F1040-C_Burden

Burden Computation - Individual Forms
Page 1 of 1

June 21, 2010

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

1040C/
U.S. Departing Alien Income Tax return
2009

Changes (+ -)

2010

2,000
______________
130
______________
3.75
______________
8,750.00
______________
10
______________
7.00
______________
19.00
______________
0.00
______________

_____________________________
-13
_____________________________
_____________________________
-804.00
_____________________________
_____________________________
-2.00
_____________________________
_____________________________
_____________________________

2,000
______________
117
______________
3.75
______________
7,946.00
______________
10
______________
5.00
______________
19.00
______________
0.00
______________

Computation of Changes
2,000 x _____________
6.97
Old Computation (Prog. Change) ______________
2,000 x _____________
6.60
New Computation.............. ______________
Balance...

=
=

13,940
_______________
13,200
_______________
_______________
-740

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

13,940
_______________
-740
_______________
_______________
13,200
_______________

Paperwork Reduction Act Notice
Time Per Response
6.60
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
2.07
______________
0.80
______________
2.74
______________
0.99
______________

2 hrs. , 04 min.
___________________
0 hrs. , 48 min.
___________________
2 hrs. , 44 min.
___________________
0 hrs. , 59 min.
___________________