Information Collection

Multiple Worksite Report (Mandatory)

IC 178400 under ICR 201508-1220-002 · OMB 1220-0134.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0134 can be found here:

Documents and Forms

Document Name Document Type
Form BLS 3020 Multiple Worksite Report (Mandatory) Form and Instruction
MWRweb_Letter_pilot.docx Instruction
BLS 3020 Multiple Worksite Report Attachment C - MWR Form (Mandatory).pdf Form and Instruction
MWRWeb MWRWeb MWRwebScreenshots.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Multiple Worksite Report (Mandatory)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 3020	Multiple Worksite Report	Attachment C - MWR Form (Mandatory).pdf	Yes	Yes	Fillable Printable
Form and Instruction	MWRWeb	MWRWeb	MWRwebScreenshots.pdf	Yes	Yes	Fillable Fileable
Instruction			MWRweb_Letter_pilot.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74,211	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 38 %

	Approved	Previously Approved
Annual Number of Responses for this IC	296,844	296,844
Annual IC Time Burden (Hours)	109,832	109,832
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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