Burden

Burden Computation - Business Forms
Page 1 of 1

March 21, 2007

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

8819/
Dollar Election Under Section 985
2004

Changes (+ -)

2007

500
______________
19
______________
0.00
______________
0.85
______________
9
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

500
______________
19
______________
0.00
______________
0.85
______________
9
______________

Computation of Changes
500 x _____________
6.44
Old Computation (Prog. Change) ______________
500
6.44
New Computation.............. ______________ x _____________
Balance...

=
=

3,220
_______________
3,220
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,220
_______________
0
_______________
_______________
3,220
_______________

Paperwork Reduction Act Notice
Time Per Response
6.44
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
4.54
______________
0.89
______________
1.01
______________
0.00
______________

Average Time
Per Response
4 hrs. , 32 min.
___________________
0 hrs. , 53 min.
___________________
1 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________