Form 8038-R Burden Computation

Burden Computation - Business Forms
Page 1 of 1

January 10, 2008

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

8038R/
Request for Recovery of Overpayments Under Arbitrage Rebate Provisions
2004

Changes (+ -)

2007

200
______________
23
______________
______________
0.85
______________
33
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

200
______________
23
______________
______________
0.85
______________
33
______________

Computation of Changes
200 x _____________
12.29
Old Computation (Prog. Change) ______________
200
12.29
New Computation.............. ______________ x _____________
Balance...

=
=

2,458
_______________
2,458
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,458
_______________
0
_______________
_______________
2,458
_______________

Paperwork Reduction Act Notice
Time Per Response
12.29
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
5.50
______________
3.27
______________
3.51
______________
0.00
______________

Average Time
Per Response
5 hrs. , 30 min.
___________________
3 hrs. , 16 min.
___________________
3 hrs. , 30 min.
___________________
0 hrs. , 00 min.
___________________