I recently did some presentations for the VA. They are doing a great job implementing a PDF fillable/paperless forms workflow and saving tax payer dollars, lots of dollars. Here's one example:

Savings for electronic submission based on 1000 orders
• Printing and stocking paper form $ 300.00
• Data entry $ 3,000.00
• FedEx form to VHA $ 27,070.00
• FedEx to Printer $ 27,070.00
• Design charge $ 45,000.00
• Total savings $102,440.00