burden

Burden Computation - Business Forms
Page 1 of 1

July 21, 2010

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

1041/SCH J

2009

Changes (+ -)

2009

1,000
______________
46
______________
1.00
______________
0.85
______________
11
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,000
______________
46
______________
1.00
______________
0.85
______________
11
______________

Computation of Changes
1,000 x _____________
15.37
Old Computation (Prog. Change) ______________
1,000
15.37
New Computation.............. ______________ x _____________
Balance...

=
=

15,370
_______________
15,370
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

15,370
_______________
0
_______________
_______________
15,370
_______________

Paperwork Reduction Act Notice
Time Per Response
15.37
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
11.00
______________
1.46
______________
2.63
______________
0.27
______________

Average Time
Per Response
11 hrs. , 00 min.
___________________
1 hrs. , 27 min.
___________________
2 hrs. , 37 min.
___________________
0 hrs. , 16 min.
___________________