2013 Burden

Burden Computation - Business Forms
Page 1 of 1

January 31, 2013

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

1024 PKG/
Application for Recognition of Exemption Under Section 501(a)
2010

Changes (+ -)

2013

4,718
______________
222
______________
0.00
______________
0.85
______________
23
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,718
______________
222
______________
0.00
______________
0.85
______________
23
______________

Computation of Changes
4,718 x _____________
58.63
Old Computation (Prog. Change) ______________
4,718
58.63
New Computation.............. ______________ x _____________
Balance...

=
=

276,617
_______________
276,617
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

276,617
_______________
0
_______________
_______________
276,617
_______________

Paperwork Reduction Act Notice
Time Per Response
58.63
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
53.09
______________
2.29
______________
3.25
______________
0.00
______________

Average Time
Per Response
53 hrs. , 05 min.
___________________
2 hrs. , 17 min.
___________________
3 hrs. , 15 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. K

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

2004

Changes (+ -)

2007

236
______________
14
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

236
______________
14
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
236 x _____________
3.61
Old Computation (Prog. Change) ______________
236
3.61
New Computation.............. ______________ x _____________
Balance...

=
=

852
_______________
852
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

852
_______________
0
_______________
_______________
852
_______________

Paperwork Reduction Act Notice
Time Per Response
3.61
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
3.35
______________
0.10
______________
0.16
______________
0.00
______________

Average Time
Per Response
3 hrs. , 21 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 09 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. J

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

2004

Changes (+ -)

2007

23
______________
10
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

23
______________
10
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
23 x _____________
2.63
Old Computation (Prog. Change) ______________
23
2.63
New Computation.............. ______________ x _____________
Balance...

=
=

61
_______________
61
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

61
_______________
0
_______________
_______________
61
_______________

Paperwork Reduction Act Notice
Time Per Response
2.63
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
2.39
______________
0.10
______________
0.14
______________
0.00
______________

Average Time
Per Response
2 hrs. , 23 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 08 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. I

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

2004

Changes (+ -)

2007

23
______________
23
______________
0.00
______________
0.85
______________
5
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

23
______________
23
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
23 x _____________
6.61
Old Computation (Prog. Change) ______________
23
6.61
New Computation.............. ______________ x _____________
Balance...

=
=

153
_______________
153
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

153
_______________
0
_______________
_______________
153
_______________

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

Notes:
No changes made.

Average Hours
Per Response
5.50
______________
0.50
______________
0.61
______________
0.00
______________

Average Time
Per Response
5 hrs. , 30 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 36 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. H

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

2004

Changes (+ -)

2007

47
______________
7
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

47
______________
7
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
47 x _____________
1.90
Old Computation (Prog. Change) ______________
47
1.90
New Computation.............. ______________ x _____________
Balance...

=
=

90
_______________
90
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

90
_______________
0
_______________
_______________
90
_______________

Paperwork Reduction Act Notice
Time Per Response
1.90
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
1.67
______________
0.10
______________
0.13
______________
0.00
______________

Average Time
Per Response
1 hrs. , 40 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 07 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. G

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

2004

Changes (+ -)

2007

23
______________
8
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

23
______________
8
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
23 x _____________
2.15
Old Computation (Prog. Change) ______________
23
2.15
New Computation.............. ______________ x _____________
Balance...

=
=

50
_______________
50
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

50
_______________
0
_______________
_______________
50
_______________

Paperwork Reduction Act Notice
Time Per Response
2.15
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
1.91
______________
0.10
______________
0.13
______________
0.00
______________

Average Time
Per Response
1 hrs. , 54 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 07 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. F

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

2004

Changes (+ -)

2007

236
______________
10
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

236
______________
10
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
236 x _____________
2.63
Old Computation (Prog. Change) ______________
236
2.63
New Computation.............. ______________ x _____________
Balance...

