2011 Burden Form 8223

Burden Computation - Individual Forms
Page 1 of 1

September 23, 2011

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

8233/
Exemption From Withholding on Compensation for Independent (and
2008

Changes (+ -)

2008

480,000
______________
29
______________
1.50
______________
4,446.00
______________
12
______________
3.00
______________
10.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

480,000
______________
29
______________
1.50
______________
4,446.00
______________
12
______________
3.00
______________
10.00
______________
0.00
______________

Computation of Changes
480,000 x _____________
2.75
Old Computation (Prog. Change) ______________
480,000 x _____________
2.75
New Computation.............. ______________
Balance...

=
=

1,320,000
_______________
1,320,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,320,000
_______________
0
_______________
_______________
1,320,000
_______________

Paperwork Reduction Act Notice
Time Per Response
2.75
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
1.09
______________
0.52
______________
0.68
______________
0.46
______________

1 hrs. , 05 min.
___________________
0 hrs. , 31 min.
___________________
0 hrs. , 40 min.
___________________
0 hrs. , 27 min.
___________________