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 R-1

2007

Changes (+ -)

2009

4,600
______________
25
______________
1.00
______________
5,668.00
______________
25
______________
0.00
______________
1.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,600
______________
25
______________
1.00
______________
5,668.00
______________
25
______________
0.00
______________
1.00
______________
0.00
______________

Computation of Changes
4,600 x _____________
1.82
Old Computation (Prog. Change) ______________
4,600 x _____________
1.82
New Computation.............. ______________
Balance...

=
=

8,372
_______________
8,372
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

8,372
_______________
0
_______________
_______________
8,372
_______________

Paperwork Reduction Act Notice
Time Per Response
1.82
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.11
______________
0.78
______________
0.59
______________
0.34
______________

0 hrs. , 06 min.
___________________
0 hrs. , 46 min.
___________________
0 hrs. , 35 min.
___________________
0 hrs. , 20 min.
___________________