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pdfSupporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Burden Q12
Appendix A
SS, Q#12. #
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
# of
Recordkeepers
per year
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
600.00
250.00
60.00
5,000.00
50,000.00
50,000.00
5,000.00
32,000.00
2,500.00
75,000.00
75,000.00
228.00
600.00
1,000.00
10,000,000.00
2,500,000.00
5,000,000.00
2,500,000.00
200,000.00
10,000,000.00
600.00
50.00
50.00
50.00
50.00
50.00
50.00
4.00
7,500.00
2,000.00
1,000.00
5,000.00
Regulations
1.25‐3T(d)(2)
1.25‐3T(e)(3)
1.25‐3T(f)(2)
1.25‐3T(g)(2)
1.25‐3T(i)(2)
1.25‐3T(j)(5)
1.25‐3T(k)
1.25‐3T(n)
1.25‐4T(d)
1.41‐7(d)(3)
1.42‐2(b)(3)
1.47‐3(h)(2)
1.83‐2( c )
1.83‐2(d)
1.83‐5(b)(2)
5f.103‐1(temp)
5f.1.103‐2(temp)
6a.103A‐2( c )(1)(ii)(temp)
6a.103A‐2(d)(temp)
6a.103A‐2(h)(1)(ii)(temp)
6a.103A‐3(h)(1)(ii)(temp)
1.125‐1 Q&A‐7 and 1.125 Q&A‐5( c )(3)
1.125‐1 Q&A‐8 and 1.125‐2 Q&A‐6
1.125‐2 Q&A‐7(b)(3)
1.125‐2 Q&A‐7(b)(5)
1.125‐2 Q&A‐7(b)(8)
1.127‐2(i)
1.132‐5(a)(1)(ii)
1.162‐27(f)(1)
1.163‐5(c)(2)(i)(B)(2)(B)
1.163‐5(c)(2)(i)(B)(3)
1.163‐5(c)(2)(i)(B)(4)
1.163‐5(c)(2)(i)(C)(4)
1.163‐5(c)(2)(i)(D)(3)
1.166‐2(d)(1) ‐ state recordkeepers
1.166‐2(d)(1) ‐ federal recordkeepers
1.170A‐4A(b)(4)(ii)
1.170A‐13( c )(4)(iv)(E)
1.170A‐14(g)(5)
1.179‐2(b)(7)
1/13
Filings Per
Respondent
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
30.00
2,000.00
1.00
1.00
1.00
1.00
9/20/2018
# of responses
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
600.00
250.00
60.00
5,000.00
50,000.00
50,000.00
5,000.00
32,000.00
2,500.00
75,000.00
75,000.00
228.00
600.00
1,000.00
10,000,000.00
2,500,000.00
5,000,000.00
2,500,000.00
200,000.00
10,000,000.00
600.00
50.00
50.00
50.00
50.00
50.00
1,500.00
8,000.00
7,500.00
2,000.00
1,000.00
5,000.00
Time per
response in
hours
0.25
0.25
0.25
0.25
0.25
0.25
0.25
0.25
2.00
0.25
2.00
0.20
0.50
0.17
0.50
12.00
10.00
0.50
0.50
5.00
0.50
0.25
0.50
0.25
0.50
0.25
1.00
0.50
50.00
10.00
10.00
10.00
10.00
10.00
0.20
0.20
0.17
0.25
0.17
1.00
Total Burden
Hours
5,000.00
5,000.00
5,000.00
5,000.00
5,000.00
5,000.00
5,000.00
5,000.00
1,200.00
63.00
120.00
1,000.00
25,000.00
8,333.00
2,500.00
384,000.00
25,000.00
37,500.00
37,500.00
1,140.00
300.00
250.00
5,000,000.00
625,000.00
2,500,000.00
625,000.00
200,000.00
5,000,000.00
30,000.00
500.00
500.00
500.00
500.00
500.00
300.00
1,600.00
1,250.00
500.00
167.00
5,000.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Burden Q12
Appendix A
SS, Q#12. #
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
# of
Recordkeepers
per year
50.00
50,749.00
53,420.00
534.00
1,753.00
600.00
9,567,000.00
9,567,000.00
200.00
2,000.00
2,000.00
1,000.00
2.00
3,000.00
250.00
250.00
700,000.00
3,000.00
10.00
10,000.00
100.00
20,000.00
1,000.00
800,000.00
200,000.00
500,000.00
750,000.00
25,000.00
8,900,000.00
15.00
75,000.00
75,000.00
50,000.00
700,000.00
400,000.00
75,000.00
100,000.00
100.00
10,000.00
10,000.00
Regulations
1.194‐2(b)(4)
601.201(e)(7)
601.201(o)(3)(ii) and (xiv‐xxi)
601.201(o)(5)
601.201(q)(1)
1.216(d)(2)(ii)
1.219‐1(d)(2)
1.219(a)‐2( c )(5)
1.280G‐1 Q&A 7
1.305‐5(b)(5)
1.316‐1(b)(5)
1.341‐7(c)(1) and (d)
1.367(e)‐1
1.382‐2T(k)(1)
1.382‐9(d)(2)
1.382‐9(d)(4)(iv)
1.401‐1(a)(2)
1.401(a)‐3(b)
1.401(a)(5)‐1(e)(4)(i)
1.401(a)(9)‐1 Q&A C‐3
1.401(a)(9)‐1 Q&A D‐5
1.401(a)(9)‐1 Q&A E‐8
1.401(a)(9)‐1 Q&A H‐3
1.401(a)‐13(e)
1.401(a)‐14(b)
1.401(a)‐20 Q&A 24
1.401(a)‐20 Q&A 34‐37
1.401(a)‐20 Q&A 45‐47
1.401(a)(31)‐1T Q&A 1‐4
1.401(a)‐50
1.401(k)‐1(d)(2)(iii) & (iv)
1.401(m)‐1(c)(2)
1.401(m)‐1(f)(6)
1.402(e)‐2(f)
1.402(f)‐1
1.402(g)‐1(e)(2)
1.402(g)‐1(e)(3)
1.403(b)‐2T Q&A‐3
