Relief for Innocent Spouse Relief

Burden Computation - Individual Forms
Page 1 of 1

March 30, 2017

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

8857/
Request for Innocent Spouse Relief
2013

Changes (+ -)

2014

50,000
______________
111
______________
4.00
______________
12,678.00
______________
6
______________
______________
______________
0.00
______________

_____________________________
+34
_____________________________
+3.00
_____________________________
+285.00
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

50,000
______________
145
______________
7.00
______________
12,963.00
______________
6
______________
0.00
______________
0.00
______________
0.00
______________

Computation of Changes
50,000 x _____________
4.81
Old Computation (Prog. Change) ______________
50,000 x _____________
6.32
New Computation.............. ______________
Balance...

=
=

240,500
_______________
316,000
_______________
_______________
+75,500

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

240,500
_______________
+75,500
_______________
_______________
316,000
_______________

Paperwork Reduction Act Notice
Time Per Response
6.32
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.00
______________
1.18
______________
3.39
______________
1.75
______________

0 hrs. , 00 min.
___________________
1 hrs. , 10 min.
___________________
3 hrs. , 23 min.
___________________
1 hrs. , 45 min.
___________________