Burden

Burden Computation - Business Forms
Page 1 of 1

March 8, 2010

Product:
Description:

973/
Corporation Claim for Deduction for Consent Dividends

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2010

+500
_____________________________
+14
_____________________________
_____________________________
+0.85
_____________________________
+5
_____________________________

500
______________
14
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
500 x _____________
Old Computation (Prog. Change) ______________
500 x _____________
4.42
New Computation.............. ______________
Balance...

=
=

_______________
2,210
_______________
_______________
+2,210

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+2,210
_______________
_______________
2,210
_______________

Paperwork Reduction Act Notice
Time Per Response
4.42
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
3.35
______________
0.50
______________
0.58
______________
0.00
______________

Average Time
Per Response
3 hrs. , 21 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 34 min.
___________________
0 hrs. , 00 min.
___________________