Information Collection

Annual Refiling Survey (Mandatory)

IC 14562 under ICR 201810-1220-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 BLS-3023-NVS / BLS-3023-NCA (California Example) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NVM (Cali BLS-3023-NVM (California Example) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023 (ARSWeb) BLS-3023 (ARSWeb) Annual Refiling Survey (Mandatory)	Form and Instruction
Form BLS-3023-NVM (NVM BLS-3023-NVM (NVMWeb) 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

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS-3023-NVS / BLS-3023-NCA (California Example)	No		Paper Only
Form and Instruction	BLS-3023-NVM (California Example)	No		Paper Only
Form and Instruction	BLS-3023 (ARSWeb)	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-3023-NVM (NVM Web)	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, Not-for-profit institutions, Farms

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	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

table that charts IC Documents
Title	Document	Date Uploaded
NVM Mandatory - Initial and Follow-up Letters		09/18/2017
NVS/NCA Mandatory - Initial and Follow-up Letters		09/18/2017
NVS/NCA Web Email Blast		09/18/2017
Web Email - Password		09/18/2017
NVM Web Email Blast		09/18/2017
ARS_File_Upload_Email - User_ID		05/07/2018
ARS_File_Upload_Email - Password		05/07/2018
ARS_Small_Establishment_Emails_2018		10/15/2018

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

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