burden (new filers)

Burden Computation - Special Business Forms
Page 1 of 1

October 19, 2016

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

1099INT/
Interest Income
2016

Changes (+ -)

2016

242,536,300
______________
21
______________
0.85
______________

-1,988,300
_____________________________
_____________________________
_____________________________

140,555,000
______________
21
______________
0.85
______________

Computation of Changes
140,555,000 x _____________
0.33
Old Computation (Prog. Change) ______________
140,555,000 x _____________
0.00
New Computation.............. ______________
Balance...

=
=

46,383,150
_______________
0
_______________
-46,383,150
_______________

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

242,536,300 x _____________
0.33
______________
______________
140,555,000 x _____________
0.33

=
=

80,036,979
_______________
_______________
46,383,150
-33,653,829
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
80,036,979
_______________
-46,383,150
_______________
-33,653,829
_______________
0
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.00
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
______________

Average Time
Per Response
___________________
___________________
___________________
hrs. , 00 min.
___________________