Burden

Burden Computation - Individual Forms
Page 1 of 1

June 3, 2010

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

706/Schedule Q

2007

Changes (+ -)

2009

17,500
______________
11
______________
0.50
______________
1,652.00
______________
6
______________
0.00
______________
0.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

17,500
______________
11
______________
0.50
______________
1,652.00
______________
6
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
17,500 x _____________
0.70
Old Computation (Prog. Change) ______________
17,500 x _____________
0.70
New Computation.............. ______________
Balance...

=
=

12,250
_______________
12,250
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

12,250
_______________
0
_______________
_______________
12,250
_______________

Paperwork Reduction Act Notice
Time Per Response
0.70
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
0.21
______________
0.26
______________
0.23
______________

0 hrs. , 00 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 15 min.
___________________
0 hrs. , 13 min.
___________________