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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Multiple Worksite Report (Mandatory)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
BLS 3020
Multiple Worksite Report 3020 - Mandatory
MWR 3020_Mandatory.docx
Yes
Yes
Fillable Printable
Form and Instruction
MWRWeb
MWRWeb - Mandatory
MWRWeb Screenshots_Mandatory_Voluntary.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
77,507
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
43 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
310,028
0
0
13,184
0
296,844
Annual IC Time Burden (Hours)
114,710
0
0
4,878
0
109,832
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
MWR Cover Letter - Mandatory
Cover Letter_Mandatory.docx
03/02/2016
MWR Cover Letter - Mandatory (Web Reporting)
Cover Letter_Mandatory (Web Only).docx
03/02/2016
MWR Initial Email Notification
T1_Sample_Email.docx
03/02/2016
MWR Email Reminder - Second Notification
T2_Sample_Email.docx
03/02/2016
MWR Email Reminder - Third Notification
T3_Sample_Email.docx
03/02/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.