Burden Computation

Burden Computation - Business Forms
Page 1 of 1

July 7, 2015

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

4810/
Request for Prompt Assessment Under Internal Revenue Code Section
2012

Changes (+ -)

2015

4,000
______________
23
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,000
______________
23
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
4,000 x _____________
6.20
Old Computation (Prog. Change) ______________
4,000
6.20
New Computation.............. ______________ x _____________
Balance...

=
=

24,800
_______________
24,800
_______________
_______________
0

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

4,000 x _____________
6.20
______________
______________
4,000 x _____________
6.20

=
=

24,800
_______________
_______________
24,800
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

24,800
_______________
0
_______________
0
_______________
24,800
_______________

Paperwork Reduction Act Notice
Time Per Response
6.20
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
5.50
______________
0.30
______________
0.40
______________
0.00
______________

Average Time
Per Response
5 hrs. , 30 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 24 min.
___________________
0 hrs. , 00 min.
___________________