Annual Refiling Survey (Mandatory)

Annual Refiling Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0032 can be found here:

Documents and Forms

Document Name Document Type
Form BLS-3023-NVS / BLS Annual Refiling Survey (Mandatory) Form and Instruction
BLS-3023-NVS / BLS BLS-3023-NVS / BLS-3023-NCA (California Example) NVS_NCA_Mandatory_California.pdf Form and Instruction
BLS-3023-NVM (Cali BLS-3023-NVM (California Example) NVM_Mandatory_California.pdf Form and Instruction
BLS-3023 (ARSWeb) BLS-3023 (ARSWeb) ARSWeb_Screenshots-Mandatory_2017.pdf Form and Instruction
BLS-3023-NVM (NVM BLS-3023-NVM (NVMWeb) NVMWeb Mandatory & Voluntary Screenshots - 2017.pdf Form and Instruction
NVM_Mandatory_Letters.pdf NVM Mandatory - Initial and Follow-up Letters IC Document
NVS_NCA_Mandatory_Letters.pdf NVS/NCA Mandatory - Initial and Follow-up Letters IC Document
Email_Blast_Template-NVS_NCA.pdf NVS/NCA Web Email Blast IC Document
Email_Password_Template.pdf Web Email - Password IC Document
Email_Blast_Template-NVM.pdf NVM Web Email Blast IC Document
ARS_File_Upload_Email_User_ID_2018.docx ARS_File_Upload_Email - User_ID IC Document
ARS_File_Upload_Email_Password_2018.docx ARS_File_Upload_Email - Password IC Document

Information Collection (IC) Details

IC Title:	Annual Refiling Survey (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-3023-NVS / BLS-3023-NCA (California Example)	BLS-3023-NVS / BLS-3023-NCA (California Example)	NVS_NCA_Mandatory_California.pdf	No		Paper Only
Form and Instruction	BLS-3023-NVM (California Example)	BLS-3023-NVM (California Example)	NVM_Mandatory_California.pdf	No		Paper Only
Form and Instruction	BLS-3023 (ARSWeb)	BLS-3023 (ARSWeb)	ARSWeb_Screenshots-Mandatory_2017.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023-NVM (NVM Web)	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: 528,429	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	528,429	528,429
Annual IC Time Burden (Hours)	58,972	58,972
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NVM Mandatory - Initial and Follow-up Letters	NVM_Mandatory_Letters.pdf	09/18/2017
NVS/NCA Mandatory - Initial and Follow-up Letters	NVS_NCA_Mandatory_Letters.pdf	09/18/2017
NVS/NCA Web Email Blast	Email_Blast_Template-NVS_NCA.pdf	09/18/2017
Web Email - Password	Email_Password_Template.pdf	09/18/2017
NVM Web Email Blast	Email_Blast_Template-NVM.pdf	09/18/2017
ARS_File_Upload_Email - User_ID	ARS_File_Upload_Email_User_ID_2018.docx	05/07/2018
ARS_File_Upload_Email - Password	ARS_File_Upload_Email_Password_2018.docx	05/07/2018

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