Burden

Burden Computation - Individual Forms
Page 1 of 1

March 26, 2008

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

843/
Claim for Refund and Request for Abatement
2005

Changes (+ -)

2008

545,500
______________
25
______________
1.00
______________
2,131.00
______________
11
______________
1.00
______________
4.00
______________
______________

_____________________________
-5
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

545,500
______________
20
______________
1.00
______________
2,131.00
______________
11
______________
1.00
______________
4.00
______________
0.00
______________

Computation of Changes
545,500 x _____________
1.68
Old Computation (Prog. Change) ______________
545,500 x _____________
1.56
New Computation.............. ______________
Balance...

=
=

916,440
_______________
850,980
_______________
_______________
-65,460

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

916,440
_______________
-65,460
_______________
_______________
850,980
_______________

Paperwork Reduction Act Notice
Time Per Response
1.56
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
0.44
______________
0.31
______________
0.47
______________
0.34
______________

Notes:
Lines recounted and corrected.

0 hrs. , 26 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 28 min.
___________________
0 hrs. , 20 min.
___________________