1041-N Unrec Sec 1250 Worksheet

Burden Computation - Business Forms
November 17, 2017

Product: 1041-N
Description: Unreac Section 1250 Worksheet

OMB Number: 1545-1776

Variables

Changes (+ -)

2017

Responses

+10

10

Line Items

+18

18

+0.85

0.85

+3

3

Attached Forms
Percent Paid Preparor
Code References

Computation of Changes
Old Computation (Prog. Change)

10

×

New Computation

10

×

=
4.98

Balance
Old Computation (Adjustment)
New Computation

10

=

50

=

49.80

×

=

×

=

Balance

50

=

Summary
Old Burden
Program Change

49.80

Adjustment
New Burden

4.98

Paperwork Reduction Act Notice
Time Per Response
4.98
Average Hours Per Response
Record Keeping

4.3

4 hrs. , 18 min.

Learning

0.3

0 hrs. , 18 min.

Preparing

0.38

0 hrs. , 22 min.

Sending
Notes:

0.0