Information Collection

Annual Refiling Survey (Voluntary)

IC 181316 under ICR 200707-1220-003 · OMB 1220-0032.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0032 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS-3023-NVS Annual Refiling Survey (Voluntary)	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (PLA) One-Sided NVS Form (PLA).pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (No PLA) One-Sided NVS Form (no PLA).pdf	Form and Instruction
BLS-3023-NCA BLS-3023-NCA NCA form sample.doc	Form and Instruction
BLS-3023-NVM BLS-3023-NVM NVM form sample.doc	Form and Instruction

IC Title:

Annual Refiling Survey (Voluntary)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS-3023-NVS	BLS-3023-NVS (PLA)	One-Sided NVS Form (PLA).pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023-NVS	BLS-3023-NVS (No PLA)	One-Sided NVS Form (no PLA).pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023-NCA	BLS-3023-NCA	NCA form sample.doc	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023-NVM	BLS-3023-NVM	NVM form sample.doc	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 736,960

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 23 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	736,960	736,960
Annual IC Time Burden (Hours)	73,836	73,836
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.