Burden Computation for Sch M-3 (Form 1120-L)

Burden Computation - Business Forms
Page 1 of 1

January 29, 2009

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

1120-L (SCH M-3)/
Net Income (Loss) Reconciliation for U.S. Life Insurance Companies With
2008

Changes (+ -)

2009

2,000
______________
346
______________
0.00
______________
0.85
______________
42
______________

_____________________________
-7
_____________________________
_____________________________
_____________________________
+2
_____________________________

2,000
______________
339
______________
0.00
______________
0.85
______________
44
______________

Computation of Changes
2,000 x _____________
92.62
Old Computation (Prog. Change) ______________
2,000
91.33
New Computation.............. ______________ x _____________
Balance...

=
=

185,240
_______________
182,660
_______________
_______________
-2,580

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

185,240
_______________
-2,580
_______________
_______________
182,660
_______________

Paperwork Reduction Act Notice
Time Per Response
91.33
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
81.07
______________
4.37
______________
5.89
______________
0.00
______________

Average Time
Per Response
81 hrs. , 04 min.
___________________
4 hrs. , 22 min.
___________________
5 hrs. , 53 min.
___________________
0 hrs. , 00 min.
___________________

Notes:
Revision of form resulted in addition of 2 code references and a deletion of 7
line items.