1.408‐5
1.408‐6
2/13
Filings Per
Respondent
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
9/20/2018
# of responses
50.00
50,749.00
53,420.00
534.00
1,753.00
600.00
9,567,000.00
9,567,000.00
200.00
2,000.00
2,000.00
1,000.00
2.00
3,000.00
250.00
250.00
700,000.00
3,000.00
10.00
10,000.00
100.00
20,000.00
1,000.00
800,000.00
200,000.00
500,000.00
750,000.00
25,000.00
8,900,000.00
15.00
75,000.00
75,000.00
50,000.00
700,000.00
400,000.00
75,000.00
100,000.00
100.00
10,000.00
10,000.00
Time per
response in
hours
0.50
0.50
2.00
0.50
2.00
0.50
1.00
1.00
200.00
0.17
0.50
0.25
2.00
0.33
0.25
0.25
0.70
0.10
1.40
0.15
0.05
0.15
0.10
0.17
0.25
0.17
0.50
0.40
0.02
0.50
4.00
0.50
0.50
1.00
0.58
0.50
0.25
50.00
10.00
250.00
Total Burden
Hours
25.00
25,375.00
106,840.00
267.00
3,506.00
300.00
159,400.00
159,400.00
40,000.00
333.00
1,000.00
250.00
4.00
1,000.00
63.00
63.00
490,000.00
300.00
14.00
1,500.00
5.00
3,000.00
100.00
133,333.00
50,000.00
83,333.00
375,000.00
10,000.00
1,335,000.00
8.00
300,000.00
37,500.00
25,000.00
700,000.00
233,333.00
37,500.00
25,000.00
5,000.00
100,000.00
2,500,000.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Burden Q12
Appendix A
SS, Q#12. #
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
# of
Recordkeepers
per year
10,000.00
500.00
10,000.00
5,000.00
50,000.00
5,000.00
4,000.00
11,300,000.00
3,000.00
1,500.00
6.00
1.00
500.00
1,000.00
750,000.00
10,000.00
5,000.00
500.00
500.00
5,000.00
500.00
36,000.00
100,000.00
400,000.00
50,000.00
40.00
6,000.00
3,000.00
40.00
50.00
50.00
50.00
50.00
50.00
50.00
500.00
147,000.00
10,000.00
4,000.00
4,000.00
Regulations
1.408‐6(b)
1.408‐6(d)(4)(ii)(c)
1.408‐7
1.408‐9(a)
1.408‐9(b)
1.411(a)‐4(b)(6)
1.411(a)‐8T(b)
1.411(a)‐11( c )
1.411(d)‐4 Q&A‐2(d)(iv)(3)
1.411(d)‐4 Q&A‐3(b)(1)
1.412(c)(1)‐3(c ),(e )& (i) ‐ restoration
1.412(c)(1)‐3(c ),(e )& (i ) ‐ actuarial
11.412(c)‐7 (temp)
1.414(1)‐1(h)(4)(i)(2)
1.417(e)‐1(b)(2)
1.421‐1(a)(1)
1.422‐5
14a.422A‐1Q&A‐30(temp)
1.422A‐2(b)(3)(iv)(temp)
1.423‐2(c)(1)
1.423‐2(c)(4)
1.457‐2(b)
1.457‐2(h)(1)
1.457‐2(i)(2)
1.457‐2(k)
1.509(a)‐4(i)(4)
1.854‐2(a)
1.854‐2(b)
1.860E‐2(a)(5)
1.936‐10(c)(11)(i)
1.936‐10(c)(11)(ii)
1.936‐10(c)(12)
1.936‐10(c)(13)(i)
1.936‐10(c)13)(ii)
1.936‐10(c)(13)(iii)(B)
1.1015‐1(a)(3)
1.1015‐1(g)
1.1092(b)‐3T(d)(2)and(4)
18.1377‐1
1.1377‐1(b)(1)
3/13
Filings Per
Respondent
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
9/20/2018
# of responses
10,000.00
500.00
10,000.00
5,000.00
50,000.00
5,000.00
4,000.00
11,300,000.00
3,000.00
1,500.00
6.00
1.00
500.00
1,000.00
750,000.00
10,000.00
5,000.00
500.00
500.00
5,000.00
500.00
36,000.00
100,000.00
400,000.00
50,000.00
40.00
6,000.00
3,000.00
40.00
50.00
50.00
50.00
50.00
50.00
50.00
500.00
147,000.00
10,000.00
4,000.00
4,000.00
Time per
response in
hours
10.00
10.00
20.00
2.00
1.00
1.00
2.00
0.05
0.50
0.50
5.00
3.00
2.00
1.00
0.50
40.00
20.00
20.00
20.00
20.00
20.00
50.00
0.50
0.05
0.25
4.00
1.00
0.25
2.00
0.75
1.00
1.25
1.00
0.50
1.00
0.50
0.50
1.00
0.25
0.25
Total Burden
Hours
100,000.00
5,000.00
200,000.00
10,000.00
50,000.00
5,000.00
8,000.00
565,000.00
1,500.00
750.00
30.00
3.00
1,000.00
1,000.00
375,000.00
400,000.00
100,000.00
10,000.00
10,000.00
100,000.00
10,000.00
1,800,000.00
50,000.00
20,000.00
12,500.00
160.00
6,000.00
750.00
80.00
38.00
50.00
63.00
50.00
25.00
50.00
250.00
73,500.00
10,000.00
1,000.00
1,000.00
Appendix A
SS, Q#12. #
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Burden Q12
# of
Recordkeepers
per year
4,000.00
4,000.00
300.00
300.00
1,000.00
6,000,000.00
1,000.00
1,200.00
1,500,000.00
1,420.00
25,000.00
10,400.00
50.00
5,000.00
5.00
6,000.00
6,000.00
