Form 8916-A Burden

Burden Computation - Business Forms
Page 1 of 1

May 30, 2007

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

8916-A/
Reconciliation of Costs of Goods Sold Reported on Schedule M-3
2006

Changes (+ -)

2007

156,000
______________
87
______________
0.00
______________
0.85
______________
5
______________

_____________________________
+42
_____________________________
_____________________________
_____________________________
_____________________________

156,000
______________
129
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
156,000 x _____________
22.16
Old Computation (Prog. Change) ______________
156,000
32.37
New Computation.............. ______________ x _____________
Balance...

=
=

3,456,960
_______________
5,049,720
_______________
_______________
+1,592,760

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,456,960
_______________
+1,592,760
_______________
_______________
5,049,720
_______________

Paperwork Reduction Act Notice
Time Per Response
32.37
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
30.85
______________
0.50
______________
1.03
______________
0.00
______________

Notes:
Revised form -- Added 42 lines.

Average Time
Per Response
30 hrs. , 51 min.
___________________
0 hrs. , 30 min.
___________________
1 hrs. , 01 min.
___________________
0 hrs. , 00 min.
___________________