Burden

Burden Computation - Individual Forms
Page 1 of 1

November 19, 2013

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

706/Schedule I

2009

Changes (+ -)

2009

21,000
______________
11
______________
1.00
______________
2,433.00
______________
25
______________
0.00
______________
2.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

21,000
______________
11
______________
1.00
______________
2,433.00
______________
25
______________
0.00
______________
2.00
______________
0.00
______________

Computation of Changes
21,000 x _____________
1.32
Old Computation (Prog. Change) ______________
21,000 x _____________
1.32
New Computation.............. ______________
Balance...

=
=

27,720
_______________
27,720
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

27,720
_______________
0
_______________
_______________
27,720
_______________

Paperwork Reduction Act Notice
Time Per Response
1.32
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.22
______________
0.50
______________
0.26
______________
0.34
______________

0 hrs. , 13 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 15 min.
___________________
0 hrs. , 20 min.
___________________