2013 Burden estimate

Burden Computation - Business Forms
Page 1 of 1

January 30, 2014

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

W-8BEN/
Certificate of Foreign Status of Beneficial Owner for United States Tax
2013

Changes (+ -)

2013

3,000,000
______________
12
______________
0.00
______________
0.85
______________
21
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2,900,000
______________
12
______________
0.00
______________
0.85
______________
21
______________

Computation of Changes
2,900,000 x _____________
7.18
Old Computation (Prog. Change) ______________
2,900,000
0.00
New Computation.............. ______________ x _____________
Balance...

=
=

20,822,000
_______________
0
_______________
_______________
-20,822,000

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

3,000,000 x _____________
7.18
______________
______________
2,900,000 x _____________
7.18

=
=

21,540,000
_______________
_______________
20,822,000
_______________
-718,000

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
21,540,000
_______________
-20,822,000
_______________
-718,000
_______________
0
_______________

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

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

Notes:

Average Hours
Per Response
______________
______________
______________
______________

Average Time
Per Response
___________________
___________________
___________________
___________________