Burden Computation

Burden Computation - Business Forms
Page 1 of 1

October 20, 2008

Product:
Description:

8927/
Determination Under Section 860(e)(4) by a Qualfied Investment Entity

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

2007

Changes (+ -)

2008

1,000,000
______________
11
______________
0.00
______________
0.85
______________
2
______________

-999,950
_____________________________
-2
_____________________________
_____________________________
_____________________________
+1
_____________________________

50
______________
9
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
50 x _____________
3.08
Old Computation (Prog. Change) ______________
50
2.80
New Computation.............. ______________ x _____________
Balance...

=
=

154
_______________
140
_______________
_______________
-14

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

1,000,000 x _____________
3.08
______________
______________
50 x _____________
3.08

=
=

3,080,000
_______________
_______________
154
_______________
-3,079,846

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,080,000
_______________
-14
_______________
-3,079,846
_______________
140
_______________

Paperwork Reduction Act Notice
Time Per Response

Average Hours
Per Response

2.80
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

2.15
______________
0.30
______________
0.34
______________
0.00
______________

Notes:
This a new form.

Added 3 Code refernces and 9 lines.

Average Time
Per Response
2 hrs. , 09 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 20 min.
___________________
0 hrs. , 00 min.
___________________