2014 Burden Form SS-4-PR

Burden Computation - Special Business Forms
Page 1 of 1

November 20, 2014

Product:
Description:

SS-4PR/
Solicitud de Numero de Identificacion Patronal (EIN)

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

______________
______________
______________

Changes (+ -)

2014

+66,666
_____________________________
+36
_____________________________
+0.85
_____________________________

66,666
______________
36
______________
0.85
______________

Computation of Changes
66,666 x _____________
Old Computation (Prog. Change) ______________
66,666 x _____________
0.56
New Computation.............. ______________
Balance...

=
=

_______________
37,333
_______________
+37,333
_______________

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

______________ x _____________
66,666 x _____________
______________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

_______________
+37,333
_______________
_______________
37,333
_______________

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.
___________________
___________________