Burden for 941-X

Burden Computation - Business Forms
Page 1 of 1

November 10, 2008

Product:
Description:

941X/
Adjusted Employer's QUARTERLY Federal Tax Return or claim for Refund

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2008

+100,000
_____________________________
+68
_____________________________
_____________________________
+0.85
_____________________________
+5
_____________________________

100,000
______________
68
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
100,000 x _____________
Old Computation (Prog. Change) ______________
100,000 x _____________
17.54
New Computation.............. ______________
Balance...

=
=

_______________
1,754,000
_______________
_______________
+1,754,000

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

______________ x _____________
______________
100,000 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+1,754,000
_______________
_______________
1,754,000
_______________

Paperwork Reduction Act Notice
Time Per Response
17.54
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
New Form.

Average Hours
Per Response
16.26
______________
0.50
______________
0.79
______________
0.00
______________

Average Time
Per Response
16 hrs. , 15 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 47 min.
___________________
0 hrs. , 00 min.
___________________