2016 Burden Computation

Burden Computation - Business Forms
Page 1 of 1

February 1, 2016

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

8876/
Excise Tax on Structured Settlement Factoring Transactions
2012

Changes (+ -)

2015

100
______________
13
______________
0.00
______________
0.85
______________
12
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100
______________
13
______________
0.00
______________
0.85
______________
12
______________

Computation of Changes
100 x _____________
5.60
Old Computation (Prog. Change) ______________
100
5.60
New Computation.............. ______________ x _____________
Balance...

=
=

560
_______________
560
_______________
_______________
0

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

100 x _____________
5.60
______________
______________
100 x _____________
5.60

=
=

560
_______________
_______________
560
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

560
_______________
0
_______________
0
_______________
560
_______________

Paperwork Reduction Act Notice
Time Per Response
5.60
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.11
______________
1.20
______________
1.29
______________
0.00
______________

Average Time
Per Response
3 hrs. , 06 min.
___________________
1 hrs. , 12 min.
___________________
1 hrs. , 17 min.
___________________
0 hrs. , 00 min.
___________________