Burden computation

Burden Computation - Business Forms
Page 1 of 1

June 24, 2013

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

976/
Claim for Deficiency Dividends Deductions by a Personal Holding
2009

Changes (+ -)

2012

500
______________
24
______________
0.00
______________
0.85
______________
9
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

500
______________
24
______________
0.00
______________
0.85
______________
9
______________

Computation of Changes
500 x _____________
7.66
Old Computation (Prog. Change) ______________
500
7.66
New Computation.............. ______________ x _____________
Balance...

=
=

3,830
_______________
3,830
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,830
_______________
0
_______________
_______________
3,830
_______________

Paperwork Reduction Act Notice
Time Per Response
7.66
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
5.74
______________
0.89
______________
1.03
______________
0.00
______________

Average Time
Per Response
5 hrs. , 44 min.
___________________
0 hrs. , 53 min.
___________________
1 hrs. , 01 min.
___________________
0 hrs. , 00 min.
___________________