Form 1040-SS burden

Burden Computation - Individual Forms
Page 1 of 1

April 2, 2014

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

1040SS/
U.S. Self-Employment Tax Return (Including the Additional Child Tax Credit
2011

Changes (+ -)

2013

92,000
______________
161
______________
4.00
______________
10,577.00
______________
7
______________
14.00
______________
50.00
______________
0.00
______________

_____________________________
+1
_____________________________
_____________________________
+2,101.00
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

92,000
______________
162
______________
4.00
______________
12,678.00
______________
7
______________
14.00
______________
50.00
______________
0.00
______________

Computation of Changes
92,000 x _____________
11.27
Old Computation (Prog. Change) ______________
92,000 x _____________
11.47
New Computation.............. ______________
Balance...

=
=

1,036,840
_______________
1,055,240
_______________
_______________
+18,400

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

11.27
______________
92,000 x _____________
92,000 x _____________
11.27
______________

=
=

1,036,840
_______________
1,036,840
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,036,840
_______________
+18,400
_______________
0
_______________
1,055,240
_______________

Paperwork Reduction Act Notice
Time Per Response
11.47
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
5.46
______________
1.17
______________
3.79
______________
1.05
______________

5 hrs. , 27 min.
___________________
1 hrs. , 10 min.
___________________
3 hrs. , 47 min.
___________________
1 hrs. , 03 min.
___________________