Burden for Form 5227

Burden Computation - Business Forms
Page 1 of 1

August 17, 2009

Product:
Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

5227/
Split-Interest Trust Information Return
2008

Changes (+ -)

115,000
______________
246
______________
21.00
______________
0.85
______________
131
______________

_____________________________
+4
_____________________________
_____________________________
_____________________________
_____________________________

2009
115,000
______________
250
______________
21.00
______________
0.85
______________
131
______________

Computation of Changes
115,000 x _____________
127.37
Old Computation (Prog. Change) ______________
115,000 x _____________
128.34
New Computation.............. ______________
Balance...

=
=

14,647,550
_______________
14,759,100
_______________
+111,550
_______________

Old Computation (Adjustment).
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Old Computation..............
New Computation..............
Balance...

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................

14,647,550
_______________
+111,550
_______________
_______________
14,759,100
_______________

Paperwork Reduction Act Notice
Time Per Response
128.34
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
59.79
______________
20.75
______________
42.18
______________
5.63
______________

Average Time
Per Response
59 hrs. , 47 min.
___________________
20 hrs. , 45 min.
___________________
42 hrs. , 10 min.
___________________
5 hrs. , 37 min.
___________________