Form 1000 Burden Computation

Burden (2016).PDF

Ownership Certificate

Form 1000 Burden Computation

OMB: 1545-0054

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Burden Computation - Business Forms
Page 1 of 1

April 7, 2016

Product:
Description:

1000/
Ownership Certificate

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

______________
______________
______________
______________
______________

Changes (+ -)

2016

+1,500
_____________________________
+13
_____________________________
_____________________________
+0.85
_____________________________
+1
_____________________________

1,500
______________
13
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
1,500 x _____________
Old Computation (Prog. Change) ______________
1,500 x _____________
3.36
New Computation.............. ______________
Balance...

=
=

_______________
5,040
_______________
_______________
+5,040

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

______________ x _____________
1,500 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+5,040
_______________
_______________
5,040
_______________

Paperwork Reduction Act Notice
Time Per Response
3.36
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.11
______________
0.10
______________
0.15
______________
0.00
______________

Average Time
Per Response
3 hrs. , 06 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 09 min.
___________________
0 hrs. , 00 min.
___________________


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