Form 1045 Burden Computation

Burden Computation - Individual Forms
Page 1 of 1

November 2, 2007

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

1045/
Application for Tentative Refund
2005

Changes (+ -)

2007

15,220
______________
277
______________
4.00
______________
6,470.00
______________
20
______________
0.00
______________
38.00
______________
0.85
______________

_____________________________
+28
_____________________________
_____________________________
+2,105.00
_____________________________
-4
_____________________________
_____________________________
+3.00
_____________________________
_____________________________

15,220
______________
305
______________
4.00
______________
8,575.00
______________
16
______________
0.00
______________
41.00
______________
0.85
______________

Computation of Changes
15,220 x _____________
40.40
Old Computation (Prog. Change) ______________
15,220 x _____________
43.38
New Computation.............. ______________
Balance...

=
=

614,888
_______________
660,244
_______________
_______________
+45,356

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

614,888
_______________
+45,356
_______________
_______________
660,244
_______________

Paperwork Reduction Act Notice
Time Per Response
43.38
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
21.20
______________
9.10
______________
12.03
______________
1.05
______________

21 hrs. , 12 min.
___________________
9 hrs. , 06 min.
___________________
12 hrs. , 01 min.
___________________
1 hrs. , 03 min.
___________________

Notes:
Form and Instruction revised. 4 code references were deleted. An addition of 28
line items, 3 other records, and 2,105 words resulted from the revision. Form and
Instruction revised. An addition of 4 code references, 3 income records, 28 line
items
Form and Instruction revised.