Burden sheets

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-2/
Wage and Tax Statement (Info Copy Only)
2010

Changes (+ -)

2013

246,172,501
______________
32
______________
0.85
______________

_____________________________
_____________________________
_____________________________

246,172,501
______________
32
______________
0.85
______________

Computation of Changes
246,172,501 x _____________
0.50
Old Computation (Prog. Change) ______________
246,172,501 x _____________
0.50
New Computation.............. ______________
Balance...

=
=

123,086,251
_______________
123,086,251
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
123,086,251
_______________
0
_______________
_______________
123,086,251
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.50
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.50
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 30 min.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-3SS/
Transmittal of Wage and Tax Statements (Info Copy Only)
2010

Changes (+ -)

2013

5,895
______________
26
______________
0.85
______________

_____________________________
_____________________________
_____________________________

5,895
______________
26
______________
0.85
______________

Computation of Changes
5,895 x _____________
0.41
Old Computation (Prog. Change) ______________
5,895 x _____________
0.41
New Computation.............. ______________
Balance...

=
=

2,417
_______________
2,417
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
2,417
_______________
0
_______________
_______________
2,417
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.41
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.41
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 24 min.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

Product:
Description:

W-3PR/
Informé de Comprobantes de Retención Transmittal of Withholding

Variables
Responses.......
Line Items......
Forms Prepared..

______________
______________
______________

Changes (+ -)

2013

+34,613
_____________________________
+29
_____________________________
+0.85
_____________________________

34,613
______________
29
______________
0.85
______________

Computation of Changes
34,613 x _____________
Old Computation (Prog. Change) ______________
34,613 x _____________
0.45
New Computation.............. ______________
Balance...

=
=

_______________
15,576
_______________
+15,576
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+15,576
_______________
_______________
15,576
_______________

Paperwork Reduction Act Notice
Time Per Response
0.45
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.45
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 27 min.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

Product:
Description:

W-3CPR/
Transmisión de Comprobantes de Retención Corregidos

Variables
Responses.......
Line Items......
Forms Prepared..

______________
______________
______________

Changes (+ -)

2013

+5,150
_____________________________
+34
_____________________________
+0.85
_____________________________

5,150
______________
34
______________
0.85
______________

Computation of Changes
5,150 x _____________
Old Computation (Prog. Change) ______________
5,150 x _____________
0.53
New Computation.............. ______________
Balance...

=
=

_______________
2,730
_______________
+2,730
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+2,730
_______________
_______________
2,730
_______________

Paperwork Reduction Act Notice
Time Per Response
0.53
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.53
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 31 min.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-3C/
Transmittal of Corrected Wage and Tax Statements (Info Copy Only)
2010

Changes (+ -)

2013

52,828
______________
55
______________
0.85
______________

_____________________________
_____________________________
_____________________________

52,828
______________
55
______________
0.85
______________

Computation of Changes
52,828 x _____________
0.86
Old Computation (Prog. Change) ______________
52,828 x _____________
0.86
New Computation.............. ______________
Balance...

=
=

45,433
_______________
45,433
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
45,433
_______________
0
_______________
_______________
45,433
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.86
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.86
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 51 min.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-3/
Transmittal of Wage and Tax Statements (Info Copy Only)
2010

Changes (+ -)

2013

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

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

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.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-2GU/
Guam Wage and Tax Statement (Info Copy Only)
2010

Changes (+ -)

2013

110,533
______________
26
______________
0.85
______________

_____________________________
_____________________________
_____________________________

110,533
______________
26
______________
0.85
______________

Computation of Changes
110,533 x _____________
0.41
Old Computation (Prog. Change) ______________
110,533 x _____________
0.41
New Computation.............. ______________
Balance...

=
=

45,319
_______________
45,319
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
45,319
_______________
0
_______________
_______________
45,319
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.41
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.41
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 24 min.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-2C/
Corrected Wage and Tax Statement (Info Copy Only)
2010

Changes (+ -)

2013

768,545
______________
43
______________
0.85
______________

_____________________________
_____________________________
_____________________________

768,545
______________
43
______________
0.85
______________

Computation of Changes
768,545 x _____________
0.67
Old Computation (Prog. Change) ______________
768,545 x _____________
0.67
New Computation.............. ______________
Balance...

=
=

514,926
_______________
514,926
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
514,926
_______________
0
_______________
_______________
514,926
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.67
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.67
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 40 min.
___________________

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-2AS/
American Samoa Wage and Tax Statement (Info Copy Only)
2010

Changes (+ -)

2013

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
4,380
_______________
0
_______________
_______________
4,380
_______________

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

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

Notes:

Average Hours
Per Response
______________
______________
______________
0.39
______________

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

Burden Computation - Special Business Forms
Page 1 of 1

September 4, 2013

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

W-2VI/
U.S. Virgin Islands Wage and Tax Statement (Info Copy Only)
2010

Changes (+ -)

2013

61,524
______________
26
______________
0.85
______________

_____________________________
_____________________________
_____________________________

61,524
______________
26
______________
0.85
______________

Computation of Changes
61,524 x _____________
0.41
Old Computation (Prog. Change) ______________
61,524 x _____________
0.41
New Computation.............. ______________
Balance...

=
=

25,225
_______________
25,225
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

Summary
25,225
_______________
0
_______________
_______________
25,225
_______________

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

Paperwork Reduction Act Notice
Time Per Response
0.41
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.41
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 24 min.
___________________