2011 Burden Form SS-4-PR

Burden Computation - Individual Forms
Page 1 of 1

September 23, 2011

Product:
Description:
Variables
Responses.......
Line Items......
Pages...........
Words...........
Code References.
Income Records..
Other Records...
Avg Lines used..

SS-4PR/
Solicitud de Número de Identificación Patronal (EIN)
2008

Changes (+ -)

2008

66,666
______________
34
______________
1.00
______________
3,995.00
______________
6
______________
0.00
______________
1.00
______________
0.85
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

66,666
______________
34
______________
1.00
______________
3,995.00
______________
6
______________
0.00
______________
1.00
______________
0.85
______________

Computation of Changes
66,666 x _____________
3.28
Old Computation (Prog. Change) ______________
66,666 x _____________
3.28
New Computation.............. ______________
Balance...

=
=

218,665
_______________
218,665
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

218,665
_______________
0
_______________
_______________
218,665
_______________

Paperwork Reduction Act Notice
Time Per Response
3.28
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
0.52
______________
1.46
______________
0.96
______________
0.34
______________

0 hrs. , 31 min.
___________________
1 hrs. , 27 min.
___________________
0 hrs. , 57 min.
___________________
0 hrs. , 20 min.
___________________