Burden for Schedule A (F 940)

Burden Computation - Business Forms
Page 1 of 1

January 17, 2017

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

940 (SCH A)/
Multi-State Employer and Credit Reduction Information
2015

Changes (+ -)

2017

5,421,000
______________
67
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,421,000
______________
67
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
5,421,000 x _____________
16.28
Old Computation (Prog. Change) ______________
5,421,000
16.28
New Computation.............. ______________ x _____________
Balance...

=
=

88,253,880
_______________
88,253,880
_______________
_______________
0

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

5,421,000 x _____________
16.28
______________
______________
5,421,000 x _____________
16.28

=
=

88,253,880
_______________
_______________
88,253,880
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

88,253,880
_______________
0
_______________
0
_______________
88,253,880
_______________

Paperwork Reduction Act Notice
Time Per Response
16.28
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
16.02
______________
0.00
______________
0.26
______________
0.00
______________

Average Time
Per Response
16 hrs. , 01 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 15 min.
___________________
0 hrs. , 00 min.
___________________