Information Return for Transfers Associated With Certain Personal Benefit Contracts

Burden Computation - Business Forms
Page 1 of 1

December 1, 2006

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

8870/
Information Return for Transfers Associated With certain Personal Benefit
2003

Changes (+ -)

2006

5,000
______________
41
______________
0.00
______________
0.85
______________
24
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,000
______________
41
______________
0.00
______________
0.85
______________
24
______________

Computation of Changes
5,000 x _____________
14.84
Old Computation (Prog. Change) ______________
5,000
14.84
New Computation.............. ______________ x _____________
Balance...

=
=

74,200
_______________
74,200
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

74,200
_______________
0
_______________
_______________
74,200
_______________

Paperwork Reduction Act Notice
Time Per Response
14.84
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
9.81
______________
2.38
______________
2.65
______________
0.00
______________

Average Time
Per Response
9 hrs. , 48 min.
___________________
2 hrs. , 22 min.
___________________
2 hrs. , 39 min.
___________________
0 hrs. , 00 min.
___________________