Burden

Burden Computation - Business Forms
Page 1 of 1

February 28, 2012

Product:
Description:

4810/
Request for Prompt Assessment Under Internal Revenue Code Section

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

______________
______________
______________
______________
______________

Changes (+ -)

2012

+4,000
_____________________________
+23
_____________________________
_____________________________
+0.85
_____________________________
+3
_____________________________

4,000
______________
23
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
4,000 x _____________
Old Computation (Prog. Change) ______________
4,000 x _____________
6.20
New Computation.............. ______________
Balance...

=
=

_______________
24,800
_______________
_______________
+24,800

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

______________ x _____________
______________
4,000 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+24,800
_______________
_______________
24,800
_______________

Paperwork Reduction Act Notice
Time Per Response
6.20
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
5.50
______________
0.30
______________
0.40
______________
0.00
______________

Average Time
Per Response
5 hrs. , 30 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 24 min.
___________________
0 hrs. , 00 min.
___________________