Burden Form 8950

Burden Computation - Business Forms
Page 1 of 1

September 3, 2013

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

8950/
Application for Voluntary Correction Program (VCP) Submission under the
2012

Changes (+ -)

2013

5,000
______________
22
______________
0.00
______________
0.85
______________
22
______________

_____________________________
_____________________________
_____________________________
-0.85
_____________________________
_____________________________

5,000
______________
22
______________
0.00
______________
0.00
______________
22
______________

Computation of Changes
5,000 x _____________
9.81
Old Computation (Prog. Change) ______________
5,000
9.81
New Computation.............. ______________ x _____________
Balance...

=
=

49,050
_______________
49,050
_______________
_______________
0

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

5,000 x _____________
9.81
______________
______________
5,000 x _____________
9.81

=
=

49,050
_______________
_______________
49,050
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

49,050
_______________
0
_______________
0
_______________
49,050
_______________

Paperwork Reduction Act Notice
Time Per Response
9.81
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
5.26
______________
2.18
______________
2.36
______________
0.00
______________

Average Time
Per Response
5 hrs. , 15 min.
___________________
2 hrs. , 10 min.
___________________
2 hrs. , 21 min.
___________________
0 hrs. , 00 min.
___________________