2063 Burden

Burden Computation - Individual Forms
Page 1 of 1

December 14, 2006

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

2063/
U.S. Departing Alien Income Tax Statement
2003

Changes (+ -)

2006

20,540
______________
19
______________
0.50
______________
395.00
______________
1
______________
0.00
______________
1.00
______________
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

20,540
______________
19
______________
0.50
______________
395.00
______________
1
______________
0.00
______________
1.00
______________
0.00
______________

Computation of Changes
20,540 x _____________
0.83
Old Computation (Prog. Change) ______________
20,540 x _____________
0.83
New Computation.............. ______________
Balance...

=
=

17,049
_______________
17,049
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

17,049
_______________
0
_______________
_______________
17,049
_______________

Paperwork Reduction Act Notice
Time Per Response
0.83
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.11
______________
0.05
______________
0.44
______________
0.23
______________

0 hrs. , 06 min.
___________________
0 hrs. , 03 min.
___________________
0 hrs. , 26 min.
___________________
0 hrs. , 13 min.
___________________