250,000.00
10,160,000.00
2,000,000.00
1,000,000.00
3,000,000.00
1,000.00
100.00
1,000.00
1,000.00
60,000.00
500.00
200.00
150.00
1,000.00
100.00
1,200.00
100.00
100.00
100,000.00
1,000,000.00
1,000,000.00
50,000.00
1,000.00
Regulations
1.1398‐2(f)(2)(v)
1.1398‐2(f)(2)(v)
1.1441‐4(b)(iii)
1.1441‐4(b)(4)(i)
1.1443‐1(b)(4)
1.1445‐8(e)
1.1445‐2( c)(3) and 1.1445‐5(b)(4)(iii), ( c)(2)(iii)and (d)(2)(i)
1.1445‐9T and 1.1445‐10T
1.1461‐2(c )(3)(ii)
1.1502‐95T(e)(3)
31.3121(b)(3)‐1(b)
31.3121(b)(12)‐1
31.3302(a)‐3(a)
31.3401(a)‐1(b)(12)
31.3401(a)‐1(b)(8)(ii)(c)
31.3401(a)(6)‐1(d)
31.3401(a)(8)( c)‐1(b)(2)
31.3402(h)(3)‐1
35.3405‐1(temp)
31.3508‐1(b)(iii)
31.3508‐1( c)(iii)
31.3508‐1(e)
48.4041‐5
48.4041‐10
48.4041‐15
48.4041‐17
145.4052‐1(a)
48.4081‐2( c)(3)
48.4081‐3(e)(2)(ii)
48.4081‐3(f)(2)(ii)
48.4081‐4(b)(2)(ii)
48.4081‐4( c)
48.4081‐6( c)(1)(ii)
49.4253‐3 & 49.4253‐11
49.4253‐4 & 49.4253‐11
49.4261‐4(c )
49.4261‐4(d)
49.4261‐6(c )
49.4261‐6(d)
49.4261‐6(e)
4/13
Filings Per
Respondent
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
9/20/2018
# of responses
4,000.00
4,000.00
300.00
300.00
1,000.00
6,000,000.00
1,000.00
1,200.00
1,500,000.00
1,420.00
25,000.00
10,400.00
50.00
5,000.00
5.00
6,000.00
6,000.00
250,000.00
10,160,000.00
2,000,000.00
1,000,000.00
3,000,000.00
1,000.00
100.00
1,000.00
1,000.00
60,000.00
500.00
200.00
150.00
1,000.00
100.00
1,200.00
100.00
100.00
100,000.00
1,000,000.00
1,000,000.00
50,000.00
1,000.00
Time per
response in
hours
0.08
0.08
10.00
5.00
300.00
0.25
0.25
0.50
0.17
0.25
0.25
2.00
1.00
0.08
0.17
0.25
0.25
0.50
0.02
0.08
0.08
0.08
0.10
0.10
0.10
0.10
0.60
0.10
0.10
0.10
0.10
0.10
0.10
0.50
0.50
0.01
0.01
0.01
0.01
1.00
Total Burden
Hours
333.00
333.00
3,000.00
1,500.00
3,000.00
1,500,000.00
250.00
600.00
25,000.00
355.00
6,250.00
20,800.00
50.00
417.00
1.00
1,500.00
1,500.00
125,000.00
169,333.00
166,667.00
83,333.00
250,000.00
100.00
10.00
100.00
100.00
36,000.00
50.00
20.00
15.00
100.00
10.00
120.00
50.00
50.00
1,000.00
10,000.00
10,000.00
500.00
1,000.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Burden Q12
Appendix A
SS, Q#12. #
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
# of
Recordkeepers
per year
1,000.00
200.00
100.00
500.00
300.00
300.00
100.00
200.00
4,000.00
4,000.00
5,000.00
250.00
5,000.00
500.00
45,616.00
7,500.00
500.00
3,000.00
450,000.00
900,000.00
450,000.00
500.00
3,250.00
25,000.00
200,000.00
1,750.00
5,300.00
35,000.00
100.00
350.00
1,000.00
11,500.00
11,500.00
11,500.00
12,700.00
100.00
25,000.00
400.00
500.00
50,000.00
Regulations
49.4264(c )‐1(a)(2)
52.4682‐2(b)
52.4682‐2(b)(3)&(4)
52.4682‐5(d)&(f)(3)
56.4911‐10(f)(2)
56.4911‐10(f)(3)
53.4942(a)‐3(c )(ii)
53.4945
54.4975‐7(b)(9)
54.4975‐7(b)(10)and(12)
1.6031( c)‐1T(a)(1)
1.6031( c)‐1T(a)(3)
1.6031( c)‐1T(e)
1.6031( c)‐1T(h)
1.6033‐3(b)
1.6041‐5
5f.6045‐1( c)(3)(i)(B)(temporary)
1.6045‐4(d)(2) and (3)
1.6047‐1(a)(3)
1.6047‐1(a)(4)
1.6047‐1(b)
1.6049‐4( c)(1)(iii)
1.6049‐5
1.6049‐5(b)(2)
1.6050K‐1(d)
31.6091‐1(d)
301.6111‐1T,Q & A #41
301.6111‐1T,Q & A #51‐54
301.6112‐1T,Q & A #11‐13
301.6112‐1T,Q & A #15
301.6223(c)‐1T(d)
301.6223(g)‐1T(a)(1)
301.6223(g)‐1T(a)(2)
301.6223(g)‐1T(b)
301.6223(h)‐1T
301.6402‐7
31.6413(a)‐1(a)(1)
48.6416(b)(3)‐3
1.7704‐1(f)(1)
1.7872‐5T(b)(6)
5/13
Filings Per
Respondent
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
9/20/2018
# of responses
1,000.00
200.00
100.00
500.00
300.00
300.00
100.00
200.00
4,000.00
4,000.00
5,000.00
250.00
5,000.00
500.00
45,616.00
7,500.00
500.00
3,000.00
450,000.00
900,000.00
450,000.00
500.00
3,250.00
25,000.00
200,000.00
1,750.00
5,300.00
35,000.00
100.00
350.00
1,000.00
11,500.00
11,500.00
11,500.00
