Burden

Burden Computation - Business Forms
Page 1 of 1

December 5, 2011

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

8697/
Interest Computation Under the Look-Back Method for Completed Long2011

Changes (+ -)

2011

3,333
______________
40
______________
1.00
______________
0.85
______________
25
______________

+1,000
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,333
______________
40
______________
1.00
______________
0.85
______________
25
______________

Computation of Changes
4,333 x _____________
16.75
Old Computation (Prog. Change) ______________
4,333
16.75
New Computation.............. ______________ x _____________
Balance...

=
=

72,578
_______________
72,578
_______________
_______________
0

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

3,333 x _____________
16.75
______________
______________
4,333 x _____________
16.75

=
=

55,828
_______________
_______________
72,578
_______________
+16,750

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

55,828
_______________
0
_______________
+16,750
_______________
72,578
_______________

Paperwork Reduction Act Notice
Time Per Response
16.75
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
9.57
______________
2.85
______________
4.07
______________
0.27
______________

Average Time
Per Response
9 hrs. , 34 min.
___________________
2 hrs. , 51 min.
___________________
4 hrs. , 04 min.
___________________
0 hrs. , 16 min.
___________________