Annual Refiling Survey (Mandatory)

Annual Refiling Survey (ARS) forms

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form BLS-3023-NVS Annual Refiling Survey (Mandatory) Form and Instruction
BLS-3023-NVS BLS-3023-NVS (No PLA) One-Sided NVS Form (no PLA).pdf Form and Instruction
BLS-3023-NVS BLS-3023-NVS (PLA) One-Sided NVS Form (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

Information Collection (IC) Details

IC Title:	Annual Refiling Survey (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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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-NVS	BLS-3023-NVS (PLA)	One-Sided NVS Form (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: 723,334	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 23 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	723,334	80,633	642,701
Annual IC Time Burden (Hours)	74,868	10,469	64,399
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.