Burden Computation Worksheet

Burden Computation - Business Forms
Page 1 of 1

January 11, 2013

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

8928/
Return of Excise Taxes Under Chapter 43 of the Internal Revenue Code
2009

Changes (+ -)

2012

100
______________
53
______________
2.00
______________
0.85
______________
33
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100
______________
53
______________
2.00
______________
0.85
______________
33
______________

Computation of Changes
100 x _____________
23.48
Old Computation (Prog. Change) ______________
100 x _____________
23.48
New Computation.............. ______________
Balance...

=
=

2,348
_______________
2,348
_______________
_______________
0

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

100 x _____________
23.48
______________
100 x _____________
23.48
______________

=
=

2,348
_______________
2,348
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
2,348
_______________
0
_______________
0
_______________
2,348
_______________

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

Paperwork Reduction Act Notice
Time Per Response
23.48
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
12.67
______________
4.01
______________
6.25
______________
0.54
______________

Average Time
Per Response
12 hrs. , 40 min.
___________________
4 hrs. , 00 min.
___________________
6 hrs. , 15 min.
___________________
0 hrs. , 32 min.
___________________