Burden for 941-X

Burden Computation - Business Forms
Page 1 of 1

September 17, 2013

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

941X/
Adjusted Employer's QUARTERLY Federal Tax Return or claim for Refund
2010

Changes (+ -)

2013

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

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

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

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

=
=

1,754,000
_______________
1,754,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,754,000
_______________
0
_______________
_______________
1,754,000
_______________

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

Notes:

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.
___________________