2011 Burden Unrec Sect 1250 WK Form 1041-N

Burden Computation - Business Forms
Page 1 of 1

October 14, 2011

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

1041N/Unrec Sect 1250 WK

2008

Changes (+ -)

2008

10
______________
18
______________
0.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

10
______________
18
______________
0.00
______________
0.85
______________
3
______________

Computation of Changes
10 x _____________
4.98
Old Computation (Prog. Change) ______________
10
4.98
New Computation.............. ______________ x _____________
Balance...

=
=

50
_______________
50
_______________
_______________
0

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

10 x _____________
4.98
______________
______________
10 x _____________
4.98

=
=

50
_______________
_______________
50
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

50
_______________
0
_______________
0
_______________
50
_______________

Paperwork Reduction Act Notice
Time Per Response
4.98
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
4.30
______________
0.30
______________
0.38
______________
0.00
______________

Average Time
Per Response
4 hrs. , 18 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 22 min.
___________________
0 hrs. , 00 min.
___________________