2010 Burden Form W-2AS

Burden Computation - Special Business Forms
Page 1 of 1

July 21, 2010

Product:
Description:
Variables
Responses.......
Line Items......
Forms Prepared..

W-2AS/
American Samoa Wage and Tax Statement (Info Copy Only)
2007

Changes (+ -)

2010

11,229
______________
25
______________
0.85
______________

_____________________________
_____________________________
_____________________________

11,229
______________
25
______________
0.85
______________

Computation of Changes
11,229 x _____________
0.39
Old Computation (Prog. Change) ______________
11,229 x _____________
0.39
New Computation.............. ______________
Balance...

=
=

4,380
_______________
4,380
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

4,380
_______________
0
_______________
_______________
4,380
_______________

Paperwork Reduction Act Notice
Time Per Response
0.39
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:
There were no changes made.

Average Hours
Per Response
______________
______________
______________
0.39
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 23 min.
___________________