Burden computation

Burden Computation - Business Forms
Page 1 of 1

June 22, 2009

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

8876/
Excise Tax on Structured Settlement Factoring Transactions
2006

Changes (+ -)

100
______________
13
______________
0.00
______________
0.85
______________
12
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2009
100
______________
13
______________
0.00
______________
0.85
______________
12
______________

Computation of Changes
100 x _____________
5.60
Old Computation (Prog. Change) ______________
100 x _____________
5.60
New Computation.............. ______________
Balance...

=
=

560
_______________
560
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

560
_______________
0
_______________
_______________
560
_______________

Paperwork Reduction Act Notice
Time Per Response
5.60
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.11
______________
1.20
______________
1.29
______________
0.00
______________

Average Time
Per Response
3 hrs. , 06 min.
___________________
1 hrs. , 12 min.
___________________
1 hrs. , 17 min.
___________________
0 hrs. , 00 min.
___________________