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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Multiple Worksite Report (Voluntary)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
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 MWR - Voluntary
BLS 3020 Multiple Worksite Report - Voluntary
BLS-3020-MWR_Voluntary.pdf
Yes
Yes
Fillable Printable
Form and Instruction
BLS 3020 MWRWeb
BLS 3020 MWRWeb
BLS-3020-MWRWeb_Screenshots.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:
58,348
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:
56 %
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
233,392
0
0
0
0
233,392
Annual IC Time Burden (Hours)
86,355
0
0
0
0
86,355
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
BLS 3020 MWR Cover Letter - Voluntary
BLS-3020-MWR_Cover_Letter_(Print)_Voluntary.doc
05/14/2019
BLS 3020 MWRWeb Cover Letter - Voluntary
BLS-3020-MWR_Cover_Letter_(Web)_Voluntary.docx
05/14/2019
BLS 3020 MWRWeb Email Reminders
BLS-3020-MWRweb_Email_Reminders.docx
05/14/2019
BLS 3020 MWRWeb FIle Upload Cover Letter
BLS-3020-MWRWeb_File_Upload_Letter.docx
05/14/2019
MWR Email Solicitation Templates
MWR_Email_Solicitation_Templates.docx
03/19/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.