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⚠️ Notice: This information collection may be referencing outdated material.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
Small_Estabs_Emails_2018.docx ARS_Small_Establishment_Emails_2018 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-NVM (NVM Web)	BLS-3023-NVM (NVMWeb)	NVMWeb Mandatory & Voluntary Screenshots - 2017.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023 (ARSWeb)	BLS-3023 (ARSWeb)	ARSWeb_Screenshots-Mandatory_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: 561,554	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	561,554	33,125	528,429
Annual IC Time Burden (Hours)	61,732	2,760	58,972
Annual IC Cost Burden (Dollars)	0	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
ARS_Small_Establishment_Emails_2018	Small_Estabs_Emails_2018.docx	10/15/2018

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