Burden Computation Worksheet

2024-8928-Burden-2024-10-07 11-09-13.pdf

Failure of Employer to Make Comparable Health Savings Account Contributions

Burden Computation Worksheet

OMB: 1545-2146

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Burden Computation - Business Forms
October 07, 2024

Product: 8928
OMB Number: 1545-2146
Description: Return of Certain Excise Taxes Under Chapter 43 of the Internal Revenue Code
Variables

2021

Changes (+ -)

2024

Responses

68

68

Line Items

53

53

2

2

0.85

0.85

33

33

Attached Forms
Percent Paid Preparor
Code References

Computation of Changes
Old Computation (Prog. Change)

68

×

23.48

=

1,597

New Computation

68

×

23.48

=

1,597

Balance

=

Old Computation (Adjustment)

68

×

23.48

=

1,597

New Computation

68

×

23.48

=

1,597

Balance

=

Summary
Old Burden

1,597

Program Change
Adjustment
New Burden

23.48

Paperwork Reduction Act Notice
Time Per Response
23.48
Average Hours Per Response
Record Keeping

12.67

12 hrs. , 40 min.

Learning

4.01

4 hrs. , 00 min.

Preparing

6.25

6 hrs. , 15 min.

Sending

0.54

0 hrs. , 32 min.

Notes:


File Typeapplication/pdf
File Modified2024-10-07
File Created2024-10-07

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