Multiple Worksite Report (Mandatory)

Multiple Worksite Report and the Report of Federal Employment and Wages

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0134 can be found here:

Documents and Forms

Document Name Document Type
Form BLS 3020 Multiple Worksite Report (Mandatory) Form and Instruction
MWRweb OMB Statement for Mandatory State.docx Instruction
BLS 3020 Multiple Worksite Report BLS 3020 MWR Mandatory Form (for approval).doc Form and Instruction
MWRweb MWRweb MWRwebScreens.ppt Form and Instruction

Information Collection (IC) Details

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 3020	Multiple Worksite Report	BLS 3020 MWR Mandatory Form (for approval).doc	Yes	Yes	Fillable Printable
Form and Instruction	MWRweb	MWRweb	MWRwebScreens.ppt	Yes	Yes	Fillable Fileable
Instruction			MWRweb OMB Statement for Mandatory State.docx	Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72,937	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 33 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	291,748	1,032	290,716
Annual IC Time Burden (Hours)	107,947	382	107,565
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.