Information Collection

Annual Refiling Survey (Mandatory)

IC 14562 under ICR 201212-1220-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 (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
BLS-3023-NVM BLS-3023-NVM (Web) NVMweb_Screen_Shots_Mandatory&Voluntary (2012).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.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS-3023-NVS	BLS-3023-NVS (01)	NVS_01.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVS	BLS-3023-NVS (02)	NVS02.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVS	BLS-3023-NVS (03)	NVS_03.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVM	BLS-3023-NVM	NVM.pdf	No		Paper Only
Form and Instruction	BLS-3023-NCA	BLS-3023-NCA (01)	NCA01.pdf	No		Paper Only
Form and Instruction	BLS-3023-NCA	BLS-3023-NCA (02)	NCA_02.pdf	No		Paper Only
Form and Instruction	BLS-3023-NCA	BLS-3023-NCA (03)	NCA03.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVS	BLS-3023-NVS	NVS_Web-Eligible_Mandatory.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVS	BLS-3023-NVS (Web)	ARSWeb Screen Shots-Mandatory.docx	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023-NVM	BLS-3023-NVM (Web)	NVMweb_Screen_Shots_Mandatory&Voluntary (2012).docx	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: Not-for-profit institutions, Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 29 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	774,919	774,919
Annual IC Time Burden (Hours)	73,347	73,347
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NVS Mandatory Initial Letter	ARS_Mandatory_NVS(CMI00)_Initial_FY2010_083109.doc	07/08/2010
NVS Mandatory Follow-up Letter	ARS_Mandatory_NVS(CMI00)_followup_FY2010_083109.doc	07/08/2010
NVS Mandatory Initial Letter with TRS	ARS_Mandatory_NVS(CMI01)_initial_FY2010_083109.doc	07/08/2010
NVS Mandatory Follow-up Letter with TRS	ARS_Mandatory_NVS(CMI01)_followup_FY2010_083109.doc	07/08/2010
NVM Mandatory Initial Letter	ARS_Mandatory_NVM_Initial_FY2010_083109.doc	07/08/2010
NVM Mandatory Follow-up Letter	ARS_Mandatory_NVM_followup_FY2010_083109.doc	07/08/2010
NCA Mandatory Initial Letter	ARS_Mandatory_NCA_Initial_FY2010_083109.doc	07/08/2010
NCA Mandatory Follow-up Letter	ARS_Mandatory_NCA_followup_FY2010_083109.doc	07/08/2010

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