2013 burden

Burden Computation - Special Business Forms
Page 1 of 1

August 22, 2014

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

8966/
FATCA Report
2013

Changes (+ -)

2014

4,636,800
______________
27
______________
0.85
______________

_____________________________
_____________________________
_____________________________

4,636,800
______________
27
______________
0.85
______________

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

=
=

1,947,456
_______________
1,947,456
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,947,456
_______________
0
_______________
_______________
1,947,456
_______________

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.
___________________
___________________