Information Collection

Annual Refiling Survey (Mandatory)

IC 14562 under ICR 201111-1220-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 BLS-3023-NVS (01) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS (02) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS (03) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NVM BLS-3023-NVM Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NCA BLS-3023-NCA (01) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NCA BLS-3023-NCA (02) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NCA BLS-3023-NCA (03) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS (Web) Annual Refiling Survey (Mandatory)	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (01) NVS_01.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (02) NVS02.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (03) NVS_03.pdf	Form and Instruction
BLS-3023-NVM BLS-3023-NVM NVM.pdf	Form and Instruction
BLS-3023-NCA BLS-3023-NCA (01) NCA01.pdf	Form and Instruction
BLS-3023-NCA BLS-3023-NCA (02) NCA_02.pdf	Form and Instruction
BLS-3023-NCA BLS-3023-NCA (03) NCA03.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS NVS_Web-Eligible_Mandatory.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (Web) ARSWeb Screen Shots-Mandatory.docx	Form and Instruction
ARS_Mandatory_NVS(CMI00)_Initial_FY2010_083109.doc NVS Mandatory Initial Letter	IC Document
ARS_Mandatory_NVS(CMI00)_followup_FY2010_083109.doc NVS Mandatory Follow-up Letter	IC Document
ARS_Mandatory_NVS(CMI01)_initial_FY2010_083109.doc NVS Mandatory Initial Letter with TRS	IC Document
ARS_Mandatory_NVS(CMI01)_followup_FY2010_083109.doc NVS Mandatory Follow-up Letter with TRS	IC Document
ARS_Mandatory_NVM_Initial_FY2010_083109.doc NVM Mandatory Initial Letter	IC Document
ARS_Mandatory_NVM_followup_FY2010_083109.doc NVM Mandatory Follow-up Letter	IC Document
ARS_Mandatory_NCA_Initial_FY2010_083109.doc NCA Mandatory Initial Letter	IC Document
ARS_Mandatory_NCA_followup_FY2010_083109.doc NCA Mandatory Follow-up Letter	IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS-3023-NVS	No		Paper Only
Form and Instruction	BLS-3023-NVS	No		Paper Only
Form and Instruction	BLS-3023-NVS	No		Paper Only
Form and Instruction	BLS-3023-NVM	No		Paper Only
Form and Instruction	BLS-3023-NCA	No		Paper Only
Form and Instruction	BLS-3023-NCA	No		Paper Only
Form and Instruction	BLS-3023-NCA	No		Paper Only
Form and Instruction	BLS-3023-NVS	No		Paper Only
Form and Instruction	BLS-3023-NVS	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: 774,919

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 29 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	774,919	116,638	658,281
Annual IC Time Burden (Hours)	73,347	7,280	66,067
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NVS Mandatory Initial Letter		07/08/2010
NVS Mandatory Follow-up Letter		07/08/2010
NVS Mandatory Initial Letter with TRS		07/08/2010
NVS Mandatory Follow-up Letter with TRS		07/08/2010
NVM Mandatory Initial Letter		07/08/2010
NVM Mandatory Follow-up Letter		07/08/2010
NCA Mandatory Initial Letter		07/08/2010
NCA Mandatory Follow-up Letter		07/08/2010

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

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