On-line Burden

Burden Computation - Individual Forms
Page 1 of 1

July 20, 2010

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

4506T/On-line

2007

Changes (+ -)

2009

250,000
______________
8
______________
1.00
______________
1,043.00
______________
1
______________
0.00
______________
2.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

250,000
______________
8
______________
1.00
______________
1,043.00
______________
1
______________
0.00
______________
2.00
______________
0.00
______________

Computation of Changes
250,000 x _____________
0.85
Old Computation (Prog. Change) ______________
250,000 x _____________
0.85
New Computation.............. ______________
Balance...

=
=

212,500
_______________
212,500
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

212,500
_______________
0
_______________
_______________
212,500
_______________

Paperwork Reduction Act Notice
Time Per Response
0.85
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.22
______________
0.10
______________
0.19
______________
0.34
______________

0 hrs. , 13 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 11 min.
___________________
0 hrs. , 20 min.
___________________