Burden

Burden (2014) 1.PDF

Return of Organization Exempt From Income Tax Under Section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

Burden

OMB: 1545-0047

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Burden Computation - Business Forms
Page 1 of 1

November 19, 2014

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

990 (SCH H)/
Hospitals
2012

Changes (+ -)

2014

2,102
______________
400
______________
0.00
______________
0.85
______________
6
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2,102
______________
400
______________
0.00
______________
0.85
______________
6
______________

Computation of Changes
2,102 x _____________
98.44
Old Computation (Prog. Change) ______________
2,102 x _____________
98.44
New Computation.............. ______________
Balance...

=
=

206,921
_______________
206,921
_______________
_______________
0

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

2,102 x _____________
98.44
______________
2,102 x _____________
98.44
______________

=
=

206,921
_______________
206,921
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

206,921
_______________
0
_______________
0
_______________
206,921
_______________

Paperwork Reduction Act Notice
Time Per Response
98.44
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
95.66
______________
0.59
______________
2.19
______________
0.00
______________

Average Time
Per Response
95 hrs. , 39 min.
___________________
0 hrs. , 35 min.
___________________
2 hrs. , 11 min.
___________________
0 hrs. , 00 min.
___________________

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