Burden Computation

Burden Computation - Business Forms
Page 1 of 1

March 24, 2008

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

8925/
Report of Employer-Owned Life Insurance Contracts
2008

Changes (+ -)

2008

16,000
______________
10
______________
0.00
______________
0.85
______________
10
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

16,000
______________
10
______________
0.00
______________
0.85
______________
10
______________

Computation of Changes
16,000 x _____________
4.46
Old Computation (Prog. Change) ______________
16,000
4.46
New Computation.............. ______________ x _____________
Balance...

=
=

71,360
_______________
71,360
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

71,360
_______________
0
_______________
_______________
71,360
_______________

Paperwork Reduction Act Notice
Time Per Response
4.46
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
2.39
______________
1.00
______________
1.08
______________
0.00
______________

Average Time
Per Response
2 hrs. , 23 min.
___________________
1 hrs. , 00 min.
___________________
1 hrs. , 04 min.
___________________
0 hrs. , 00 min.
___________________