Form 1040-C (Worksheet 1) Burden

Burden Computation - Individual Forms
Page 1 of 1

June 22, 2010

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

1040C/WKST 1

2009

Changes (+ -)

2009

300
______________
12
______________
0.00
______________
210.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

-300
_____________________________
-12
_____________________________
_____________________________
-210.00
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

0
______________
0
______________
0.00
______________
0.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
0 x _____________
0.41
Old Computation (Prog. Change) ______________
0 x _____________
0.11
New Computation.............. ______________
Balance...

=
=

0
_______________
0
_______________
_______________
0

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

0.41
______________
300 x _____________
0 x _____________
0.41
______________

=
=

123
_______________
0
_______________
_______________
-123

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

123
_______________
0
_______________
-123
_______________
0
_______________

Paperwork Reduction Act Notice
Time Per Response
0.11
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
0.00
______________
0.00
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 06 min.
___________________