Burden Calculation

2018-1099LTC-Burden-2018-07-25 09-36-13.pdf

Long-Term Care and Accelerated Death Benefits.

Burden Calculation

OMB: 1545-1519

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Burden Computation - Special Business Forms
July 25, 2018

Product: 1099LTC
Description:
Variables
Responses

OMB Number: 1545-1519

2013

Changes (+ -)
292,500

Line Items
Percent Paid Preparor

2018

+84,967

377,467

15

15

0.85

0.85

Computation of Changes
Old Computation (Prog. Change)

377,467

×

0.23

=

86,818

New Computation

377,467

×

0.23

=

86,818

Balance

=

Old Computation (Adjustment)

292,500

×

0.23

=

67,275

New Computation

377,467

×

0.23

=

86,818

=

19,542

Balance

Summary
Old Burden

67,275

Program Change
Adjustment

19,542

New Burden

0.23

Paperwork Reduction Act Notice
Time Per Response
0.23
Average Hours Per Response
Record Keeping

0.0

Learning

0.0

Preparing

0.23

Sending
Notes:

0.0

0 hrs. , 13 min.


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File Modified2018-07-25
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