Burden Computation Worksheet

2021-8928-Burden-2021-11-01 11-10-07.pdf

Form 8928- Return of Certain Excise Taxes Under Chapter 43 & TD 9457-Employer Comparable Contributions to HSAs and Requirement for filing excise taxes under sections 4980B, 4980D, 4980E and 4980G.

Burden Computation Worksheet

OMB: 1545-2146

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Burden Computation - Business Forms
November 01, 2021

Product: 8928
OMB Number: 1545-2146
Description: Return of Certain Excise Taxes Under Chapter 43 of the Internal Revenue Code
Variables

2018

Changes (+ -)

2021

Responses

100

Line Items

53

53

2

2

0.85

0.85

33

33

Attached Forms
Percent Paid Preparor
Code References

-32

68

Computation of Changes
Old Computation (Prog. Change)

68

×

23.48

=

1,597

New Computation

68

×

23.48

=

1,597

Balance

=

Old Computation (Adjustment)
New Computation

100

×

23.48

=

2,348

68

×

23.48

=

1,597

=

-751

Balance

Summary
Old Burden

2,348

Program Change
Adjustment

-751

New Burden

23.48

Paperwork Reduction Act Notice
Time Per Response
23.48
Average Hours Per Response
Record Keeping

12.67

12 hrs. , 40 min.

Learning

4.01

4 hrs. , 00 min.

Preparing

6.25

6 hrs. , 15 min.

Sending

0.54

0 hrs. , 32 min.

Notes:


File Typeapplication/pdf
File Modified2021-11-01
File Created2021-11-01

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