Burden

Burden Computation - Business Forms
Page 1 of 1

January 17, 2017

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

940-PR (SCH A)/
Informacion para Empleadores o Patronos de Multiples Estados y sobre
2015

Changes (+ -)

2017

4,000
______________
77
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

4,000
______________
77
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
4,000 x _____________
18.71
Old Computation (Prog. Change) ______________
4,000
18.71
New Computation.............. ______________ x _____________
Balance...

=
=

74,840
_______________
74,840
_______________
_______________
0

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

4,000 x _____________
18.71
______________
______________
4,000 x _____________
18.71

=
=

74,840
_______________
_______________
74,840
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

74,840
_______________
0
_______________
0
_______________
74,840
_______________

Paperwork Reduction Act Notice
Time Per Response
18.71
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
18.41
______________
0.00
______________
0.30
______________
0.00
______________

Average Time
Per Response
18 hrs. , 24 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 18 min.
___________________
0 hrs. , 00 min.
___________________