 
	
	
September 07, 2017
	
	
| Variables | 2017 | Changes (+ -) | 
				 | 2017 | |
| Responses | 180,000 | 
 | 
				 | 180,000 | |
| Line Items | 17 | 
 | 
				 | 17 | |
| Attached Forms | 1 | 
 | 
				 | 1 | |
| Percent Paid Preparor | 0.85 | 
 | 
				 | 0.85 | |
| Code References | 15 | 
 | 
				 | 15 | |
| Computation of Changes Old Computation (Prog. Change) 180,000 | 
				 
				 × | 
				 
				 9.13 | 
				 
				 = | 
				 
				 1,643,400 | |
| New Computation 180,000 | × | 9.13 | = | 1,643,400 | |
| Balance = | |||||
| Old Computation (Adjustment) 180,000 | × | 9.13 | = | 1,643,400 | |
| New Computation 180,000 | × | 9.13 | = | 1,643,400 | |
 Balance		=
Balance		=	
		
Old Burden 1,643,400 Program Change Adjustment New Burden 9.13
Paperwork Reduction Act Notice
	
	
	
	
	
	
	
	
Average Hours Per Response
| Record Keeping | 4.07 | 4 hrs. , 04 min. | 
| Learning | 1.85 | 1 hrs. , 51 min. | 
| Preparing | 2.94 | 2 hrs. , 56 min. | 
| Sending 
				 Notes: | 0.27 | 0 hrs. , 16 min. | 
	
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-13 |