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 worksheet

2007

Changes (+ -)

2009

15,000
______________
42
______________
1.00
______________
827.00
______________
3
______________
0.00
______________
1.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

15,000
______________
42
______________
1.00
______________
827.00
______________
3
______________
0.00
______________
1.00
______________
0.00
______________

Computation of Changes
15,000 x _____________
1.54
Old Computation (Prog. Change) ______________
15,000 x _____________
1.54
New Computation.............. ______________
Balance...

=
=

23,100
_______________
23,100
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

23,100
_______________
0
_______________
_______________
23,100
_______________

Paperwork Reduction Act Notice
Time Per Response
1.54
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.11
______________
0.11
______________
0.98
______________
0.34
______________

0 hrs. , 06 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 58 min.
___________________
0 hrs. , 20 min.
___________________