2009 burden estimates

Burden Computation - Individual Forms
Page 1 of 1

November 14, 2009

Product:
Description:

1041 (SCH D-1)/Continuation Sheet of Sch. D

Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

______________
______________
______________
______________
______________
______________
______________
______________

Changes (+ -)

2009

+10,000
_____________________________
+18
_____________________________
+2.00
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
+0.85
_____________________________

10,000
______________
18
______________
2.00
______________
0.00
______________
0
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
10,000 x _____________
Old Computation (Prog. Change) ______________
10,000 x _____________
1.47
New Computation.............. ______________
Balance...

=
=

_______________
14,700
_______________
_______________
+14,700

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

______________ x _____________
10,000 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+14,700
_______________
_______________
14,700
_______________

Paperwork Reduction Act Notice
Time Per Response
1.47
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
0.44
______________
0.45
______________
0.58
______________

0 hrs. , 00 min.
___________________
0 hrs. , 26 min.
___________________
0 hrs. , 27 min.
___________________
0 hrs. , 34 min.
___________________