burden

Burden Computation - Business Forms
Page 1 of 1

July 22, 2010

Product:
Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

1041/Qual Div Tax WK SCH 6, line 1a

2009

Changes (+ -)

2009

30,000
______________
18
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

30,000
______________
18
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
30,000 x _____________
4.37
Old Computation (Prog. Change) ______________
30,000
4.37
New Computation.............. ______________ x _____________
Balance...

=
=

131,100
_______________
131,100
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

131,100
_______________
0
_______________
_______________
131,100
_______________

Paperwork Reduction Act Notice
Time Per Response
4.37
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
4.30
______________
0.00
______________
0.07
______________
0.00
______________

Average Time
Per Response
4 hrs. , 18 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 04 min.
___________________
0 hrs. , 00 min.
___________________