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pdfBurden Computation - Special Business Forms
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January 30, 2007
Product:
Description:
Variables
Responses.......
Line Items......
Forms Prepared..
1099H/
Health Insurance Advance Payments
2003
Changes (+ -)
2006
110,000
______________
19
______________
0.85
______________
_____________________________
_____________________________
_____________________________
110,000
______________
19
______________
0.85
______________
Computation of Changes
110,000 x _____________
0.30
Old Computation (Prog. Change) ______________
110,000 x _____________
0.30
New Computation.............. ______________
Balance...
=
=
33,000
_______________
33,000
_______________
0
_______________
Old Computation (Adjustment)
New Computation..............
Balance...
______________ x _____________
______________ x _____________
=
=
_______________
_______________
_______________
Old Computation..............
New Computation..............
Balance...
______________ x _____________
______________ x _____________
=
=
_______________
_______________
_______________
Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................
33,000
_______________
0
_______________
_______________
33,000
_______________
Paperwork Reduction Act Notice
Time Per Response
0.30
Record Keeping............
Learning..................
Preparing.................
Sending...................
Notes:
Average Hours
Per Response
______________
______________
______________
0.30
______________
Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 18 min.
___________________
File Type | application/pdf |
File Title | Form 1099-H.brdn_spec.pdf |
Author | Oracle Reports |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |