Burden Computation Sheet

Burden Computation - Business Forms
October 05, 2023

Product: W-12
Description:
Variables
Responses

OMB Number: 1545-2190

2013

Changes (+ -)

2023

1,200,000

1,200,000

Line Items

+14

14

Attached Forms
Percent Paid Preparor
Code References

0.85

-0.85

6

-2

4

Computation of Changes
Old Computation (Prog. Change)

1,200,000

×

1.22

=

1,464,000

New Computation

1,200,000

×

2.67

=

3,204,000

=

1,740,000

Balance
Old Computation (Adjustment)

1,200,000

×

1.22

=

1,464,000

New Computation

1,200,000

×

1.22

=

3,204,000

Balance

=

Summary
Old Burden

1,464,000

Program Change

1,740,000

Adjustment
New Burden

2.67

Paperwork Reduction Act Notice
Time Per Response
2.67
Average Hours Per Response
Record Keeping

1.69

1 hrs. , 41 min.

Learning

0.61

0 hrs. , 36 min.

Preparing

0.36

0 hrs. , 21 min.

Sending

0.0

Notes: To correct proper account of variables that affect burden estimate.