Burden for 941-X (PR)

Burden Computation - Business Forms
Page 1 of 1

May 15, 2010

Product:
Description:

941X-PR/
Ajuste a la Declaracion Federal TRIMESTRAL del Patrono o Reclamacion de

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

______________
______________
______________
______________
______________

Changes (+ -)

2010

+75,000
_____________________________
+54
_____________________________
_____________________________
+0.85
_____________________________
+5
_____________________________

75,000
______________
54
______________
0.00
______________
0.85
______________
5
______________

Computation of Changes
75,000 x _____________
Old Computation (Prog. Change) ______________
75,000 x _____________
14.14
New Computation.............. ______________
Balance...

=
=

_______________
1,060,500
_______________
_______________
+1,060,500

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+1,060,500
_______________
_______________
1,060,500
_______________

Paperwork Reduction Act Notice
Time Per Response
14.14
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
12.91
______________
0.50
______________
0.73
______________
0.00
______________

Average Time
Per Response
12 hrs. , 54 min.
___________________
0 hrs. , 30 min.
___________________
0 hrs. , 43 min.
___________________
0 hrs. , 00 min.
___________________