Relief for Innocent Spouse Relief

Burden Computation - Individual Forms
Page 1 of 1

January 13, 2014

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

8857/
Request for Innocent Spouse Relief
2010

Changes (+ -)

2013

50,000
______________
111
______________
4.00
______________
12,678.00
______________
6
______________
0.00
______________
0.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

50,000
______________
111
______________
4.00
______________
12,678.00
______________
6
______________
______________
______________
0.00
______________

Computation of Changes
50,000 x _____________
4.81
Old Computation (Prog. Change) ______________
50,000 x _____________
4.81
New Computation.............. ______________
Balance...

=
=

240,500
_______________
240,500
_______________
_______________
0

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

4.81
______________
50,000 x _____________
50,000 x _____________
4.81
______________

=
=

240,500
_______________
240,500
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

240,500
_______________
0
_______________
0
_______________
240,500
_______________

Paperwork Reduction Act Notice
Time Per Response
4.81
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
1.16
______________
2.60
______________
1.05
______________

0 hrs. , 00 min.
___________________
1 hrs. , 09 min.
___________________
2 hrs. , 36 min.
___________________
1 hrs. , 03 min.
___________________