IC Burden table

Please enter Name of Instrument here.
Respondent Type	# of Respondents	# of Responses	Hours/Response	Total Burden Hours	Reporting Requirement	Cost per Repondent	Total Costs per Respondent
Burden by Affected Entity:
Federal Government	0	0	0	0		$0	$0
Individuals or Households	3,159,132	3,159,132	0.3	1,042,514		$0.45	$469,131
Farms	0	0	0	0		$0	$0
Sub-total	3,159,132	3,159,132		1,042,514			$469,131
Private Sector
Business or other for-profits	0	0	0	0		$0	$0
Not-for profits	0	0	0	0		$0	$0
Sub-total	0	0		0			$0
State, Local, or Tribal Governments
Public Institutions	0	0	0	0		$0	$0
Private Institutions	0	0	0	0		$0	$0
Sub-total	0	0		0			0
Total	3,159,132	3,159,132		1,042,514			$469,131
CURRENT INVENTORY
Current # of Respondents	1,692,869
Current # of Responses		1,692,869
Current Inventory of Hours				936,721
Difference	1,466,263	1,466,263		105,793
Document Type	Form and Instructions
Available Electronically?	Yes
Can be submitted Electronically?	Yes
Percent Reporting Electronically?	50%
Obligation to Respond?	Required to obtain a benefit
Frequency?	On Occasion