W-8eci

Burden Computation - Business Forms
Page 1 of 1

July 12, 2007

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

W-8ECI/
Certificate of Foreign Person's Claim That Income is Effectively Connected
2004

Changes (+ -)

2007

180,000
______________
15
______________
0.00
______________
0.85
______________
34
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

180,000
______________
15
______________
0.00
______________
0.85
______________
34
______________

Computation of Changes
180,000 x _____________
10.55
Old Computation (Prog. Change) ______________
180,000
10.55
New Computation.............. ______________ x _____________
Balance...

=
=

1,899,000
_______________
1,899,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,899,000
_______________
0
_______________
_______________
1,899,000
_______________

Paperwork Reduction Act Notice
Time Per Response
10.55
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.59
______________
3.38
______________
3.59
______________
0.00
______________

Average Time
Per Response
3 hrs. , 35 min.
___________________
3 hrs. , 22 min.
___________________
3 hrs. , 35 min.
___________________
0 hrs. , 00 min.
___________________