Burden

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Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies

Burden

OMB: 1545-1130

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Burden Computation - Business Forms
Page 1 of 1

April 19, 2013

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

8816/
Special Loss Discount Account and Special Estimated Tax Payments for
2009

Changes (+ -)

2012

3,000
______________
18
______________
0.00
______________
0.85
______________
11
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

3,000
______________
18
______________
0.00
______________
0.85
______________
11
______________

Computation of Changes
3,000 x _____________
6.61
Old Computation (Prog. Change) ______________
3,000
6.61
New Computation.............. ______________ x _____________
Balance...

=
=

19,830
_______________
19,830
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

19,830
_______________
0
_______________
_______________
19,830
_______________

Paperwork Reduction Act Notice
Time Per Response
6.61
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
4.30
______________
1.09
______________
1.21
______________
0.00
______________

Average Time
Per Response
4 hrs. , 18 min.
___________________
1 hrs. , 05 min.
___________________
1 hrs. , 12 min.
___________________
0 hrs. , 00 min.
___________________


File Typeapplication/pdf
File Titlebrdn_busi.pdf
AuthorOracle Reports
File Modified0000-00-00
File Created0000-00-00

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