Information Collection

Annual Refiling Survey (Voluntary)

IC 181316 under ICR 201708-1220-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Annual Refiling Survey (Voluntary)	Form and Instruction
BLS-3023-NVS / BLS BLS-3023-NVS / BLS-3023-NCA (Alabama Example) NVS_NCA_Voluntary_Alabama.pdf	Form and Instruction
BLS-3023-NVM (Alab BLS-3023-NVM (Alabama Example) NVM_Voluntary_Alabama.pdf	Form and Instruction
BLS-3023-NVS (ARSW BLS-3023-NVS (ARSWeb) ARSWeb_Screenshots-Voluntary_2017.pdf	Form and Instruction
BLS-3023-NVM (NVMW BLS-3023-NVM (NVMWeb) NVMWeb Mandatory & Voluntary Screenshots - 2017.pdf	Form and Instruction
NVM_Voluntary_Letters.pdf NVM Voluntary - Initial and Follow-up Letters	IC Document
NVS_NCA_Voluntary_Letters.pdf NVS/NCA Voluntary - Initial and Follow-up Letters	IC Document
Email_Password_Template.pdf Web Email - Password	IC Document
Email_Blast_Template-NVS_NCA.pdf NVS/NCA Web Email Blast	IC Document
Email_Blast_Template-NVM.pdf NVM Web Email Blast	IC Document

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.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS-3023-NVS / BLS-3023-NCA (Alabama Example)	BLS-3023-NVS / BLS-3023-NCA (Alabama Example)	NVS_NCA_Voluntary_Alabama.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVM (Alabama Example)	BLS-3023-NVM (Alabama Example)	NVM_Voluntary_Alabama.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVS (ARSWeb)	BLS-3023-NVS (ARSWeb)	ARSWeb_Screenshots-Voluntary_2017.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023-NVM (NVMWeb)	BLS-3023-NVM (NVMWeb)	NVMWeb Mandatory & Voluntary Screenshots - 2017.pdf	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: 469,678

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	469,678	3,784	465,894
Annual IC Time Burden (Hours)	50,909	3,979	46,930
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NVM Voluntary - Initial and Follow-up Letters	NVM_Voluntary_Letters.pdf	09/18/2017
NVS/NCA Voluntary - Initial and Follow-up Letters	NVS_NCA_Voluntary_Letters.pdf	09/18/2017
Web Email - Password	Email_Password_Template.pdf	09/18/2017
NVS/NCA Web Email Blast	Email_Blast_Template-NVS_NCA.pdf	09/18/2017
NVM Web Email Blast	Email_Blast_Template-NVM.pdf	09/18/2017

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