burden

Burden Computation - Business Forms
Page 1 of 1

December 11, 2008

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

8621-A/
Return by a Shareholder Making Certain Late Elections to End Treatment as
2005

Changes (+ -)

2008

667
______________
95
______________
17.00
______________
0.85
______________
45
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

667
______________
95
______________
17.00
______________
0.85
______________
45
______________

Computation of Changes
667 x _____________
65.40
Old Computation (Prog. Change) ______________
667
65.40
New Computation.............. ______________ x _____________
Balance...

=
=

43,622
_______________
43,622
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

43,622
_______________
0
_______________
_______________
43,622
_______________

Paperwork Reduction Act Notice
Time Per Response
65.40
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
22.72
______________
10.73
______________
27.40
______________
4.56
______________

Average Time
Per Response
22 hrs. , 43 min.
___________________
10 hrs. , 43 min.
___________________
27 hrs. , 24 min.
___________________
4 hrs. , 33 min.
___________________