Burden

Burden Computation - Individual Forms
Page 1 of 1

November 19, 2013

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

706/Schedule R

2009

Changes (+ -)

2009

21,000
______________
50
______________
3.00
______________
5,455.00
______________
25
______________
0.00
______________
3.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

21,000
______________
50
______________
3.00
______________
5,455.00
______________
25
______________
0.00
______________
3.00
______________
0.00
______________

Computation of Changes
21,000 x _____________
3.07
Old Computation (Prog. Change) ______________
21,000 x _____________
3.07
New Computation.............. ______________
Balance...

=
=

64,470
_______________
64,470
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

64,470
_______________
0
_______________
_______________
64,470
_______________

Paperwork Reduction Act Notice
Time Per Response
3.07
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.33
______________
0.76
______________
1.17
______________
0.81
______________

0 hrs. , 19 min.
___________________
0 hrs. , 45 min.
___________________
1 hrs. , 10 min.
___________________
0 hrs. , 48 min.
___________________