Form 2848 Burden

Burden Computation - Individual Forms
Page 1 of 1

May 15, 2014

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

2848/
Power of Attorney and Declaration of Representative
2011

Changes (+ -)

2014

358,333
______________
33
______________
2.00
______________
4,827.00
______________
10
______________
0.00
______________
1.00
______________
0.00
______________

+100,000
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

458,333
______________
33
______________
2.00
______________
4,827.00
______________
10
______________
______________
1.00
______________
0.00
______________

Computation of Changes
458,333 x _____________
1.99
Old Computation (Prog. Change) ______________
458,333 x _____________
1.99
New Computation.............. ______________
Balance...

=
=

912,083
_______________
912,083
_______________
_______________
0

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

1.99
______________
358,333 x _____________
458,333 x _____________
1.99
______________

=
=

713,083
_______________
912,083
_______________
_______________
+199,000

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

713,083
_______________
0
_______________
+199,000
_______________
912,083
_______________

Paperwork Reduction Act Notice
Time Per Response
1.99
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.11
______________
0.53
______________
0.77
______________
0.58
______________

0 hrs. , 06 min.
___________________
0 hrs. , 31 min.
___________________
0 hrs. , 46 min.
___________________
0 hrs. , 34 min.
___________________