Sch A-1 burden

Burden Computation - Business Forms
Page 1 of 1

July 22, 2010

Product:
Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

8865/SCH A-1

2007

Changes (+ -)

2009

4,000
______________
5
______________
0.00
______________
0.85
______________
1
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,000
______________
5
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
4,000 x _____________
1.42
Old Computation (Prog. Change) ______________
4,000
1.42
New Computation.............. ______________ x _____________
Balance...

=
=

5,680
_______________
5,680
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

5,680
_______________
0
_______________
_______________
5,680
_______________

Paperwork Reduction Act Notice
Time Per Response
1.42
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
1.20
______________
0.10
______________
0.12
______________
0.00
______________

Average Time
Per Response
1 hrs. , 12 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 07 min.
___________________
0 hrs. , 00 min.
___________________