2012 Burden

Burden Computation - Business Forms
Page 1 of 1

December 5, 2012

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

944X(SP)/
Ajuste a la Declaracion Federal ANUAL del Empleador o Reclamacion de
2010

Changes (+ -)

2012

100,000
______________
63
______________
0.00
______________
0.85
______________
0
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

100,000
______________
63
______________
0.00
______________
0.85
______________
0
______________

Computation of Changes
100,000 x _____________
15.31
Old Computation (Prog. Change) ______________
100,000
15.31
New Computation.............. ______________ x _____________
Balance...

=
=

1,531,000
_______________
1,531,000
_______________
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

1,531,000
_______________
0
_______________
_______________
1,531,000
_______________

Paperwork Reduction Act Notice
Time Per Response
15.31
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
15.07
______________
0.00
______________
0.25
______________
0.00
______________

Average Time
Per Response
15 hrs. , 04 min.
___________________
0 hrs. , 00 min.
___________________
0 hrs. , 15 min.
___________________
0 hrs. , 00 min.
___________________