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pdfBurden Computation - Business Forms
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January 15, 2015
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Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.
5713 (SCH A)/
International Boycott Factor (Section 999(c)(1))
2011
Changes (+ -)
2014
27
______________
13
______________
0.00
______________
0.85
______________
2
______________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
27
______________
13
______________
0.00
______________
0.85
______________
2
______________
Computation of Changes
27 x _____________
3.57
Old Computation (Prog. Change) ______________
27
3.57
New Computation.............. ______________ x _____________
Balance...
=
=
97
_______________
97
_______________
_______________
0
Old Computation (Adjustment).
New Computation..............
Balance...
______________ x _____________
______________ x _____________
=
=
_______________
_______________
_______________
Old Computation..............
New Computation..............
Balance...
______________ x _____________
______________ x _____________
=
=
_______________
_______________
_______________
Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................
97
_______________
0
_______________
_______________
97
_______________
Paperwork Reduction Act Notice
Time Per Response
3.57
Recordkeeping.............
Learning..................
Preparing.................
Sending...................
Notes:
Average Hours
Per Response
3.11
______________
0.20
______________
0.26
______________
0.00
______________
Average Time
Per Response
3 hrs. , 06 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 15 min.
___________________
0 hrs. , 00 min.
___________________
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