12,700.00
100.00
25,000.00
400.00
500.00
50,000.00
Time per
response in
hours
0.01
0.10
0.10
0.10
1.00
1.00
1.00
1.00
0.50
0.50
1.00
0.50
0.25
1.00
1.00
0.08
2.00
0.17
0.50
0.50
0.50
0.08
0.08
0.08
0.10
0.03
0.25
0.10
0.10
0.10
1.00
3.00
3.00
6.00
3.00
0.25
20.00
0.10
0.50
5.00
Total Burden
Hours
10.00
20.00
10.00
50.00
300.00
300.00
100.00
200.00
2,000.00
2,000.00
5,000.00
125.00
1,250.00
500.00
45,616.00
625.00
1,000.00
500.00
225,000.00
450,000.00
225,000.00
42.00
271.00
2,083.00
20,000.00
58.00
1,325.00
3,500.00
10.00
35.00
1,000.00
34,500.00
34,500.00
69,000.00
38,100.00
25.00
500,000.00
40.00
250.00
4,167.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Burden Q12
Appendix A
SS, Q#12. #
201
202
203
204
205
206
# of
Recordkeepers
per year
25,000,000.00
50.00
1,000,000.00
1,000.00
100.00
50.00
Regulations
35a.999‐3(7805)
35a.9999‐5(a)Q&A5
35a.9999‐5(b)Q&A8
35a.9999‐5(b)Q&A12,14,15
35a.9999‐5(b)Q&A13
35a.9999‐5(b)Q&A19
Totals of items above
130,718,403.00
6/13
Filings Per
Respondent
1.00
1.00
1.00
1.00
1.00
1.00
9/20/2018
# of responses
25,000,000.00
50.00
1,000,000.00
1,000.00
100.00
50.00
130,727,849.00
Time per
response in
hours
1.00
1.00
4.00
2.00
2.00
2.00
Total Burden
Hours
416,667.00
50.00
4,000,000.00
2,000.00
200.00
100.00
33,931,750.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Non‐Burden Q15
Appendix B
SS, Q#15. #
# of
Recordkeepers
per year
Filings Per
Respondent # of responses
Time per
response in
hours
Total Burden
Hours
Regulations
OMB #
1
32.1(e)temp
1545‐0008
1545‐0029
1545‐2007
W‐2
941
944
7,500.00 200.00 1,500,000.00 0.08 125,000.00
2
32.1(g)(3) temp
32.2(e)temp
4
32.2(g)(3)temp
5
1.25‐8T
6
8
1.41‐7(d)(2) inactive
1.42‐1T(d)(8)(ii)
1.42‐5(c)
9
1.42‐5(e)
10
1.42‐6(c)(2)
11
1.42‐8(a)(6)
12
1.42‐8(b)(4)
13
17
1.42‐14(d)(3)
1.46‐8(d)(8)(ii)
1.47‐4(b)(2)
1.48‐12(d)
1.51‐1(d)(1)
18
1.61‐21( c )
19
1.62‐2
20
1.62‐2(d)(1)
W‐2
941
944
CT‐1
941
944
CT‐1
941
944
8329
8330
N/A
8609
8609
8877
8609
8610
8823
8586
8609
8610
8586
8609
8610
8586
8609
8610
8610
5309
4255
3468
8850
5884
5884‐C
W‐2
941
944
W‐2
2106
W‐2
5,000.00 200.00 1,000,000.00 0.08 83,333.00
3
1545‐0008
1545‐0029
1545‐2007
1545‐0001
1545‐0029
1545‐2007
1545‐0001
1545‐0029
1545‐2007
1545‐0922
1545‐0922
N/A
1545‐0988
1545‐0988
1545‐1882
1545‐0988
1545‐0990
1545‐1204
1545‐0984
1545‐0988
1545‐0990
1545‐0984
1545‐0988
1545‐0990
1545‐0984
1545‐0988
1545‐0990
1545‐0990
1545‐0284
1545‐0166
1545‐0155
1545‐1500
1545‐0219
1545‐2226
1545‐0008
1545‐0029
1545‐2007
1545‐0008
1545‐0074
1545‐0008
7
14
15
16
Form or Comment
9/20/2018
7/13
3,300.00 212.00 699,600.00 0.08 58,300.00
1,000.00 100.00 100,000.00 0.08 8,333.00
6,000.00 1.00 6,000.00 2.00 12,000.00
250.00 1.00 250.00 0.25 63.00
3,500.00 1.00 3,500.00 1.00 3,500.00
500,000.00 1.00 500,000.00 0.25 125,000.00
400.00 1.00 400.00 1.00 400.00
2,000.00 1.00 2,000.00 2.00 4,000.00
500.00 1.00 500.00 0.50 250.00
50.00 1.00 50.00 0.50 25.00
100.00
100.00
3,000,000.00
600.00
600,000.00
1.00
1.00
1.00
1.00
1.00
100.00
100.00
3,000,000.00
600.00
600,000.00
2.00
1.00
0.10
0.75
1.00
200.00
100.00
300,000.00
450.00
600,000.00
1,000,000.00 5.00 5,000,000.00 0.08 416,667.00
10,000,000.00 1.00 10,000,000.00 0.50 5,000,000.00
1,000,000.00 1.00 1,000,000.00 0.17 166,667.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Non‐Burden Q15
Appendix B
SS, Q#15. #
Regulations
OMB #
24
1.67‐3T(f)
1.72‐17(e)(1)(ii)(b)
1.72‐18(b)(2)(ii)
1.83‐6(a)(2)
25
1.105‐1( c )(4)
26
1.105‐5(a)
1.107‐1(b)
1545‐0123
1545‐0074
1545‐0074
1545‐0008
1545‐0115
1545‐0008
1545‐2251
1545‐0008
1545‐0008
1545‐0074
1545‐0090
N/A
1545‐0123
1545‐1896
1545‐0123
1545‐0026
1545‐0172
1545‐1800
1545‐0645
1545‐0645