=
=

621
_______________
621
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

621
_______________
0
_______________
_______________
621
_______________

Paperwork Reduction Act Notice
Time Per Response
2.63
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
2.39
______________
0.10
______________
0.14
______________
0.00
______________

Average Time
Per Response
2 hrs. , 23 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 08 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. E

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

2004

Changes (+ -)

2007

236
______________
7
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

236
______________
7
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
236 x _____________
2.31
Old Computation (Prog. Change) ______________
236
2.31
New Computation.............. ______________ x _____________
Balance...

=
=

546
_______________
546
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

546
_______________
0
_______________
_______________
546
_______________

Paperwork Reduction Act Notice
Time Per Response
2.31
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
1.67
______________
0.30
______________
0.34
______________
0.00
______________

Average Time
Per Response
1 hrs. , 40 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 20 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. D

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

2004

Changes (+ -)

2007

1,415
______________
17
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,415
______________
17
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
1,415 x _____________
4.74
Old Computation (Prog. Change) ______________
1,415
4.74
New Computation.............. ______________ x _____________
Balance...

=
=

6,708
_______________
6,708
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

6,708
_______________
0
_______________
_______________
6,708
_______________

Paperwork Reduction Act Notice
Time Per Response
4.74
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
4.07
______________
0.30
______________
0.37
______________
0.00
______________

Average Time
Per Response
4 hrs. , 04 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 22 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. C

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

2004

Changes (+ -)

2007

944
______________
4
______________
0.00
______________
0.85
______________
2
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

944
______________
4
______________
0.00
______________
0.85
______________
2
______________

Computation of Changes
944 x _____________
1.38
Old Computation (Prog. Change) ______________
944
1.38
New Computation.............. ______________ x _____________
Balance...

=
=

1,303
_______________
1,303
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,303
_______________
0
_______________
_______________
1,303
_______________

Paperwork Reduction Act Notice
Time Per Response
1.38
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
0.96
______________
0.20
______________
0.22
______________
0.00
______________

Average Time
Per Response
0 hrs. , 57 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. B

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

2004

Changes (+ -)

2007

1,415
______________
7
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,415
______________
7
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
1,415 x _____________
2.31
Old Computation (Prog. Change) ______________
1,415
2.31
New Computation.............. ______________ x _____________
Balance...

=
=

3,269
_______________
3,269
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,269
_______________
0
_______________
_______________
3,269
_______________

Paperwork Reduction Act Notice
Time Per Response
2.31
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
1.67
______________
0.30
______________
0.34
______________
0.00
______________

Average Time
Per Response
1 hrs. , 40 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 20 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 8, 2007

Product:
Description:

1024 PKG/SCH. A

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

2004

Changes (+ -)

2007

94
______________
12
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

94
______________
12
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
94 x _____________
3.53
Old Computation (Prog. Change) ______________
94
3.53
New Computation.............. ______________ x _____________
Balance...

=
=

332
_______________
332
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

332
_______________
0
_______________
_______________
332
_______________

Paperwork Reduction Act Notice
Time Per Response
3.53
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
2.87
______________
0.30
______________
0.35
______________
0.00
______________

Average Time
Per Response
2 hrs. , 52 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 21 min.
___________________
0 hrs. , 00 min.
___________________

Burden Computation - Business Forms
Page 1 of 1

February 7, 2007

Product:
Description:

1024 PART IV/1024 PART IV

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

1998

Changes (+ -)

1998

282
______________
7
______________
______________
0.85
______________
8
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

282
______________
7
______________
0.00
______________
0.85
______________
8
______________

Computation of Changes
282 x _____________
3.33
Old Computation (Prog. Change) ______________
282
3.33
New Computation.............. ______________ x _____________
Balance...

=
=

940
_______________
940
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

940
_______________
0
_______________
_______________
940
_______________

Paperwork Reduction Act Notice
Time Per Response
3.33
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes made.

Average Hours
Per Response
1.67
______________
0.79
______________
0.86
______________
0.00
______________

Average Time
Per Response
1 hrs. , 40 min.
___________________
0 hrs. , 47 min.
___________________
0 hrs. , 51 min.
___________________
0 hrs. , 00 min.
___________________