Burden

Burden Computation - Business Forms
Page 1 of 1

November 20, 2015

Product:
Description:

8971/
Information Regarding Beneficiaries Acquiring Property from a Decedent

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2015

+10,000
_____________________________
+16
_____________________________
_____________________________
+0.85
_____________________________
+7
_____________________________

10,000
______________
16
______________
0.00
______________
0.85
______________
7
______________

Computation of Changes
10,000 x _____________
Old Computation (Prog. Change) ______________
10,000 x _____________
5.31
New Computation.............. ______________
Balance...

=
=

_______________
53,100
_______________
_______________
+53,100

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

______________ x _____________
10,000 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+53,100
_______________
_______________
53,100
_______________

Paperwork Reduction Act Notice
Time Per Response
5.31
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.83
______________
0.70
______________
0.79
______________
0.00
______________

Average Time
Per Response
3 hrs. , 49 min.
___________________
0 hrs. , 42 min.
___________________
0 hrs. , 47 min.
___________________
0 hrs. , 00 min.
___________________