1545‐0172
1545‐0123
1545‐0747
N/A
1545‐0047
1545‐0956
1545‐0954
1545‐0047
1545‐1150
1545‐0047
1545‐1150
1545‐0047
1545‐1150
1545‐0118
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0092
1545‐0092
1545‐0092
1545‐1593
1545‐0052
21
22
23
27
28
29
30
31
32
1.125‐1 Q&A‐6 proposed
1.162‐27(e)(4)
1.165‐12(c)(1)(iv)
1.166‐2(d)(1) bank recordkeepers
1.168(d)‐1(b)(7)(iii)
38
5c.168(f)(8)‐2(a)(5)
5c.168(f)(8)‐2(a)(6)
1.169‐4(a)(1)(ix)
1.338‐2(d)
1.408‐5
1.457‐1(b)(1) inactive
39
1.457‐2(g)
40
41
1.468A‐3(h)
1.501(e)‐1
42
1.509(a)‐3(c)(1)(b)
43
1.509(a)‐4(i)(3)(d)
44
1.521‐1(f)
1.585‐2(c)(2)bank recordkeepers
1.585‐2( c)(2)federal record keepers
1.597‐4(g)(5)
1.613A‐3(k)(1)
33
34
35
36
37
45
46
47
48
49
50
51
52
1.642(c)‐2(b)(3)(ii)(B)
1.642(c)‐2(e)
1.642(i)‐1(d)
1.664‐2(a)(iii)
Form or Comment
1066
5329
5329
W‐2
1099 ‐ Misc.
W‐2
1095‐C
W‐2
W‐2
1040
1040‐SS
N/A
1125‐E
13551
1120‐F
926
4562
8886
6793
6793
4562
8023
5498
N/A
990
5500‐EZ
1120‐ND
990
990‐EZ
990
990‐EZ
990
990‐EZ
1099‐PATR
1120
1120
1120
1120S, K‐1
1065, K‐1
1041, K‐1
1041
1041
1041‐QFT
990‐PF
8/13
9/20/2018
# of
Recordkeepers
per year
200.00
100.00
200.00
1,000.00
Filings Per
Respondent # of responses
1.00
1.00
1.00
1.00
200.00
100.00
200.00
1,000.00
Time per
response in
hours
0.25
0.50
0.50
2.00
Total Burden
Hours
50.00
50.00
100.00
2,000.00
50,000.00 1.00 50,000.00 0.25 12,500.00
10,000.00 1.00 10,000.00 0.25 2,500.00
125,100.00 1.00 125,100.00 20.00 41,700.00
10,000,000.00
2,400.00
15,000.00
9,500.00
1,000.00
1.00
1.00
1.00
1.00
1.00
10,000,000.00
2,400.00
15,000.00
9,500.00
1,000.00
0.25
50.00
0.08
7.00
0.25
2,500,000.00
120,000.00
1,250.00
1,108.00
250.00
10,000.00
5,000.00
100.00
100.00
10,000.00
600,000.00
35,000.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
10,000.00
5,000.00
100.00
100.00
10,000.00
600,000.00
35,000.00
1.00
2.00
5.00
10.00
20.00
0.05
6.00
10,000.00
10,000.00
500.00
1,000.00
200,000.00
30,000.00
210,000.00
200.00 1.00 200.00 5.00 1,000.00
1,500.00 1.00 1,500.00 1.00 1,500.00
400.00 1.00 400.00 3.00 1,200.00
200.00 1.00 200.00 3.00 600.00
1,000.00
300.00
1.00
200.00
2,500.00
1.00
1.00
300.00
1.00
1.00
1,000.00
300.00
300.00
200.00
2,500.00
1.00
7.00
23.00
1.00
0.25
1,000.00
35.00
115.00
200.00
625.00
30.00
600.00
100.00
50.00
1.00
1.00
1.00
1.00
30.00
600.00
100.00
50.00
1.00
0.50
0.50
1.00
30.00
300.00
50.00
50.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Non‐Burden Q15
Appendix B
SS, Q#15. #
Regulations
53
1.671‐4(b)
54
1.761‐2(b)(3)(i)
1.761‐2(b)(3)(ii)
1.817‐5(h)(4)
1.823‐6(c)(2)(v)
1.826‐3(c)(2)
1.826‐6(a)
1.832‐4(d)(2)
1.848‐2(g)(8)(iii)
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
1.852‐6(c) RIC recordkeepers
1.852‐6(c) shareholder recordkeepers
1.853‐3(a)
1.853‐3(b)
1.857‐8(d) Shareholder respondent
1.857‐8(d) REIT Respondent
1.860D‐1(b)(5)
1.871‐3
1.874‐1(a)
1.884‐5(b)(3)
1.897‐2(b),(c),(g) and (h)
1.897‐3(c)(4)
1.964‐1(c)(3)(iii)
76
1.985‐2(c)(2)(ii)
1.1014‐4( c)
77
1.1041‐1T
78
80
1.1042‐1T,A‐2(4)
1.1254‐5(d)(2)
1.1275‐2(e)
81
1.1362‐1(a)
82
1.1362‐2(a)(1)
83
1.1362‐2(a)(4)
84
1.1362‐3(b)(1)
75
79
OMB #
Form or Comment
1545‐0196
N/A
1545‐0092
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐1482
1545‐0074
1545‐0123
1545‐0096
1545‐0123
1545‐0134
1545‐0152
1545‐0704
1545‐0123
1545‐2264
1545‐0092
1545‐0074
1545‐0074
1545‐0123
1545‐0123
1545‐0074
1545‐0074
1545‐0117
1545‐0123
5227
W‐9
1041
1065
1065
1120‐PC
1120‐PC
1120‐PC
1120‐PC
1120‐PC
1120‐PC
1120‐L
1120‐RIC
1120‐RIC
1120‐RIC
1120‐RIC
1120‐REIT
1120‐REIT
1066
1078
W‐4
1120‐F
1042
1120‐F
1128
3115
5471
8819
8971
1041
1040
8949
1120S
1065, K‐1
1040
8949
1099‐OID
2553
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1120S
