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pdfBurden Computation - Business Forms
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November 19, 2014
Product:
Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.
1041N/28% Rate Gain Wk
2008
Changes (+ -)
2008
10
______________
8
______________
0.00
______________
0.85
______________
3
______________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
10
______________
8
______________
0.00
______________
0.85
______________
3
______________
Computation of Changes
10 x _____________
2.55
Old Computation (Prog. Change) ______________
10 x _____________
2.55
New Computation.............. ______________
Balance...
=
=
26
_______________
26
_______________
_______________
0
Old Computation (Adjustment).
New Computation..............
Balance...
______________ x _____________
______________ x _____________
=
=
_______________
_______________
_______________
Old Computation..............
New Computation..............
Balance...
______________ x _____________
______________ x _____________
=
=
_______________
_______________
_______________
Summary
Old Burden...................................................
Program Change...............................................
Adjustment...................................................
New Burden...................................................
26
_______________
0
_______________
_______________
26
_______________
Paperwork Reduction Act Notice
Time Per Response
2.55
Recordkeeping.............
Learning..................
Preparing.................
Sending...................
Notes:
Average Hours
Per Response
1.91
______________
0.30
______________
0.34
______________
0.00
______________
Average Time
Per Response
1 hrs. , 54 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 20 min.
___________________
0 hrs. , 00 min.
___________________
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