Summary of Burden

OMB #1545-2251
Forms 1094-C, 1095-C and 4423
Summary of Burden

February 2018
Forms

Respondents

F-1094-C
F-1095-C
F-4423

400,000
105,000,000
6
Totals

#Responses Per
Respondent

Annual
Responses

1
1
1

105,400,006

105,400,006

Change Due to
Requested Agency Adjustment

Annual Number of
Responses
Annual Time
Burden (Hr)

105,400,006
22,600,002

400,000
105,000,000
6

101,535,000
21,790,000

Previously
Approved

3,865,006
810,002

Reporting

4.00
0.20
0.33

Record-keeping

0.00
0.00
0.00

Hours Per
Response

TOTAL
REPORTING

4.00 1,600,000.00
0.20 21,000,000.00
0.33
1.98
21,600.001.98

TOTAL RECORDKEEPING

0.00
0.00
0.00

Total Annual
Burden

1,600,000
21,000,000
2
22,600,002

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