2553
1120S
2553
1120S
9/13
9/20/2018
# of
Recordkeepers
per year
Filings Per
Respondent # of responses
Time per
response in
hours
Total Burden
Hours
1,840,000.00 1.00 1,840,000.00 0.10 184,000.00
10.00
1.00
12.00
75.00
30.00
30.00
500.00
1,500.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
10.00
1.00
12.00
75.00
30.00
30.00
500.00
1,500.00
200.00
2.00
3.00
150.00
4.00
2.00
3.00
3.00
20.00
2.00
36.00
11,250.00
120.00
60.00
1,500.00
4,500.00
60.00
240.00
1,200.00
600.00
15,000.00
310.00
800.00
100.00
500,000.00
1,000.00
1,000.00
12.00
3,354.00
4.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
240.00
240.00
1,200.00
600.00
15,000.00
310.00
800.00
100.00
500,000.00
1,000.00
1,000.00
12.00
3,354.00
4.00
0.25
1.00
0.25
0.25
10.00
0.25
0.25
1.00
2.00
5.00
1.00
1.00
16.00
60.00
1,200.00
150.00
3,750.00
52.00
200.00
25.00
500,000.00
2,000.00
5,000.00
12.00
3,354.00
500.00 1.00 500.00 1.00 500.00
73,000.00 1.00 73,000.00 0.50 36,500.00
5,000,000.00 1.00 5,000,000.00 0.08 416,667.00
200.00 1.00 200.00 1.00 200.00
100.00 1.00 100.00 5.00 500.00
100,000.00 1.00 100,000.00 0.75 75,000.00
300,000.00 1.00 300,000.00 0.25 75,000.00
10,000.00 1.00 10,000.00 0.25 2,500.00
300.00 1.00 300.00 0.25 75.00
15,000.00 1.00 15,000.00 0.25 3,750.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Non‐Burden Q15
Appendix B
SS, Q#15. #
Regulations
85
1.1362‐4(e)
86
1.1368‐1(f)(5)(i)
1.1368‐1(f)(5)(ii)
1.1368‐1(g)(2)
18.1371‐1
1.1382‐2(b)
1.1402(a)‐11
1.1402(a)‐17
87
88
89
90
91
92
93
94
95
96
97
1.1402(e)‐5A(b)(1)(ii)
1.1441‐4(b)(2)(i)
1.1441‐4(b)(2)(iii)
1.1441‐4(b)(2)(iv)
1.1441‐4(b)(4)(iii)
1.1441‐4(b)(4)(iii) NOTE: This regulation is appearing twice.
98
1.1443‐1(b)(2)
99
106
1.1445‐1(c)(2)
1.1445‐2(d)(3)
1.1445‐2(d)(7), 1.1445‐5( c)(2)(iv), (d)(2)(ii) and (e)(2)(iv), and 1.1445‐10T
1.1445‐4(a) and (b)
1.1445‐8(b)(3)
1.1445‐10T
1.1445‐11T(d)(2)
1.1461‐1(a)
107
1.1461‐1(b)(2)
108
1.1502‐5(a)(i)
20.2011‐1( c)(2)
20.2014‐5
20.2032A‐4(a)
20.2032A‐8(a)(1)
20.2032A‐8( c)
20.2044‐1( c)
20.2056A‐2(d)(1)(B)
100
101
102
103
104
105
109
110
111
112
113
114
115
116
117
118
119
20.2056A‐4(a)
25.2518‐2(a)(3)
31.3121(a)‐3(b)(1)(i)
31.3121( r)‐1(b)(4)
OMB #
Form or Comment
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0123
1545‐0074
1545‐1430
1545‐0119
1545‐0074
1545‐0795
1545‐0795
1545‐0795
1545‐0795
1545‐0795
1545‐0096
1545‐0096
1545‐1060
1545‐0902
1545‐1060
1545‐0902
1545‐0902
1545‐0902
1545‐0902
1545‐0096
1545‐0096
1545‐0096
1545‐0096
1545‐0123
1545‐0015
1545‐0260
1545‐0015
1545‐0015
1545‐0015
1545‐0015
1545‐0015
1545‐1212
1545‐1212
1545‐0020
1545‐0008
N/A
10/13
2553
1120S
2553
1120S, K‐1
1120S, K‐1
1120S, K‐1
1120S, K‐1
1120‐C
1040
945
1099‐R
4361
8233
8233
8233
8233
8233
1042
1042‐S
8288‐B
8288
8288‐B
8288
8288
8288
8288
1042
1042‐S
1042
1042‐S
851
706
706‐CE
706
706
706
706
706
706‐QDT
706‐QDT
709
W‐2
SS‐16
9/20/2018
# of
Recordkeepers
per year
Filings Per
Respondent # of responses
Time per
response in
hours
Total Burden
Hours
180.00 1.00 180.00 0.25 45.00
10,400.00
26,000.00
4,000.00
1,500.00
30,000.00
200,000.00
2,000,000.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
10,400.00
26,000.00
4,000.00
1,500.00
30,000.00
200,000.00
2,000,000.00
0.25
0.25
0.25
0.25
1.00
0.25
0.17
2,600.00
6,500.00
1,000.00
375.00
30,000.00
50,000.00
333,333.00
200,000.00
500,000.00
500,000.00
500,000.00
300.00
300.00
1,500,000.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
200,000.00
500,000.00
500,000.00
500,000.00
300.00
300.00
1,500,000.00
0.03
0.50
0.25
0.10
0.25
0.25
0.50
6,667.00
250,000.00
125,000.00
50,000.00
75.00
75.00
750,000.00
1.00 4,000.00
1.00 200.00
7,500.00
1.00 10.00
1.00 100.00
