943PR burden

Burden Computation - Business Forms
Page 1 of 1

July 20, 2007

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

943PR/
Planilla Para la Declaración Anual De La Contribución Del Patrono De
2004

Changes (+ -)

2007

5,305
______________
37
______________
1.00
______________
0.85
______________
3
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

5,305
______________
37
______________
1.00
______________
0.85
______________
3
______________

Computation of Changes
5,305 x _____________
11.55
Old Computation (Prog. Change) ______________
5,305
11.55
New Computation.............. ______________ x _____________
Balance...

=
=

61,273
_______________
61,273
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

61,273
_______________
0
_______________
_______________
61,273
_______________

Paperwork Reduction Act Notice
Time Per Response
11.55
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
No change.

Average Hours
Per Response
8.85
______________
0.67
______________
1.77
______________
0.27
______________

Average Time
Per Response
8 hrs. , 51 min.
___________________
0 hrs. , 40 min.
___________________
1 hrs. , 46 min.
___________________
0 hrs. , 16 min.
___________________