Multiple Worksite Report and the Report of Federal Employment and Wages

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BLS 3020 Multiple Worksite Report (Voluntary)	Form and Instruction	Unchanged	Available
Form BLS 3020 Multiple Worksite Report (Mandatory)	Form and Instruction	Modified	Available
Form BLS 3021 Report of Federal Employment and Wages	Form and Instruction	Unchanged	Available
Note_to_Reviewer_MWRweb_Letter (2015).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-08-24	Available
Attachment F.doc	Supplementary Document	Uploaded 2009-12-09	Available
Attachment E.pdf	Supplementary Document	Uploaded 2009-12-09	Available
Attachment B.pdf	Supplementary Document	Uploaded 2009-12-09	Available
Attachment A.doc	Supplementary Document	Uploaded 2009-12-09	Available
Supporting Statement Part A (1220-0134).doc	Supporting Statement A	Uploaded 2013-03-25	Available
Supporting Statement Part B (1220-0134).doc	Supporting Statement B	Uploaded 2013-03-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
178402	Multiple Worksite Report (Voluntary)	Form and Instruction	Unchanged
178400	Multiple Worksite Report (Mandatory)	Form and Instruction	Modified
14636	Report of Federal Employment and Wages	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1220-0134	ICR Reference No: 201508-1220-002
Status: Historical Active	Previous ICR Reference No: 201301-1220-003
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Multiple Worksite Report and the Report of Federal Employment and Wages
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: 10/09/2015
	Date Received in OIRA: 08/27/2015
Terms of Clearance: The BLS shall provide on its Internet site prominent links to a set of finalized survey forms, including instructions and cover letters. The final forms, instructions, and letters shall reflect any changes in the survey year, expiration date, and BLS leadership from those submitted for review.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	05/31/2016	05/31/2016
Responses	544,232	0	544,232
Time Burden (Hours)	201,365	0	201,365
Cost Burden (Dollars)	0	0	0

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Abstract: States use the Multiple Worksite Report to collect employment and wages data from non-Federal businesses engaged in multiple operations within a State and subject to State Unemployment Insurance laws. The Report of Federal Employment and Wages is designed for Federal establishments covered under the Unemployment Compensation for Federal Employees program. These data are used for sampling, benchmarking, and economic analysis.

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Authorizing Statute(s): US Code: 42 USC 503 Name of Law: Social Security Act
   US Code: 29 USC 1 & 2 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:
	77 FR 75196	12/19/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 19315	03/29/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Multiple Worksite Report (Mandatory)	BLS 3020, MWRWeb	Multiple Worksite Report ,   MWRWeb
Multiple Worksite Report (Voluntary)	MWRWeb, BLS 3020	Multiple Worksite Report ,   MWRWeb
Report of Federal Employment and Wages	BLS 3021	Report of Federal Employment and Wages

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ICR Summary of Burden

table that charts list 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	544,232	544,232	0	0	0	0
Annual Time Burden (Hours)	201,365	201,365	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: The survey is a census and the increase of total hours requested, from 197,274 to 201,366, is due to the availability of more recent information on the expansion in the total number of businesses in the U.S. economy with multiple-worksite locations.

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Annual Cost to Federal Government: $60,000,000

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: 08/27/2015

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