5227 Capital Gains Worksheet

Burden Computation - Business Forms
Page 1 of 1

October 18, 2006

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

5227/CAP. GAIN WKST

2004

Changes (+ -)

2006

5,000
______________
44
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,000
______________
44
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
5,000 x _____________
10.69
Old Computation (Prog. Change) ______________
5,000
10.69
New Computation.............. ______________ x _____________
Balance...

=
=

53,450
_______________
53,450
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

53,450
_______________
0
_______________
_______________
53,450
_______________

Paperwork Reduction Act Notice
Time Per Response
10.69
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
10.52
______________
0.00
______________
0.17
______________
0.00
______________

Average Time
Per Response
10 hrs. , 31 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 10 min.
___________________
0 hrs. , 00 min.
___________________