2009 Burden

Burden Computation - Business Forms
Page 1 of 1

January 13, 2010

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

1120 (SCH G)/
Information on Certain Persons Owning the Corporation's Voting Stock
2009

Changes (+ -)

1
______________
11
______________
0.00
______________
0.85
______________
0
______________

+874,999
_____________________________
_____________________________
_____________________________
_____________________________
+5
_____________________________

2010
875,000
______________
11
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
875,000 x _____________
2.67
Old Computation (Prog. Change) ______________
875,000 x _____________
3.69
New Computation.............. ______________
Balance...

=
=

2,336,250
_______________
3,228,750
_______________
+892,500
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3
_______________
+892,500
_______________
_______________
3,228,750
_______________

Paperwork Reduction Act Notice
Time Per Response
3.69
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
2.63
______________
0.50
______________
0.57
______________
0.00
______________

Average Time
Per Response
2 hrs. , 37 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 34 min.
___________________
0 hrs. , 00 min.
___________________

Notes:
The responses were updated to reflect an accurate estimated number of filers of
this schedule. Five code references were listed in the Instructions.