Burden

Burden Computation - Business Forms
Page 1 of 1

June 17, 2011

Product:
Description:

1065X/
Amended Return or Administrative Adjustment Request (AAR)

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2011

+9,000
_____________________________
+88
_____________________________
_____________________________
+0.85
_____________________________
+40
_____________________________

9,000
______________
88
______________
0.00
______________
0.85
______________
40
______________

Computation of Changes
9,000 x _____________
Old Computation (Prog. Change) ______________
9,000 x _____________
29.51
New Computation.............. ______________
Balance...

=
=

_______________
265,590
_______________
_______________
+265,590

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

______________ x _____________
______________
9,000 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+265,590
_______________
_______________
265,590
_______________

Paperwork Reduction Act Notice
Time Per Response
29.51
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
21.05
______________
3.97
______________
4.49
______________
0.00
______________

Average Time
Per Response
21 hrs. , 03 min.
___________________
3 hrs. , 58 min.
___________________
4 hrs. , 29 min.
___________________
0 hrs. , 00 min.
___________________