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pdfBurden Computation - Business Forms
January 27, 2025
Product: 712
Description: Life Insurance Statement
Variables
OMB Number: 1545-0022
2015
Responses
Changes (+ -)
2025
60,000
Line Items
60,000
76
-3
73
Attached Forms
3
Percent Paid Preparor
0.85
Code References
0.85
1
+2
3
Computation of Changes
Old Computation (Prog. Change)
60,000
×
18.67
=
1,120,200
New Computation
60,000
×
24.21
=
1,452,600
=
332,400
Balance
Old Computation (Adjustment)
60,000
×
18.67
=
1,120,200
New Computation
60,000
×
18.67
=
1,452,600
Balance
=
Summary
Old Burden
1,120,200
Program Change
332,400
Adjustment
New Burden
24.21
Paperwork Reduction Act Notice
Time Per Response
24.21
Average Hours Per Response
Record Keeping
17.46
17 hrs. , 27 min.
Learning
1.41
1 hrs. , 24 min.
Preparing
4.54
4 hrs. , 32 min.
0.8
0 hrs. , 48 min.
Sending
Notes:
| File Type | application/pdf |
| File Modified | 2025-01-27 |
| File Created | 2025-01-27 |