burden

Burden Computation - Business Forms
Page 1 of 1

January 15, 2010

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

4720/SCH I

2006

Changes (+ -)

2009

100
______________
41
______________
0.00
______________
0.85
______________
5
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100
______________
41
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
100 x _____________
10.98
Old Computation (Prog. Change) ______________
100
10.98
New Computation.............. ______________ x _____________
Balance...

=
=

1,098
_______________
1,098
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,098
_______________
0
_______________
_______________
1,098
_______________

Paperwork Reduction Act Notice
Time Per Response
10.98
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
9.81
______________
0.50
______________
0.68
______________
0.00
______________

Average Time
Per Response
9 hrs. , 48 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 40 min.
___________________
0 hrs. , 00 min.
___________________