Annual Refiling Survey

Forms and Documents

Document Name	Status
Form BLS-3023-NVS / BLS Annual Refiling Survey (Voluntary) Form and Instruction	Modified
Form BLS-3023-NVS / BLS Annual Refiling Survey (Mandatory) Form and Instruction	Modified
ARS_Note_to_Reviewer_ARS_Small_Estabs_Emails_2018.docx Justification for No Material/Nonsubstantive Change	2018-10-15
ARS_Note_to_Reviewer_ARS_File_Uploads_2018.docx Justification for No Material/Nonsubstantive Change	2018-05-07
Supporting_Statement_B_(1220-0032)_2017.docx Supporting Statement B	2017-09-25
Supporting_Statement_A_(1220-0032)_2017.doc Supporting Statement A	2017-09-25
QCEW-Uses-Chart-2017.pdf Supplementary Document	2017-09-15
HOM-QCEW.pdf Supplementary Document	2017-09-15
BLS Authorizing Statute.doc Supplementary Document	2014-10-02
Wagner-Peyser.docx Supplementary Document	2014-10-02

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: 201810-1220-002
Status: Active	Previous ICR Reference No: 201805-1220-003
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: 12/10/2018
	Date Received in OIRA: 11/05/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	01/31/2021	01/31/2021
Responses	1,060,607	0	998,107
Time Burden (Hours)	115,089	0	109,881
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 2017 North American Industry Classification System Manual. BLS routinely shares NAICS codes with the Census Bureau to improve consistency, reduce costs and burden, and improve the accuracy of their products.

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Authorizing Statute(s): US Code: 29 USC 1 et seq. Name of Law: BLS Authorizing Statute
   US Code: 29 USC 49 et seq. Name of Law: Wagner-Peyser Act
  

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:
	82 FR 33928	07/21/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 56997	12/01/2017
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-NVM (California Example), BLS-3023-NVM (NVM Web), BLS-3023 (ARSWeb), BLS-3023-NVS / BLS-3023-NCA (California Example)	BLS-3023-NVS / BLS-3023-NCA (California Example) ,   BLS-3023-NVM (California Example) ,   BLS-3023-NVM (NVMWeb) ,   BLS-3023 (ARSWeb)
Annual Refiling Survey (Voluntary)	BLS-3023-NVM (NVMWeb), BLS-3023-NVS (ARSWeb), BLS-3023-NVM (Alabama Example), BLS-3023-NVS / BLS-3023-NCA (Alabama Example)	BLS-3023-NVS / BLS-3023-NCA (Alabama Example) ,   BLS-3023-NVM (Alabama Example) ,   BLS-3023-NVM (NVMWeb) ,   BLS-3023-NVS (ARSWeb)

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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	1,060,607	998,107	0	62,500	0	0
Annual Time Burden (Hours)	115,089	109,881	0	5,208	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: With this request, the BLS would like to include establishments with three or fewer employees that had previously been excluded, using only email as the contact method.

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Annual Cost to Federal Government: $57,000,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 11/05/2018

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