Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

Burden Computation Form 1042.pdf

Dividend Equivalents from Sources within the United States (REG-120282-10 & 127895-14) & Forms 1042, 1042-S and 1042-T

Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

OMB: 1545-0096

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Burden Computation - Business Forms
Page 1 of 1

August 19, 2015

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

1042/
Annual Withholding Tax Return for U.S. Source Income of Foreign Persons
2014

Changes (+ -)

2015

36,400
______________
44
______________
2.00
______________
0.85
______________
17
______________

_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

36,400
______________
44
______________
2.00
______________
0.85
______________
17
______________

Computation of Changes
36,400 x _____________
18.05
Old Computation (Prog. Change) ______________
36,400
18.05
New Computation.............. ______________ x _____________
Balance...

=
=

657,020
_______________
657,020
_______________
_______________
0

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

36,400 x _____________
18.05
______________
______________
36,400 x _____________
18.05

=
=

657,020
_______________
_______________
657,020
_______________
0

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

657,020
_______________
0
_______________
0
_______________
657,020
_______________

Paperwork Reduction Act Notice
Time Per Response
18.05
Recordkeeping.............
Learning..................
Preparing.................
Sending...................

Notes:

Average Hours
Per Response
10.52
______________
2.42
______________
4.57
______________
0.54
______________

Average Time
Per Response
10 hrs. , 31 min.
___________________
2 hrs. , 25 min.
___________________
4 hrs. , 34 min.
___________________
0 hrs. , 32 min.
___________________


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