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

Burden Computation - Business Forms
Page 1 of 1

November 17, 2010

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
2009

Changes (+ -)

2010

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

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

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

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

=
=

182,660
_______________
182,660
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

182,660
_______________
0
_______________
_______________
182,660
_______________

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

Notes:
No change.

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.
___________________