Burden computation

Burden Computation - Business Forms
Page 1 of 1

November 16, 2006

Product:
Description:

1120-L (SCH M-3)/
Net Income (Loss) Reconciliation for U.S. Life Insurance Companies With

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

______________
______________
______________
______________
______________

Changes (+ -)

2006

+2,000
_____________________________
+346
_____________________________
_____________________________
+0.85
_____________________________
+42
_____________________________

2,000
______________
346
______________
0.00
______________
0.85
______________
42
______________

Computation of Changes
2,000 x _____________
Old Computation (Prog. Change) ______________
2,000 x _____________
92.62
New Computation.............. ______________
Balance...

=
=

_______________
185,240
_______________
_______________
+185,240

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+185,240
_______________
_______________
185,240
_______________

Paperwork Reduction Act Notice
Time Per Response

Average Hours
Per Response

92.62
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

82.75
______________
4.17
______________
5.70
______________
0.00
______________

Average Time
Per Response
82 hrs. , 45 min.
___________________
4 hrs. , 10 min.
___________________
5 hrs. , 42 min.
___________________
0 hrs. , 00 min.
___________________

Notes:
New form.

Added 346 lines, 42 Code references, and 2000 estimated responses.