Burden Computation

Burden Computation - Business Forms
Page 1 of 1

June 3, 2011

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

8924/
Excise Tax on Certain Transfers of Qualifying Geothermal or Mineral
2008

Changes (+ -)

2011

100
______________
17
______________
0.00
______________
0.85
______________
7
______________

-80
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

20
______________
17
______________
0.00
______________
0.85
______________
7
______________

Computation of Changes
20 x _____________
5.55
Old Computation (Prog. Change) ______________
20
5.55
New Computation.............. ______________ x _____________
Balance...

=
=

111
_______________
111
_______________
_______________
0

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

100 x _____________
5.55
______________
______________
20 x _____________
5.55

=
=

555
_______________
_______________
111
_______________
-444

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

555
_______________
0
_______________
-444
_______________
111
_______________

Paperwork Reduction Act Notice
Time Per Response
5.55
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
4.07
______________
0.70
______________
0.79
______________
0.00
______________

Average Time
Per Response
4 hrs. , 04 min.
___________________
0 hrs. , 42 min.
___________________
0 hrs. , 47 min.
___________________
0 hrs. , 00 min.
___________________

Notes:
Decreased the estimated number of responses per year based on email received from
originator of the form.