Burden estimates

Burden Computation - Business Forms
Page 1 of 1

October 14, 2009

Product:
Description:

941 (SCH R)/
Allocation Schedule for Aggregate Form 941 Filers

Variables
Responses.......
Line Items......
Attachments.....
Forms Prepared..
Code References.

______________
______________
______________
______________
______________

Changes (+ -)

2009

+6,500
_____________________________
+52
_____________________________
_____________________________
+0.85
_____________________________
+2
_____________________________

6,500
______________
52
______________
0.00
______________
0.85
______________
2
______________

Computation of Changes
6,500 x _____________
Old Computation (Prog. Change) ______________
6,500 x _____________
13.04
New Computation.............. ______________
Balance...

=
=

_______________
84,760
_______________
_______________
+84,760

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

______________ x _____________
______________
6,500 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+84,760
_______________
_______________
84,760
_______________

Paperwork Reduction Act Notice
Time Per Response
13.04
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:
New form

Average Hours
Per Response
12.44
______________
0.20
______________
0.41
______________
0.00
______________

Average Time
Per Response
12 hrs. , 26 min.
___________________
0 hrs. , 12 min.
___________________
0 hrs. , 24 min.
___________________
0 hrs. , 00 min.
___________________