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		=	
		
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 |