Burden for Form 944-X

Burden Computation - Business Forms
Page 1 of 1

December 5, 2012

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

944X/
Adjusted Employer's ANNUAL Federal Tax Return or Claim for Refund
2009

Changes (+ -)

2012

100,000
______________
73
______________
1.00
______________
0.85
______________
4
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100,000
______________
73
______________
1.00
______________
0.85
______________
4
______________

Computation of Changes
100,000 x _____________
20.51
Old Computation (Prog. Change) ______________
100,000
20.51
New Computation.............. ______________ x _____________
Balance...

=
=

2,051,000
_______________
2,051,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,051,000
_______________
0
_______________
_______________
2,051,000
_______________

Paperwork Reduction Act Notice
Time Per Response
20.51
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
17.46
______________
0.76
______________
2.01
______________
0.27
______________

Average Time
Per Response
17 hrs. , 27 min.
___________________
0 hrs. , 45 min.
___________________
2 hrs. , 00 min.
___________________
0 hrs. , 16 min.
___________________