combinded burden sheets

Burden Computation - Special Business Forms
Page 1 of 1

September 21, 2016

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

W-2C/
Corrected Wage and Tax Statement (Info Copy Only)
2015

Changes (+ -)

150,297
______________
43
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
150,297
______________
43
______________
0.85
______________

Computation of Changes
150,297 x _____________
0.67
Old Computation (Prog. Change) ______________
150,297 x _____________
0.67
New Computation.............. ______________
Balance...

=
=

100,699
_______________
100,699
_______________
0
_______________

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

150,297 x _____________
0.67
______________
150,297
0.67
______________ x _____________

=
=

100,699
_______________
100,699
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

100,699
_______________
0
_______________
0
_______________
100,699
_______________

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 21, 2016

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

W-2/
Wage and Tax Statement (Info Copy Only)
2014

Changes (+ -)

249,311,400
______________
32
______________
0.85
______________

_____________________________
+32
_____________________________
+0.85
_____________________________

2016
247,118,200
______________
32
______________
0.85
______________

Computation of Changes
247,118,200 x _____________
0.50
Old Computation (Prog. Change) ______________
247,118,200 x _____________
0.50
New Computation.............. ______________
Balance...

=
=

123,559,100
_______________
123,559,100
_______________
0
_______________

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

249,311,400 x _____________
0.50
______________
247,118,200
0.50
______________ x _____________

=
=

124,655,700
_______________
123,559,100
_______________
-1,096,600
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

124,655,700
_______________
0
_______________
-1,096,600
_______________
123,559,100
_______________

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 21, 2016

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

W-2VI/
U.S. Virgin Islands Wage and Tax Statement (Info Copy Only)
2015

Changes (+ -)

2,028
______________
26
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
2,028
______________
26
______________
0.85
______________

Computation of Changes
2,028 x _____________
0.41
Old Computation (Prog. Change) ______________
2,028 x _____________
0.41
New Computation.............. ______________
Balance...

=
=

832
_______________
832
_______________
0
_______________

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

2,028 x _____________
0.41
______________
2,028
0.41
______________ x _____________

=
=

832
_______________
832
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

832
_______________
0
_______________
0
_______________
832
_______________

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 21, 2016

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

W-2GU/
Guam Wage and Tax Statement (Info Copy Only)
2015

Changes (+ -)

5,414
______________
26
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
5,414
______________
26
______________
0.85
______________

Computation of Changes
5,414 x _____________
0.41
Old Computation (Prog. Change) ______________
5,414 x _____________
0.41
New Computation.............. ______________
Balance...

=
=

2,220
_______________
2,220
_______________
0
_______________

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

5,414 x _____________
0.41
______________
5,414
0.41
______________ x _____________

=
=

2,220
_______________
2,220
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,220
_______________
0
_______________
0
_______________
2,220
_______________

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 21, 2016

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

W-2AS/
American Samoa Wage and Tax Statement (Info Copy Only)
2015

Changes (+ -)

5,414
______________
25
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
5,414
______________
25
______________
0.85
______________

Computation of Changes
5,414 x _____________
0.39
Old Computation (Prog. Change) ______________
5,414 x _____________
0.39
New Computation.............. ______________
Balance...

=
=

2,112
_______________
2,112
_______________
0
_______________

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

5,414 x _____________
0.39
______________
5,414
0.39
______________ x _____________

=
=

2,112
_______________
2,112
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,112
_______________
0
_______________
0
_______________
2,112
_______________

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 21, 2016

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

W-3CPR/
Transmision de Comprobantes de Retencion Corregidos
2013

Changes (+ -)

5,150
______________
34
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
5,150
______________
34
______________
0.85
______________

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

=
=

2,730
_______________
2,730
_______________
0
_______________

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

5,150 x _____________
0.53
______________
5,150
0.53
______________ x _____________

=
=

2,730
_______________
2,730
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,730
_______________
0
_______________
0
_______________
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 21, 2016

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

W-3C/
Transmittal of Corrected Wage and Tax Statements (Info Copy Only)
2015

Changes (+ -)

150,297
______________
55
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
150,297
______________
55
______________
0.85
______________

Computation of Changes
150,297 x _____________
0.86
Old Computation (Prog. Change) ______________
150,297 x _____________
0.86
New Computation.............. ______________
Balance...

=
=

129,256
_______________
129,256
_______________
0
_______________

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

150,297 x _____________
0.86
______________
150,297
0.86
______________ x _____________

=
=

129,256
_______________
129,256
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

129,256
_______________
0
_______________
0
_______________
129,256
_______________

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 21, 2016

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

W-3/
Transmittal of Wage and Tax Statements (Info Copy Only)
2015

Changes (+ -)

6,747,800
______________
30
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
6,747,800
______________
30
______________
0.85
______________

Computation of Changes
6,747,800 x _____________
0.47
Old Computation (Prog. Change) ______________
6,747,800 x _____________
0.47
New Computation.............. ______________
Balance...

=
=

3,171,466
_______________
3,171,466
_______________
0
_______________

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

6,747,800 x _____________
0.47
______________
6,747,800
0.47
______________ x _____________

=
=

3,171,466
_______________
3,171,466
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

3,171,466
_______________
0
_______________
0
_______________
3,171,466
_______________

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 21, 2016

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

W-3PR/
Informe de Comprobantes de Retencion Transmittal of Withholding
2015

Changes (+ -)

40,594
______________
29
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
40,594
______________
29
______________
0.85
______________

Computation of Changes
40,594 x _____________
0.45
Old Computation (Prog. Change) ______________
40,594 x _____________
0.45
New Computation.............. ______________
Balance...

=
=

18,268
_______________
18,268
_______________
0
_______________

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

40,594 x _____________
0.45
______________
40,594
0.45
______________ x _____________

=
=

18,268
_______________
18,268
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

18,268
_______________
0
_______________
0
_______________
18,268
_______________

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 21, 2016

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

W-3SS/
Transmittal of Wage and Tax Statements (Info Copy Only)
2015

Changes (+ -)

5,414
______________
26
______________
0.85
______________

_____________________________
_____________________________
_____________________________

2016
5,414
______________
26
______________
0.85
______________

Computation of Changes
5,414 x _____________
0.41
Old Computation (Prog. Change) ______________
5,414 x _____________
0.41
New Computation.............. ______________
Balance...

=
=

2,220
_______________
2,220
_______________
0
_______________

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

5,414 x _____________
0.41
______________
5,414
0.41
______________ x _____________

=
=

2,220
_______________
2,220
_______________
0
_______________

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

______________ x _____________
______________ x _____________

=
=

_______________
_______________
_______________

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

2,220
_______________
0
_______________
0
_______________
2,220
_______________

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.
___________________
___________________