Claim for Refund of Federal Telephone Excise Tax

Burden Computation - Individual Forms
Page 1 of 1

January 19, 2007

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

1040EZ-T/
Claim for Refund of Federal Telephone Excise Tax
2006

Changes (+ -)

2006

1,000,000
______________
30
______________
3.00
______________
1,370.00
______________
1
______________
0.00
______________
0.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

1,000,000
______________
30
______________
3.00
______________
1,370.00
______________
1
______________
0.00
______________
0.00
______________
0.85
______________

Computation of Changes
1,000,000 x _____________
2.43
Old Computation (Prog. Change) ______________
1,000,000 x _____________
2.43
New Computation.............. ______________
Balance...

=
=

2,430,000
_______________
2,430,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,430,000
_______________
0
_______________
_______________
2,430,000
_______________

Paperwork Reduction Act Notice
Time Per Response
2.43
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
0.86
______________
0.76
______________
0.81
______________

0 hrs. , 00 min.
___________________
0 hrs. , 51 min.
___________________
0 hrs. , 45 min.
___________________
0 hrs. , 48 min.
___________________