Burden for Form 1139

Burden Computation - Business Forms
Page 1 of 1

September 9, 2013

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

1139/
Corporation Application for Tentative Refund
2010

Changes (+ -)

2013

3,750
______________
116
______________
5.00
______________
0.85
______________
31
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

3,750
______________
116
______________
5.00
______________
0.85
______________
31
______________

Computation of Changes
3,750 x _____________
44.25
Old Computation (Prog. Change) ______________
3,750
44.25
New Computation.............. ______________ x _____________
Balance...

=
=

165,938
_______________
165,938
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

165,938
_______________
0
_______________
_______________
165,938
_______________

Paperwork Reduction Act Notice
Time Per Response
44.25
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
27.74
______________
4.92
______________
10.24
______________
1.34
______________

Average Time
Per Response
27 hrs. , 44 min.
___________________
4 hrs. , 55 min.
___________________
10 hrs. , 14 min.
___________________
1 hrs. , 20 min.
___________________