Burden-Schedule A

Burden Computation - Individual Forms
Page 1 of 1

July 23, 2009

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

706GS (T)/SCH A

2006

Changes (+ -)

2009

200
______________
23
______________
1.00
______________
2,439.00
______________
2
______________
0.00
______________
2.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

200
______________
23
______________
1.00
______________
2,439.00
______________
2
______________
0.00
______________
2.00
______________
0.00
______________

Computation of Changes
200 x _____________
1.33
Old Computation (Prog. Change) ______________
200
1.33
New Computation.............. ______________ x _____________
Balance...

=
=

266
_______________
266
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

266
_______________
0
_______________
_______________
266
_______________

Paperwork Reduction Act Notice
Time Per Response
1.33
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.22
______________
0.23
______________
0.54
______________
0.34
______________

0 hrs. , 13 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 32 min.
___________________
0 hrs. , 20 min.
___________________