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/SCH. A-1

2007

Changes (+ -)

2009

7,250
______________
54
______________
4.00
______________
3,863.00
______________
17
______________
0.00
______________
5.00
______________
0.00
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

7,250
______________
54
______________
4.00
______________
3,863.00
______________
17
______________
0.00
______________
5.00
______________
0.00
______________

Computation of Changes
7,250 x _____________
3.39
Old Computation (Prog. Change) ______________
7,250 x _____________
3.39
New Computation.............. ______________
Balance...

=
=

24,578
_______________
24,578
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

24,578
_______________
0
_______________
_______________
24,578
_______________

Paperwork Reduction Act Notice
Time Per Response
3.39
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.55
______________
0.53
______________
1.26
______________
1.05
______________

0 hrs. , 33 min.
___________________
0 hrs. , 31 min.
___________________
1 hrs. , 15 min.
___________________
1 hrs. , 03 min.
___________________