Burden estimate

Burden Computation - Individual Forms
Page 1 of 1

January 8, 2013

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

4970/
Tax on Accumulation Distribution of Trusts
2009

Changes (+ -)

2012

30,000
______________
37
______________
1.00
______________
2,247.00
______________
2
______________
0.00
______________
0.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

30,000
______________
37
______________
1.00
______________
2,247.00
______________
2
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
30,000 x _____________
1.43
Old Computation (Prog. Change) ______________
30,000
1.43
New Computation.............. ______________ x _____________
Balance...

=
=

42,900
_______________
42,900
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

42,900
_______________
0
_______________
_______________
42,900
_______________

Paperwork Reduction Act Notice
Time Per Response
1.43
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
0.00
______________
0.22
______________
0.87
______________
0.34
______________

0 hrs. , 00 min.
___________________
0 hrs. , 13 min.
___________________
0 hrs. , 52 min.
___________________
0 hrs. , 20 min.
___________________