Burden summary

Burden Computation - Special Business Forms
Page 1 of 1

November 16, 2015

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

1099PATR/
Taxable Distributions Received From Cooperatives
2012

Changes (+ -)

2015

1,961,131
______________
17
______________
0.85
______________

_____________________________
_____________________________
_____________________________

1,961,131
______________
17
______________
0.85
______________

Computation of Changes
1,961,131 x _____________
0.26
Old Computation (Prog. Change) ______________
1,961,131 x _____________
0.26
New Computation.............. ______________
Balance...

=
=

509,895
_______________
509,895
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

509,895
_______________
0
_______________
_______________
509,895
_______________

Paperwork Reduction Act Notice
Time Per Response
0.26
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.26
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 15 min.
___________________