Burden for Form 5227

Burden Computation - Business Forms
Page 1 of 1

April 11, 2016

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

5227/
Split-Interest Trust Information Return
2013

Changes (+ -)

2016

115,000
______________
250
______________
21.00
______________
0.85
______________
131
______________

+120,000
_____________________________
+24
_____________________________
+1.00
_____________________________
_____________________________
+8
_____________________________

235,000
______________
274
______________
22.00
______________
0.85
______________
139
______________

Computation of Changes
235,000 x _____________
128.34
Old Computation (Prog. Change) ______________
235,000
137.75
New Computation.............. ______________ x _____________
Balance...

=
=

30,159,900
_______________
32,371,250
_______________
_______________
+2,211,350

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

115,000 x _____________
128.34
______________
______________
235,000 x _____________
128.34

=
=

14,759,100
_______________
_______________
30,159,900
_______________
+15,400,800

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
14,759,100
_______________
+2,211,350
_______________
+15,400,800
_______________
32,371,250
_______________

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

Paperwork Reduction Act Notice
Time Per Response
137.75
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
65.53
______________
21.91
______________
44.42
______________
5.90
______________

Average Time
Per Response
65 hrs. , 31 min.
___________________
21 hrs. , 54 min.
___________________
44 hrs. , 25 min.
___________________
5 hrs. , 54 min.
___________________