F941-C PR Burden

Burden Computation - Business Forms
Page 1 of 1

March 10, 2008

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

941CPR/
Planilla para la Correccion de Informacion Facilitada Anteriormente en
2005

Changes (+ -)

2008

58,050
______________
31
______________
______________
0.85
______________
1
______________

_____________________________
+4
_____________________________
_____________________________
_____________________________
_____________________________

58,050
______________
35
______________
0.00
______________
0.85
______________
1
______________

Computation of Changes
58,050 x _____________
7.74
Old Computation (Prog. Change) ______________
58,050
8.71
New Computation.............. ______________ x _____________
Balance...

=
=

449,307
_______________
505,616
_______________
_______________
+56,309

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

449,307
_______________
+56,309
_______________
_______________
505,616
_______________

Paperwork Reduction Act Notice
Time Per Response
8.71
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Average Hours
Per Response
8.37
______________
0.10
______________
0.24
______________
0.00
______________

Notes:
Form revised, 4 line items added.

Average Time
Per Response
8 hrs. , 22 min.
___________________
0 hrs. , 06 min.
___________________
0 hrs. , 14 min.
___________________
0 hrs. , 00 min.
___________________