2017 Burden

Burden Computation - Business Forms
November 16, 2017

Product: Form 2678
OMB Number: 1545-0748
Description: Employer/Payer Appointment Agent
Variables

Changes (+ -)

Responses
Line Items

9999

+6,130,000

6,130,000

+9

9

+6

6

Attached Forms
Percent Paid Preparor
Code References

Computation of Changes
Old Computation (Prog. Change)

6,130,000

×

New Computation

6,130,000

×

=
2.24

Balance
Old Computation (Adjustment)
New Computation

6,130,000

=

13,731,200

=

13,731,200

×

=

×

=

Balance

13,731,200

=

Summary
Old Burden
Program Change

13,731,200

Adjustment
New Burden

2.24

Paperwork Reduction Act Notice
Time Per Response
2.24
Average Hours Per Response
Record Keeping

1.09

1 hrs. , 05 min.

Learning

0.91

0 hrs. , 54 min.

Preparing

0.23

0 hrs. , 13 min.

Sending
Notes:

0.0