Large-stave manuscript paper
A four-millimetre line gap gives a 16 mm stave — roughly twice printed size, and about seven staves to a Letter page.
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Staves for a beginner's hand
Children and adult beginners learning to write notation cannot reliably place a notehead in a 2 mm space, and the resulting page is unreadable in a way that quietly discourages them from writing music at all. Large staves make the difference between a line and a space unmistakable, which is the single thing a first notation exercise depends on.
Fewer systems, which is the point
A Letter sheet at this size holds about seven staves rather than twelve. For theory exercises, ear-training dictation, or writing out a scale and its arpeggio, seven is ample — and the extra room between systems leaves space for interval labels, fingering, chord symbols and a teacher's corrections, all of which normally end up crammed into the stave itself.
Also a large-print format
The same ruling serves players with low vision who need to write parts they can read from a stand at arm's length. Combine wide staves with a heavier line weight — this is one of the few papers here where a darker grid is right, because the stave lines are part of the notation rather than a guide to be drawn over and forgotten.
Printing it accurately
This only measures correctly if your printer doesn't rescale the page. In the print dialog set Scale: 100% — not "Fit to page" or "Shrink oversized pages". If you're not sure it worked, print the calibration page, measure the ruler on it with a real ruler, and it will tell you exactly what your printer is doing to the page.