Burden Computation _ Form 5452

Burden Computation - Business Forms
Page 1 of 1

June 12, 2012

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

5452/
Corporate Report of Nondividend Distributions
2009

Changes (+ -)

1,700
______________
24
______________
0.00
______________
0.85
______________
5
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2012
1,700
______________
24
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
1,700 x _____________
6.85
Old Computation (Prog. Change) ______________
1,700 x _____________
6.85
New Computation.............. ______________
Balance...

=
=

11,645
_______________
11,645
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

11,645
_______________
0
_______________
_______________
11,645
_______________

Paperwork Reduction Act Notice
Time Per Response
6.85
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
5.74
______________
0.50
______________
0.62
______________
0.00
______________

Average Time
Per Response
5 hrs. , 44 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 37 min.
___________________
0 hrs. , 00 min.
___________________