Burden

Burden Computation - Business Forms
Page 1 of 1

July 31, 2012

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

7004/
Application for Automatic Extension of Time To File Certain Business
2009

Changes (+ -)

2,834,328
______________
14
______________
1.00
______________
0.85
______________
7
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

2012
2,834,328
______________
14
______________
1.00
______________
0.85
______________
7
______________

Computation of Changes
2,834,328 x _____________
6.78
Old Computation (Prog. Change) ______________
2,834,328 x _____________
6.78
New Computation.............. ______________
Balance...

=
=

19,216,744
_______________
19,216,744
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

19,216,744
_______________
0
_______________
_______________
19,216,744
_______________

Paperwork Reduction Act Notice
Time Per Response
6.78
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
3.35
______________
1.06
______________
2.10
______________
0.27
______________

Average Time
Per Response
3 hrs. , 21 min.
___________________
1 hrs. , 03 min.
___________________
2 hrs. , 06 min.
___________________
0 hrs. , 16 min.
___________________