Burden

Burden Computation - Business Forms
Page 1 of 1

April 12, 2011

Product:
Description:

8937/
Report of Organizational Actions Affecting Basis

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

______________
______________
______________
______________
______________

Changes (+ -)

2011

+50,000
_____________________________
+12
_____________________________
_____________________________
+0.85
_____________________________
+6
_____________________________

50,000
______________
12
______________
0.00
______________
0.85
______________
6
______________

Computation of Changes
50,000 x _____________
Old Computation (Prog. Change) ______________
50,000 x _____________
4.13
New Computation.............. ______________
Balance...

=
=

_______________
206,500
_______________
_______________
+206,500

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+206,500
_______________
_______________
206,500
_______________

Paperwork Reduction Act Notice
Time Per Response
4.13
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
2.87
______________
0.59
______________
0.67
______________
0.00
______________

Average Time
Per Response
2 hrs. , 52 min.
___________________
0 hrs. , 35 min.
___________________
0 hrs. , 40 min.
___________________
0 hrs. , 00 min.
___________________