Burden Computation

Burden Computation - Individual Forms
Page 1 of 1

May 22, 2007

Product:
Description:

1041ES (OTC)/OCR PAY VOC

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

2004

Changes (+ -)

2007

52,000
______________
5
______________
1.00
______________
76.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

52,000
______________
5
______________
1.00
______________
76.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
52,000 x _____________
0.47
Old Computation (Prog. Change) ______________
52,000 x _____________
0.47
New Computation.............. ______________
Balance...

=
=

24,440
_______________
24,440
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

24,440
_______________
0
_______________
_______________
24,440
_______________

Paperwork Reduction Act Notice
Time Per Response
0.47
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No Changes.

Average Hours
Per Response
0.00
______________
0.01
______________
0.12
______________
0.34
______________

0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 07 min.
___________________
0 hrs. , 20 min.
___________________