Annual Refiling Survey Forms

ICR 201212-1220-001

OMB: 1220-0032

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supplementary Document
2012-12-12
Justification for No Material/Nonsubstantive Change
2011-12-13
Supplementary Document
2010-06-16
Supplementary Document
2010-06-16
Supplementary Document
2010-06-16
Supporting Statement A
2010-12-20
Supporting Statement B
2010-06-16
Supplementary Document
2007-07-26
Supplementary Document
2007-07-26
Supplementary Document
2007-07-26
Supplementary Document
2007-07-26
Supplementary Document
2007-07-26
Supplementary Document
2007-07-26
Supplementary Document
2007-07-26
Supplementary Document
2007-07-26
IC Document Collections
ICR Details
1220-0032 201212-1220-001
Historical Active 201111-1220-003
DOL/BLS
Annual Refiling Survey Forms
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/19/2012
Retrieve Notice of Action (NOA) 12/12/2012
  Inventory as of this Action Requested Previously Approved
12/31/2013 12/31/2013 12/31/2013
1,586,512 0 1,586,512
147,564 0 147,564
0 0 0

The Annual Refiling Survey (ARS) is used in conjunction with the Unemployment Insurance tax reporting system in each State in order to ensure the continued accuracy of Quarterly Census of Employment and Wages data. The primary purpose of the ARS is to verify or to correct the North American Industry Classification System (NAICS) code assigned to establishments as well as to obtain accurate mailing and physical location addresses of establishments. As a result, changes in the industrial and geographical compositions of the economy are captured in a timely manner and reflected in the BLS statistical programs. Federal, State, and local government officials as well as private researchers depend on accurate geographical and industrial coding based on the 2007 North American Industry Classification System Manual.

US Code: 29 USC 49 et seq. Name of Law: Wagner-Peyser Act as amended by the Workforce Investment Act of 1998
   US Code: 29 USC 1 et seq. Name of Law: BLS Authorizing Statute
  
None

Not associated with rulemaking

  75 FR 29782 05/27/2010
75 FR 61774 10/06/2010
Yes

2
IC Title Form No. Form Name
Annual Refiling Survey (Mandatory) BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NVS , BLS-3023-NCA, BLS-3023-NVS, BLS-3023-NCA, BLS-3023-NVM, BLS-3023-NCA, BLS-3023-NVS, BLS-3023-NVM BLS-3023-NVS (01) ,   BLS-3023-NVS (02) ,   BLS-3023-NVS (03) ,   BLS-3023-NVM ,   BLS-3023-NCA (01) ,   BLS-3023-NCA (02) ,   BLS-3023-NCA (03) ,   BLS-3023-NVS ,   BLS-3023-NVS (Web) ,   BLS-3023-NVM (Web)
Annual Refiling Survey (Voluntary) BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NVM, BLS-3023-NCA, BLS-3023-NCA, BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NCA, BLS-3023-NVM BLS-3023-NVS (01) ,   BLS-3023-NCA (03) ,   BLS-3023-NVS (02) ,   BLS-3023-NVS (03) ,   BLS-3023-NVM ,   BLS-3023-NCA (01) ,   BLS-3023-NCA (02) ,   BLS-3023-NVS ,   BLS-3023-NVS (Web) ,   BLS-3023-NVM (Web)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,586,512 1,586,512 0 0 0 0
Annual Time Burden (Hours) 147,564 147,564 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
While there are no changes to the information collection instruments, the decrease in total hours requested is due to no longer mailing ARS forms to establishments with 2 or fewer employees for the past 12 months. In addition, an increased number of selected large employers are reviewed centrally rather than by mailing them ARS forms.

$53,700,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Michael Searson 2026916469

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/12/2012


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