1.00 10.00
1.00 2,000.00
1.00 10.00
0.50
10.00
0.25
1.00
1.00
3.00
1.00
0.25
2,000.00
2,000.00
1,875.00
10.00
100.00
30.00
2,000.00
3.00
4,000.00
200.00
7,500.00
10.00
100.00
10.00
2,000.00
10.00
1,000.00 1.00 1,000.00 0.25 250.00
74,000.00
73,000.00
1,460.00
1,500.00
1,500.00
1,500.00
1,800.00
1,000.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
74,000.00
73,000.00
1,460.00
1,500.00
1,500.00
1,500.00
1,800.00
1,000.00
1.00
0.50
1.00
10.00
1.00
1.00
1.00
2.00
74,000.00
36,500.00
1,460.00
15,000.00
1,500.00
1,500.00
1,800.00
2,000.00
750.00
500.00
1,000,000.00
5.00
1.00
1.00
1.00
1.00
750.00
500.00
1,000,000.00
5.00
3.00
1.00
1.00
1.00
2,250.00
500.00
1,000,000.00
5.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Non‐Burden Q15
Appendix B
SS, Q#15. #
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
Regulations
31.3306(b)‐2
31.3306( c)(12)‐1(a)
31.3401(a)(6)‐1( c)
31.3401(a)(6)‐1(e)
31.3402(n)‐1
31.3402(o)‐1
31.3402(o)‐2(b) and ( c)
31.3402(o)‐2(f)
31.3402(o)‐3
31.3402(p)‐1
31.3402(q)‐1(d) and (e)
31.3402( r)‐1T(a)(1)
31.3405( c)‐1T Q&A 1‐13
31.3406(d)‐5(f) and (g)
48.4081‐7
48.4221‐1(b)
48.4221‐1(c)
48.4221‐2
48.4221‐3
48.4221‐4
48.4221‐5
48.4221‐6
48.4221‐7
48.4221‐8
49.4253‐2
49.4264(b)‐1
49.4271‐1(c )
41.4481‐2(b)
41.4483‐3(f)
54.4979‐1(a)(4)
41.6001‐2
41.6001‐3
1.6011‐3
154
1.6017‐1( c)
1.6033‐3( c)
155
1.6039‐2(a), (b) and ( c)(prop)
153
OMB #
Form or Comment
1545‐0029
1545‐0029
1545‐0008
1545‐0008
1545‐0096
1545‐0096
1545‐0074
1545‐0074
1545‐0074
1545‐0008
1545‐0074
1545‐0074
1545‐0238
1545‐0239
1545‐0074
1545‐0119
1545‐0747
N/A
1545‐1420
1545‐0014
1545‐0014
1545‐0014
1513‐0128
1545‐0014
N/A
1545‐0014
1545‐0014
1513‐0128
1545‐0014
N/A
1545‐0023
1545‐0685
1545‐0143
1545‐0143
1545‐0575
1545‐0143
1545‐0143
1545‐0238
1545‐0239
0960‐0066
1545‐0052
1545‐0052
1545‐2129
941
941‐X
W‐2
W‐2
1042‐S
1042‐S
W‐4
W‐4
W‐4P
W‐2P
W‐4S
W‐4
W‐2G
5754
W‐4
1099‐R
5498
W‐9
8849
637
637
637
Mfr. Vendee
637
Exemption Certificate
637
637
Mfr. Vendee
637
Exemption Certificate
720
1363
2290
2290
5330
2290
2290
W‐2G
5754
SS‐5
4720
990‐PF
3921
11/13
9/20/2018
# of
Recordkeepers
per year
1,000,000.00
10,400.00
40,000.00
800,000.00
10,000,000.00
2,000,000.00
100,000.00
100,000.00
2,000,000.00
250,000.00
15,000,000.00
Filings Per
Respondent # of responses
1.00
1.00
1.00
1.00
1.00
1.00
1.00
150.00
1.00
1.00
1.00
1,000,000.00
10,400.00
40,000.00
800,000.00
10,000,000.00
2,000,000.00
100,000.00
15,000,000.00
2,000,000.00
250,000.00
15,000,000.00
Time per
response in
hours
1.00
2.00
0.25
0.25
0.25
0.25
0.08
0.08
0.08
0.25
0.02
Total Burden
Hours
1,000,000.00
20,800.00
10,000.00
200,000.00
2,500,000.00
500,000.00
8,333.00
1,250,000.00
166,667.00
62,500.00
250,000.00
100.00 1.00 100.00 0.25 25.00
10,160,000.00 1.00 10,160,000.00 0.02 169,333.00
1,750.00
60.00
400.00
1,000.00
1,000.00
200.00
10.00
10,000.00
2,000.00
500.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1,750.00
60.00
400.00
1,000.00
1,000.00
200.00
10.00
10,000.00
2,000.00
500.00
0.50
0.25
0.10
0.10
0.10
0.10
0.10
0.10
0.10
0.10
875.00
15.00
40.00
100.00
100.00
20.00
1.00
1,000.00
200.00
50.00
800.00
4,000.00
5,000.00
10,000,000.00
66,000.00
66,000.00
50.00
250,000.00
15,000.00
2,250,000.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
800.00
4,000.00
5,000.00
10,000,000.00
66,000.00
66,000.00
50.00
250,000.00
15,000.00
2,250,000.00
0.10
0.50
0.15
0.01
0.25
0.25
1.00
0.10
0.01
0.03
80.00
2,000.00
750.00
100,000.00
16,500.00
16,500.00
50.00
25,000.00
150.00
75,000.00
12,500.00 1.00 12,500.00 0.08 1,042.00
45,616.00 1.00 45,616.00 1.00 45,616.00
40,000.00 1.00 40,000.00 0.25 10,000.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Non‐Burden Q15
