2018 burden form 14039-B

Burden Computation - Special Business Forms
September 11, 2018

Product: 14039-B and 14039-B (SP)
OMB Number: 1545-2139
Description: BUSINESS IDENTITY THEFT AFFIDAVIT
Variables

Changes (+ -)

Responses
Line Items
Percent Paid Preparor

2018

+20,000

20,000

+20

20

+0.85

0.85

Computation of Changes
Old Computation (Prog. Change)

20,000

×

New Computation

20,000

×

=
0.31

Balance
Old Computation (Adjustment)
New Computation

20,000

=

6,200

=

6,200

×

=

×

=

Balance

6,200

=

Summary
Old Burden
Program Change

6,200

Adjustment
New Burden

0.31

Paperwork Reduction Act Notice
Time Per Response
0.31
Average Hours Per Response
Record Keeping

0.0

Learning

0.0

Preparing

0.31

Sending
Notes:

0.0

0 hrs. , 18 min.