Exempt Organization Declaration and Signature for Electronic Filing

Burden Computation - Business Forms
Page 1 of 1

April 13, 2007

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

8453EO/
Exempt Organization Declaration and Signature for Electronic Filing
2005

Changes (+ -)

2006

200
______________
19
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

200
______________
19
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
200 x _____________
5.23
Old Computation (Prog. Change) ______________
200
5.23
New Computation.............. ______________ x _____________
Balance...

=
=

1,046
_______________
1,046
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,046
_______________
0
_______________
_______________
1,046
_______________

Paperwork Reduction Act Notice
Time Per Response
5.23
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
4.54
______________
0.30
______________
0.38
______________
0.00
______________

Average Time
Per Response
4 hrs. , 32 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 22 min.
___________________
0 hrs. , 00 min.
___________________