1023-ez

Burden Computation - Business Forms
Page 1 of 1

April 24, 2017

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

1023-EZ/
IRC 501(c)(3) Streamline Application Form (1023-EZ)
2014

Changes (+ -)

2017

56,340
______________
42
______________
3.00
______________
0.85
______________
14
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

56,340
______________
42
______________
3.00
______________
0.85
______________
14
______________

Computation of Changes
56,340 x _____________
18.91
Old Computation (Prog. Change) ______________
56,340
18.91
New Computation.............. ______________ x _____________
Balance...

=
=

1,065,390
_______________
1,065,390
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,065,390
_______________
0
_______________
_______________
1,065,390
_______________

Paperwork Reduction Act Notice
Time Per Response
18.91
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
10.04
______________
2.50
______________
5.56
______________
0.80
______________

Average Time
Per Response
10 hrs. , 02 min.
___________________
2 hrs. , 30 min.
___________________
5 hrs. , 33 min.
___________________
0 hrs. , 48 min.
___________________