2010 Burden Form W-3

Burden Computation - Special Business Forms
Page 1 of 1

July 21, 2010

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

W-3/
Transmittal of Wage and Tax Statements (Info Copy Only)
2007

Changes (+ -)

2010

5,782,303
______________
30
______________
0.85
______________

_____________________________
_____________________________
_____________________________

5,782,303
______________
30
______________
0.85
______________

Computation of Changes
5,782,303 x _____________
0.47
Old Computation (Prog. Change) ______________
5,782,303 x _____________
0.47
New Computation.............. ______________
Balance...

=
=

2,717,683
_______________
2,717,683
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,717,683
_______________
0
_______________
_______________
2,717,683
_______________

Paperwork Reduction Act Notice
Time Per Response
0.47
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.47
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 28 min.
___________________