2010 Burden

Burden Computation - Business Forms
Page 1 of 1

January 15, 2010

Product:
Description:

966/
Corporate Dissolution or Liquidation

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

Changes (+ -)
______________
______________
______________
______________
______________

2010

+26,000
_____________________________
+21
_____________________________
+1.00
_____________________________
+0.85
_____________________________
+5
_____________________________

26,000
______________
21
______________
1.00
______________
0.85
______________
5
______________

Computation of Changes
26,000 x _____________
Old Computation (Prog. Change) ______________
26,000 x _____________
8.07
New Computation.............. ______________
Balance...

=
=

_______________
209,820
_______________
+209,820
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+209,820
_______________
_______________
209,820
_______________

Paperwork Reduction Act Notice
Time Per Response
8.07
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
5.02
______________
0.87
______________
1.92
______________
0.27
______________

Average Time
Per Response
5 hrs. , 01 min.
___________________
0 hrs. , 52 min.
___________________
1 hrs. , 55 min.
___________________
0 hrs. , 16 min.
___________________

Notes:
Estimates updated to more accurately reflect the time needed to file this form.