Form 1040-C (Worksheet 1) Burden

Burden Computation - Individual Forms
Page 1 of 1

February 12, 2009

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

1040C/WKST 1

2007

Changes (+ -)

2009

300
______________
10
______________
0.00
______________
188.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

_____________________________
+2
_____________________________
_____________________________
+22.00
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

300
______________
12
______________
0.00
______________
210.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
300 x _____________
0.36
Old Computation (Prog. Change) ______________
300 x _____________
0.41
New Computation.............. ______________
Balance...

=
=

108
_______________
123
_______________
_______________
+15

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

108
_______________
+15
_______________
_______________
123
_______________

Paperwork Reduction Act Notice
Time Per Response
0.41
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
0.00
______________
0.02
______________
0.28
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 01 min.
___________________
0 hrs. , 16 min.
___________________
0 hrs. , 06 min.
___________________

Notes:
Revised worksheet resulted in an addtion of 2 line items and 22 words.