Appendix B
SS, Q#15. #
156
157
158
Regulations
1.6044‐5
1.6045‐1(g)(1)
1.6049‐6
OMB #
Form or Comment
1545‐2129
1545‐0110
1545‐1621
1545‐0112
1545‐0096
1545‐1099
1545‐0112
1545‐0901
1545‐0901
1506‐0018
1506‐0018
1545‐0877
1545‐0123
1545‐0908
1545‐1424
1545‐0008
N/A
1545‐0074
1545‐0056
1545‐0056
N/A
1545‐0047
1545‐0049
1545‐1150
1545‐0052
1545‐0123
3922
1099‐DIV
W‐8BEN‐E
1099‐INT
1042‐S
8811
1099‐INT
1098
1098
8300
8300
1099‐A
8308
8282
1099‐C
W‐2
Notice 797
4070
1023
1023‐EZ
8976
990
990‐BL
990‐EZ
990‐PF
1065
Any return of tax or
claim for refund of tax
under the IRC
completed by a tax
return preparer
Any return of tax or
claim for refund of tax
under the IRC
completed by a tax
return preparer
Every return, statement
or other document
requiring a taxpayer
identifying a number of
a person other than the
filer
172
1.6049‐7(e)
1.6049‐7(f)
1.6050H‐1(a),( c) &(d)
1.6050H‐2(b)
1.6050I‐1(f)
1.6050I‐2T(d)
1.6050J‐1T
1.6050K‐( c)
1.6050L‐1(d)
1.6050P‐1(f)
31.6051‐1(a),(b),(c),(e),&(g)
31.6051‐1(h)
31.6053‐1(a)
301.6104(d)‐1
173
1.6107‐1
N/A
174
1.6109‐2
N/A
175
301.6109‐1(b)
N/A
159
160
161
162
163
164
165
166
167
168
169
170
171
12/13
9/20/2018
# of
Recordkeepers
per year
Filings Per
Respondent # of responses
Time per
response in
hours
Total Burden
Hours
1,000.00 1.00 1,000.00 0.08 83.00
100,000.00 1.00 100,000.00 2.00 200,000.00
500,000.00 1.00 500,000.00 0.08 41,667.00
4,500.00
300.00
1,000.00
1,000.00
75,000.00
250,000.00
10,250.00
400,000.00
1,000.00
1,500.00
2,250,000.00
250,000.00
3,618,000.00
45,616.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
12.00
1.00
4,500.00
300.00
1,000.00
1,000.00
75,000.00
250,000.00
10,250.00
400,000.00
1,000.00
1,500.00
2,250,000.00
250,000.00
43,416,000.00
45,616.00
2.00
10.00
0.50
0.50
0.05
0.08
0.08
0.10
0.17
0.75
1.00
0.25
0.17
1.00
9,000.00
3,000.00
500.00
500.00
3,750.00
20,833.00
854.00
40,000.00
167.00
1,125.00
2,250,000.00
62,500.00
7,236,000.00
45,616.00
15,000.00 1.00 15,000.00 1.00 15,000.00
15,000.00 1.00 15,000.00 1.00 15,000.00
500,000.00 1.00 500,000.00 0.02 8,333.00
Supporting Statement Q12 &Q15 Burden List ‐ Finalizedv1
Final Summary ‐ Non‐Burden Q15
Appendix B
SS, Q#15. #
Regulations
OMB #
179
301.6109‐2
31.6402(a)‐2(a)(2)
48.6412‐1
48.6416(a)‐2(b)
180
48.6416(a)‐3(b)
181
48.6416(b)(2)‐3
182
48.6416(b)(2)‐4
183
48.6416(e)‐1
N/A
1545‐0024
1545‐0023
1545‐0023
1545‐1420
1545‐0023
1545‐0014
1545‐0023
1545‐0014
1545‐0014
1545‐0023
1545‐0023
184
185
48.6420‐4(i)
48.6427‐9
186
187
188
189
301.6724‐1(f)
1.415‐6(e)(6) inactive
1.1502‐20T(I) inactive
Mathematical Error
Totals of items above
176
177
178
N/A
1545‐1420
1545‐0162
1545‐0014
N/A
N/A
N/A
N/A
Form or Comment
Supplemental Nutrition
Assistance Program’s
Online Store and
Farmers Market
Application
843
720
720
8849
720
637
720
637
637
720
720
Waiver from ultimate
purchaser
13/13
8849
4136
637
W‐9
N/A
N/A
N/A
9/20/2018
# of
Recordkeepers
per year
10,000.00
7,500,000.00
150,000.00
100.00
Filings Per
Respondent # of responses
1.00
1.00
1.00
1.00
10,000.00
7,500,000.00
150,000.00
100.00
Time per
response in
hours
0.17
0.25
0.10
0.10
Total Burden
Hours
1,667.00
1,875,000.00
15,000.00
10.00
100.00 1.00 100.00 0.10 10.00
100,000.00 1.00 100,000.00 0.10 10,000.00
10.00 1.00 10.00 0.10 1.00
200.00 1.00 200.00 0.10 20.00
10,000.00 1.00 10,000.00 0.10 1,000.00
290,000.00 1.00 290,000.00 0.10 29,000.00
2,500,000.00 1.00 2,500,000.00 1.00 2,500,000.00
1,000.00 1.00 1,000.00 0.50 500.00
1,000.00 1.00 1,000.00 2.00 2,000.00
97.00
114,355,502.00
176,336,781.00
34,953,433.00
| File Type | application/pdf |
| Author | FPNJB |
| File Modified | 2018-09-20 |
| File Created | 2018-09-20 |