Information Collection

Annual Refiling Survey (Voluntary)

IC 181316 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⚠️ Notice: This information collection may be referencing outdated material.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 BLS-3023-NVS (01) Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS (02) Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS (03) Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NVM BLS-3023-NVM Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NCA BLS-3023-NCA (01) Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NCA BLS-3023-NCA (02) Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NCA BLS-3023-NCA (03) Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NVS BLS-3023-NVS (Web) Annual Refiling Survey (Voluntary)	Form and Instruction
Form BLS-3023-NVM BLS-3023-NVM (Web) Annual Refiling Survey (Voluntary)	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (01) 272597-4vb_NVS01_vol.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (02) 283424-1vb_NVS02_vol.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (03) 272598-3vb_NVS03_vol.pdf	Form and Instruction
BLS-3023-NVM BLS-3023-NVM 283886-1VB_NVM_12page.pdf	Form and Instruction
BLS-3023-NCA BLS-3023-NCA (01) 283427-1vb_NCA01_vol.pdf	Form and Instruction
BLS-3023-NCA BLS-3023-NCA (02) 283429-1vb_NCA02_vol.pdf	Form and Instruction
BLS-3023-NCA BLS-3023-NCA (03) 283430-1vb_NCA03_vol.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS NVS_Web-Eligible_Voluntary.pdf	Form and Instruction
BLS-3023-NVS BLS-3023-NVS (Web) ARSWeb Screen Shots-Voluntary.docx	Form and Instruction
BLS-3023-NVM BLS-3023-NVM (Web) NVMweb_Screen_Shots_Mandatory&Voluntary (2012).docx	Form and Instruction
ARS_Voluntary_NVS(CMI00)_Initial_FY2010_083109.doc NVS Voluntary Initial Letter	IC Document
ARS_Voluntary_NVS(CMI00)_followup_FY2010_083109.doc NVS Voluntary Follow-up Letter	IC Document
ARS_Voluntary_NVS(CMI01)_Initial_FY2010_083109.doc NVS Voluntary Initial Letter with TRS	IC Document
ARS_Voluntary_NVS(CMI01)_followup_FY2010)_083109.doc NVS Voluntary Follow-up Letter with TRS	IC Document
ARS_Voluntary_NVM_Initial_FY2010_083109.doc NVM Voluntary Initial Letter	IC Document
ARS_Voluntary_NVM_followup_FY2010_083109.doc NVM Voluntary Follow-up Letter	IC Document
ARS_Voluntary_NCA_Initial_FY2010_083109.doc NCA Voluntary Initial Letter	IC Document
ARS_Voluntary_NCA_followup_FY2010_083109.doc NCA Voluntary Follow-up Letter	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Annual Refiling Survey (Voluntary)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Form and Instruction	BLS-3023-NVM	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: 811,593

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	Previously Approved
Annual Number of Responses for this IC	811,593	811,593
Annual IC Time Burden (Hours)	74,217	74,217
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NVS Voluntary Initial Letter		07/08/2010
NVS Voluntary Follow-up Letter		07/08/2010
NVS Voluntary Initial Letter with TRS		07/08/2010
NVS Voluntary Follow-up Letter with TRS		07/08/2010
NVM Voluntary Initial Letter		07/08/2010
NVM Voluntary Follow-up Letter		07/08/2010
NCA Voluntary Initial Letter		07/08/2010
NCA Voluntary Follow-up Letter		08/09/2010

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

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