F5471 Burden

Burden Computation - Business Forms
Page 1 of 1

April 27, 2007

Product:
Description:

5471/
Information Return of U.S. Persons With Respect To Certain Foreign

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

2006

Changes (+ -)

2007

28,380
______________
341
______________
5.00
______________
0.85
______________
148
______________

_____________________________
-37
_____________________________
-3.00
_____________________________
_____________________________
+8
_____________________________

28,380
______________
304
______________
2.00
______________
0.85
______________
156
______________

Computation of Changes
28,380 x _____________
122.68
Old Computation (Prog. Change) ______________
28,380
109.46
New Computation.............. ______________ x _____________
Balance...

=
=

3,481,659
_______________
3,106,475
_______________
_______________
-375,184

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

28,380 x _____________
122.68
______________
______________
28,380 x _____________
122.68

=
=

3,481,659
_______________
_______________
3,481,659
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,481,659
_______________
-375,184
_______________
0
_______________
3,106,475
_______________

Paperwork Reduction Act Notice
Time Per Response

Average Hours
Per Response

109.46
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

72.70
______________
16.23
______________
19.99
______________
0.54
______________

Average Time
Per Response
72 hrs. , 42 min.
___________________
16 hrs. , 13 min.
___________________
19 hrs. , 59 min.
___________________
0 hrs. , 32 min.
___________________

Notes:
Revision of form.
line items.

Deleted 3 attachments, added 8 code references, and deleted 37