ______________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ 1,000 ______________ 15 ______________ 0.00 ______________ 0.85 ______________ 1 ______________ Computation of Changes 1,000 x _____________ 3.85 Old Computation (Prog. Change) ______________ 1,000 3.85 New Computation.............. ______________ x _____________ Balance... = = 3,850 _______________ 3,850 _______________ _______________ 0 Old Computation (Adjustment). New Computation.............. Balance... ______________ x _____________ ______________ x _____________ = = _______________ _______________ _______________ Old Computation.............. New Computation.............. Balance... ______________ x _____________ ______________ x _____________ = = _______________ _______________ _______________ Summary Old Burden................................................... Program Change............................................... Adjustment................................................... New Burden................................................... 3,850 _______________ 0 _______________ _______________ 3,850 _______________ Paperwork Reduction Act Notice Time Per Response 3.85 Recordkeeping............. Learning.................. Preparing................. Sending................... Notes: No changes made. Average Hours Per Response 3.59 ______________ 0.10 ______________ 0.16 ______________ 0.00 ______________ Average Time Per Response 3 hrs. , 35 min. ___________________ 0 hrs. , 06 min. ___________________ 0 hrs. , 09 min. ___________________ 0 hrs. , 00 min. ___________________
| File Type | application/pdf |
| File Title | Sch 5_F8849_brdn_busi.pdf |
| Author | Oracle Reports |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |