Annual Refiling Survey

Forms and Documents

Document Name	Status
Form BLS-3023-NVS Annual Refiling Survey (Voluntary) Form and Instruction	Modified
Form BLS-3023-NVS Annual Refiling Survey (Mandatory) Form and Instruction	Modified
Note to Reviewer of ARS (1220-0032).docx Justification for No Material/Nonsubstantive Change	2014-07-28
Attachment C - Uses of QCEW Data.doc Supplementary Document	2013-09-30
Attachment B - BLS Handbook of Methods.pdf Supplementary Document	2013-09-30
Attachment A - Authorizing Statutes.doc Supplementary Document	2013-08-19
Supporting Statement A (1220-0032).doc Supporting Statement A	2013-09-30
Supporting Statement B (1220-0032).docx Supporting Statement B	2013-08-19

IC Document Collections

IC ID	Document Title	Status
181316	Annual Refiling Survey (Voluntary) Form and Instruction	Modified
14562	Annual Refiling Survey (Mandatory) Form and Instruction	Modified

ICR Details

OMB Control No: 1220-0032	ICR Reference No: 201407-1220-002
Status: Historical Active	Previous ICR Reference No: 201307-1220-002
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Annual Refiling Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/29/2014
	Date Received in OIRA: 07/28/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	12/31/2016	12/31/2016
Responses	1,605,915	0	1,605,915
Time Burden (Hours)	153,642	0	153,642
Cost Burden (Dollars)	0	0	0

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Abstract: The Annual Refiling Survey (ARS) is used in conjunction with the Unemployment Insurance tax reporting system in each State. 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 2012 North American Industry Classification System Manual.

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Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 44160	07/23/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 61196	11/08/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Annual Refiling Survey (Mandatory)	BLS-3023-NVS, BLS-3023-NCA, BLS-3023-NVM, BLS-3023-NVM, BLS-3023-NVS, BLS-3023-NVM (NVM Web), BLS-3023-NVS (ARSWeb), BLS-3023-NVS , BLS-3023-NCA	BLS-3023-NVS (CARS) ,   BLS-3023-NVS (Non-CARS, TRS Eligible) ,   BLS-3023-NVS (Non-CARS, Non-TRS Eligible) ,   BLS-3023-NVM (CARS) ,   BLS-3023-NVM (Non-CARS) ,   BLS-3023-NCA (CARS) ,   BLS-3023-NCA (Non-CARS) ,   BLS-3023-NVS (ARSWeb) ,   BLS-3023-NVM (NVMWeb)
Annual Refiling Survey (Voluntary)	BLS-3023-NVM, BLS-3023-NVM (NVMWeb), BLS-3023-NVS (ARSWeb), BLS-3023-NVS, BLS-3023-NVM, BLS-3023-NCA, BLS-3023-NCA, BLS-3023-NVS, BLS-3023-NVS	BLS-3023-NVS (CARS) ,   BLS-3023-NVS (Non-CARS, TRS Eligible) ,   BLS-3023-NVS (Non-CARS, Non-TRS Eligible) ,   BLS-3023-NVM (CARS) ,   BLS-3023-NVM (Non-CARS) ,   BLS-3023-NCA (CARS) ,   BLS-3023-NCA (Non-CARS) ,   BLS-3023-NVS (ARSWeb) ,   BLS-3023-NVM (NVMWeb)

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ICR Summary of Burden

	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	1,605,915	1,605,915	0	0	0	0
Annual Time Burden (Hours)	153,642	153,642	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $58,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/28/2014

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