2011 Burden Form 990-BL

Burden Computation - Business Forms
Page 1 of 1

September 21, 2011

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

990BL/
Information and Initial Excise Tax Return for Black Lung Benefit Trusts and
2008

Changes (+ -)

2011

22
______________
69
______________
0.00
______________
0.85
______________
34
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

22
______________
69
______________
0.00
______________
0.85
______________
34
______________

Computation of Changes
22 x _____________
23.67
Old Computation (Prog. Change) ______________
22
23.67
New Computation.............. ______________ x _____________
Balance...

=
=

521
_______________
521
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

521
_______________
0
_______________
_______________
521
_______________

Paperwork Reduction Act Notice
Time Per Response
23.67
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
16.50
______________
3.38
______________
3.80
______________
0.00
______________

Average Time
Per Response
16 hrs. , 30 min.
___________________
3 hrs. , 22 min.
___________________
3 hrs. , 48 min.
___________________
0 hrs. , 00 min.
___________________