Burden

Burden Computation - Special Business Forms
Page 1 of 1

August 23, 2016

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

1099OID/
Original Issue Discount
2016

Changes (+ -)

2016

1,966,000
______________
12
______________
0.85
______________

_____________________________
+2
_____________________________
_____________________________

1,966,000
______________
14
______________
0.85
______________

Computation of Changes
1,966,000 x _____________
0.19
Old Computation (Prog. Change) ______________
1,966,000 x _____________
0.22
New Computation.............. ______________
Balance...

=
=

373,540
_______________
432,520
_______________
+58,980
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

373,540
_______________
+58,980
_______________
_______________
432,520
_______________

Paperwork Reduction Act Notice
Time Per Response
0.22
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.22
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 13 min.
___________________