2013 burden

Burden Computation - Special Business Forms
Page 1 of 1

December 23, 2013

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

8966/
FATCA Report
2012

Changes (+ -)

2013

336,205
______________
21
______________
0.85
______________

+4,300,595
_____________________________
+6
_____________________________
_____________________________

4,636,800
______________
27
______________
0.85
______________

Computation of Changes
4,636,800 x _____________
0.33
Old Computation (Prog. Change) ______________
4,636,800 x _____________
0.42
New Computation.............. ______________
Balance...

=
=

1,530,144
_______________
1,947,456
_______________
+417,312
_______________

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

336,205 x _____________
0.33
______________
4,636,800
0.33
______________ x _____________

=
=

110,948
_______________
1,530,144
_______________
+1,419,196
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
110,948
_______________
+417,312
_______________
+1,419,196
_______________
1,947,456
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.42
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
0.42
______________
______________

Average Time
Per Response
___________________
___________________
0 hrs. , 25 min.
___________________
___________________