Burden computation for Sch H

Burden Computation - Business Forms
Page 1 of 1

July 23, 2010

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

990(SCH H)/
Hospitals
2008

Changes (+ -)

2010

2,102
______________
297
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2,102
______________
297
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
2,102 x _____________
72.19
Old Computation (Prog. Change) ______________
2,102
72.19
New Computation.............. ______________ x _____________
Balance...

=
=

151,744
_______________
151,744
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

151,744
_______________
0
_______________
_______________
151,744
_______________

Paperwork Reduction Act Notice
Time Per Response
72.19
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
71.03
______________
0.00
______________
1.16
______________
0.00
______________

Average Time
Per Response
71 hrs. , 01 min.
___________________
0 hrs. , 00 min.
___________________
1 hrs. , 09 min.
___________________
0 hrs. , 00 min.
___________________