2014 Burden

Burden Computation - Individual Forms
Page 1 of 1

August 15, 2014

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

843/
Claim for Refund and Request for Abatement
2011

Changes (+ -)

2014

550,500
______________
20
______________
1.00
______________
2,137.00
______________
13
______________
1.00
______________
4.00
______________
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

550,500
______________
20
______________
1.00
______________
2,137.00
______________
13
______________
1.00
______________
4.00
______________
0.00
______________

Computation of Changes
550,500 x _____________
1.59
Old Computation (Prog. Change) ______________
550,500 x _____________
1.59
New Computation.............. ______________
Balance...

=
=

875,295
_______________
875,295
_______________
_______________
0

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

1.59
______________
550,500 x _____________
550,500 x _____________
1.59
______________

=
=

875,295
_______________
875,295
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

875,295
_______________
0
_______________
0
_______________
875,295
_______________

Paperwork Reduction Act Notice
Time Per Response
1.59
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.44
______________
0.34
______________
0.47
______________
0.34
______________

0 hrs. , 26 min.
___________________
0 hrs. , 20 min.
___________________
0 hrs. , 28 min.
___________________
0 hrs. , 20 min.
___________________