2012 burden

Burden Computation - Individual Forms
Page 1 of 1

June 7, 2012

Product:
Description:

1040 (SCH E)/
Supplemental Income and Loss

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

______________
______________
______________
______________
______________
______________
______________
______________

Changes (+ -)

2012

+45,463
_____________________________
+67
_____________________________
+2.00
_____________________________
+11,300.00
_____________________________
+6
_____________________________
+9.00
_____________________________
+28.00
_____________________________
_____________________________

45,463
______________
67
______________
2.00
______________
11,300.00
______________
6
______________
9.00
______________
28.00
______________
0.00
______________

Computation of Changes
45,463 x _____________
Old Computation (Prog. Change) ______________
45,463 x _____________
6.25
New Computation.............. ______________
Balance...

=
=

_______________
284,144
_______________
_______________
+284,144

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

______________ x _____________
45,463 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+284,144
_______________
_______________
284,144
_______________

Paperwork Reduction Act Notice
Time Per Response
6.25
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
3.06
______________
1.04
______________
1.57
______________
0.58
______________

3 hrs. , 03 min.
___________________
1 hrs. , 02 min.
___________________
1 hrs. , 34 min.
___________________
0 hrs. , 34 min.
___________________