Part 1 burden

Burden Computation - Business Forms
Page 1 of 1

October 26, 2009

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

2220/SCH A PART 1

2009

Changes (+ -)

2009

140
______________
103
______________
0.00
______________
0.85
______________
0
______________

_____________________________
+5
_____________________________
_____________________________
_____________________________
_____________________________

140
______________
108
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
140 x _____________
25.03
Old Computation (Prog. Change) ______________
140
26.25
New Computation.............. ______________ x _____________
Balance...

=
=

3,505
_______________
3,675
_______________
_______________
+170

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,505
_______________
+170
_______________
_______________
3,675
_______________

Paperwork Reduction Act Notice
Time Per Response
26.25
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
25.83
______________
0.00
______________
0.42
______________
0.00
______________

Average Time
Per Response
25 hrs. , 49 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 25 min.
___________________
0 hrs. , 00 min.
___________________

Notes:
Three lines were added to correct a previous error in line count.
lines were added to take into account exraordinary items.

2 additional