2011 Burden Form 990-BL

Burden Computation - Business Forms
Page 1 of 1

August 14, 2014

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

990BL/
Information and Initial Excise Tax Return for Black Lung Benefit Trusts and
2011

Changes (+ -)

2014

22
______________
69
______________
0.00
______________
0.85
______________
34
______________

_____________________________
+41
_____________________________
_____________________________
_____________________________
+3
_____________________________

22
______________
110
______________
0.00
______________
0.85
______________
37
______________

Computation of Changes
22 x _____________
23.67
Old Computation (Prog. Change) ______________
22 x _____________
34.25
New Computation.............. ______________
Balance...

=
=

521
_______________
754
_______________
_______________
+233

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

22 x _____________
23.67
______________
22 x _____________
23.67
______________

=
=

521
_______________
521
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

521
_______________
+233
_______________
0
_______________
754
_______________

Paperwork Reduction Act Notice
Time Per Response
34.25
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
26.31
______________
3.68
______________
4.27
______________
0.00
______________

Notes:
Combining burden of main form and Schedule A.

Average Time
Per Response
26 hrs. , 18 min.
___________________
3 hrs. , 40 min.
___________________
4 hrs. , 16 min.
___________________
0 hrs. , 00 min.
___________________