Form 1040-C (Worksheet 2) Burden

Burden Computation - Individual Forms
Page 1 of 1

February 13, 2009

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

1040C/WKST 2

2007

Changes (+ -)

2009

200
______________
8
______________
0.00
______________
209.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

_____________________________
+10
_____________________________
_____________________________
+241.00
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

200
______________
18
______________
0.00
______________
450.00
______________
0
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
200 x _____________
0.32
Old Computation (Prog. Change) ______________
200 x _____________
0.57
New Computation.............. ______________
Balance...

=
=

64
_______________
114
_______________
_______________
+50

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

64
_______________
+50
_______________
_______________
114
_______________

Paperwork Reduction Act Notice
Time Per Response
0.57
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
0.00
______________
0.04
______________
0.42
______________
0.11
______________

0 hrs. , 00 min.
___________________
0 hrs. , 02 min.
___________________
0 hrs. , 25 min.
___________________
0 hrs. , 06 min.
___________________

Notes:
Form 1040-C, Worksheet 2 revised resulting in an addition of 10 line items
and 241 words.