Burden

Burden Computation - Special Business Forms
Page 1 of 1

July 10, 2013

Product:
Description:
Variables
Responses.......
Line Items......
Forms Prepared..

1099OID/
Original Issue Discount
2013

Changes (+ -)

2013

5,906,965
______________
12
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2,667,000
______________
12
______________
0.85
______________

Computation of Changes
2,667,000 x _____________
0.19
Old Computation (Prog. Change) ______________
2,667,000 x _____________
0.00
New Computation.............. ______________
Balance...

=
=

506,730
_______________
0
_______________
-506,730
_______________

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

5,906,965 x _____________
0.19
______________
______________
2,667,000 x _____________
0.19

=
=

1,122,324
_______________
_______________
506,730
-615,594
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
1,122,324
_______________
-506,730
_______________
-615,594
_______________
0
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.00
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
______________

Average Time
Per Response
___________________
___________________
___________________
hrs. , 00 min.
___________________