Burden estimate

Burden Computation - Individual Forms
Page 1 of 1

October 15, 2009

Product:
Description:

4970/
Tax on Accumulation Distribution of Trusts

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

______________
______________
______________
______________
______________
______________
______________
______________

Changes (+ -)

2009

+30,000
_____________________________
+37
_____________________________
+1.00
_____________________________
+2,247.00
_____________________________
+2
_____________________________
_____________________________
_____________________________
_____________________________

30,000
______________
37
______________
1.00
______________
2,247.00
______________
2
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
30,000 x _____________
Old Computation (Prog. Change) ______________
30,000 x _____________
1.43
New Computation.............. ______________
Balance...

=
=

_______________
42,900
_______________
_______________
+42,900

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

______________ x _____________
30,000 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+42,900
_______________
_______________
42,900
_______________

Paperwork Reduction Act Notice
Time Per Response
1.43
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
0.22
______________
0.87
______________
0.34
______________

0 hrs. , 00 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 52 min.
___________________
0 hrs. , 20 min.
___________________