2014 Burden Form SS-4

Burden Computation - Special Business Forms
Page 1 of 1

November 20, 2014

Product:
Description:

SS-4/
Application for Employer Identification Number

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

______________
______________
______________

Changes (+ -)

2014

+1,546,042
_____________________________
+36
_____________________________
+0.85
_____________________________

1,546,042
______________
36
______________
0.85
______________

Computation of Changes
1,546,042 x _____________
Old Computation (Prog. Change) ______________
1,546,042 x _____________
0.56
New Computation.............. ______________
Balance...

=
=

_______________
865,784
_______________
+865,784
_______________

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

______________ x _____________
______________
1,546,042 x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+865,784
_______________
_______________
865,784
_______________

Paperwork Reduction Act Notice
Time Per Response
0.56
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.56
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 33 min.
___________________