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pdfBurden Computation - Business Forms
June 06, 2017
Product: 941 (SCH D)
OMB Number: 1545-0029
Description: Report of Discrepancies Caused by Acquisitions, Statutory Mergers, or
Variables
2013
Responses
Line Items
Changes (+ -)
2017
10,000
10,000
49
49
0.85
0.85
3
3
Attached Forms
Percent Paid Preparor
Code References
Computation of Changes
Old Computation (Prog. Change)
10,000
×
12.52
=
125,200
New Computation
10,000
×
12.52
=
125,200
Balance
=
Old Computation (Adjustment)
10,000
×
12.52
=
125,200
New Computation
10,000
×
12.52
=
125,200
Balance
=
Summary
Old Burden
125,200
Program Change
Adjustment
New Burden
12.52
Paperwork Reduction Act Notice
Time Per Response
12.52
Average Hours Per Response
Record Keeping
11.72
11 hrs. , 43 min.
Learning
0.3
0 hrs. , 18 min.
Preparing
0.5
0 hrs. , 30 min.
Sending
0.0
Notes: No change being reported.
| File Type | application/pdf |
| File Modified | 2017-06-06 |
| File Created | 2017-06-06 |