Burden Form 1042-S

Burden Computation - Special Business Forms
Page 1 of 1

November 6, 2014

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

1042S/
Foreign Person's U.S. Source Income Subject to Withholding
2011

Changes (+ -)

2014

3,525,300
______________
37
______________
0.85
______________

_____________________________
_____________________________
_____________________________

3,525,300
______________
37
______________
0.85
______________

Computation of Changes
3,525,300 x _____________
0.58
Old Computation (Prog. Change) ______________
3,525,300 x _____________
0.58
New Computation.............. ______________
Balance...

=
=

2,044,674
_______________
2,044,674
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,044,674
_______________
0
_______________
_______________
2,044,674
_______________

Paperwork Reduction Act Notice
Time Per Response
0.58
Record Keeping............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
______________
______________
______________
0.58
______________

Average Time
Per Response
___________________
___________________
___________________
0 hrs. , 34 min.
___________________