Burden for Form 941PR-V

Burden Computation - Business Forms
Page 1 of 1

November 10, 2008

Product:
Description:
Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

941PR/941-(V)(PR) Preprinted

2004

Changes (+ -)

2004

85,000
______________
1
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

85,000
______________
1
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
85,000 x _____________
0.24
Old Computation (Prog. Change) ______________
85,000
0.24
New Computation.............. ______________ x _____________
Balance...

=
=

20,400
_______________
20,400
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

20,400
_______________
0
_______________
_______________
20,400
_______________

Paperwork Reduction Act Notice
Time Per Response
0.24
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No changes.

Average Hours
Per Response
0.24
______________
0.00
______________
0.00
______________
0.00
______________

Average Time
Per Response
0 hrs. , 14 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 00 min.
___________________