1041-N 28% Rate Gain Worksheet

Burden Computation - Business Forms
November 17, 2017

Product: 1041-N
Description: 28% Rate Gain Worksheet

OMB Number: 1545-1776

Variables

Changes (+ -)

9999

Responses

+10

10

Line Items

+8

8

+0.85

0.85

+3

3

Attached Forms
Percent Paid Preparor
Code References

Computation of Changes
Old Computation (Prog. Change)

10

×

New Computation

10

×

=
2.55

Balance
Old Computation (Adjustment)
New Computation

10

=

26

=

25.50

×

=

×

=

Balance

26

=

Summary
Old Burden
Program Change

25.50

Adjustment
New Burden

2.55

Paperwork Reduction Act Notice
Time Per Response
2.55
Average Hours Per Response
Record Keeping

1.91

1 hrs. , 54 min.

Learning

0.3

0 hrs. , 18 min.

Preparing

0.34

0 hrs. , 20 min.

Sending
Notes:

0.0