F8921 Burden

F8921_brdn_busi.pdf

Form 8921 - Applicable Insurance Contracts Information Return

F8921 Burden

OMB: 1545-2083

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Burden Computation - Business Forms
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October 16, 2007

Product:
Description:

8921/
Applicable Insurance Contracts Information Return

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

2007

Changes (+ -)

2007

50,000
______________
141
______________
0.00
______________
0.85
______________
8
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

50,000
______________
141
______________
0.00
______________
0.85
______________
8
______________

Computation of Changes
50,000 x _____________
35.89
Old Computation (Prog. Change) ______________
50,000
35.89
New Computation.............. ______________ x _____________
Balance...

=
=

1,794,500
_______________
1,794,500
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,794,500
_______________
0
_______________
_______________
1,794,500
_______________

Paperwork Reduction Act Notice
Time Per Response
35.89
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change made.

Average Hours
Per Response
33.72
______________
0.79
______________
1.38
______________
0.00
______________

Average Time
Per Response
33 hrs. , 43 min.
___________________
0 hrs. , 47 min.
___________________
1 hrs. , 22 min.
___________________
0 hrs. , 00 min.
___________________


File Typeapplication/pdf
File TitleF8921_brdn_busi.pdf
AuthorOracle Reports
File Modified0000-00-00
File Created0000-00-00

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