Multiple Worksite Report and the Report of Federal Employment and Wages

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BLS 3020 MWRWeb BLS 3020 MWRWeb	Form and Instruction	Modified	Available
Form BLS 3020 MWR - Vol BLS 3020 Multiple Worksite Report - Voluntary	Form and Instruction	Modified	Available
Form BLS 3020 MWRWeb BLS 3020 MWRWeb	Form and Instruction	Modified	Available
Form BLS 3020 MWR - Man BLS 3020 Multiple Worksite Report - Mandatory	Form and Instruction	Modified	Available
Form BLS 3021 RFEW BLS 3021 Report of Federal Employment and Wages	Form and Instruction	Modified	Available
1220-0134 Supporting Statement Part A_20190724.docx	Supporting Statement A	Uploaded 2019-07-24	Available
MWR Response Analysis Report Tables.xlsx	Supplementary Document	Uploaded 2019-05-28	Available
MWR Response Analysis Report.docx	Supplementary Document	Uploaded 2019-05-28	Available
MWR_Mandatory_States.xlsx	Supplementary Document	Uploaded 2019-05-14	Available
Supporting Statement Part B (1220-0134)_2019.doc	Supporting Statement B	Uploaded 2019-05-21	Available
Uses of QCEW Data.doc	Supplementary Document	Uploaded 2019-05-14	Available
QCEW Authorizing Statutes.doc	Supplementary Document	Uploaded 2019-05-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
178402	Multiple Worksite Report (Voluntary)	Form and Instruction	Modified	BLS 3020 MWRWeb
178402	Multiple Worksite Report (Voluntary)	Form and Instruction	Modified	BLS 3020 Multiple Worksite Report - Voluntary
178400	Multiple Worksite Report (Mandatory)	Form and Instruction	Modified	BLS 3020 MWRWeb
178400	Multiple Worksite Report (Mandatory)	Form and Instruction	Modified	BLS 3020 Multiple Worksite Report - Mandatory
14636	Report of Federal Employment and Wages	Form and Instruction	Modified	BLS 3021 Report of Federal Employment and Wages

ICR Details

OMB Control No: 1220-0134	ICR Reference No: 201903-1220-003
Status: Historical Active	Previous ICR Reference No: 201601-1220-001
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Multiple Worksite Report and the Report of Federal Employment and Wages
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/08/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved	10/31/2019
Responses	588,556	0	570,216
Time Burden (Hours)	217,765	0	210,980
Cost Burden (Dollars)	0	0	0

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Abstract: States use the Multiple Worksite Report to collect employment and wages data from non-Federal businesses engaged in multiple operations within a State and subject to State Unemployment Insurance laws. The Report of Federal Employment and Wages is designed for Federal establishments covered under the Unemployment Compensation for Federal Employees program. These data are used for sampling, benchmarking, and economic analysis.

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Authorizing Statute(s): US Code: 42 USC 503 Name of Law: Social Security Act
   US Code: 29 USC 1 & 2 Name of Law: BLS Authorizing Statute
  

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:
	84 FR 10550	03/21/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 39021	08/08/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Multiple Worksite Report (Mandatory)	BLS 3020 MWR - Mandatory, BLS 3020 MWRWeb	BLS 3020 Multiple Worksite Report - Mandatory ,   BLS 3020 MWRWeb
Multiple Worksite Report (Voluntary)	BLS 3020 MWRWeb, BLS 3020 MWR - Voluntary	BLS 3020 Multiple Worksite Report - Voluntary ,   BLS 3020 MWRWeb
Report of Federal Employment and Wages	BLS 3021 RFEW	BLS 3021 Report of Federal Employment and Wages

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ICR Summary of Burden

table that charts list 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	588,556	570,216	0	0	18,340	0
Annual Time Burden (Hours)	217,765	210,980	0	0	6,785	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The MWR/RFEW is a census, and the increase of total hours requested (from 210,980 to 217,765) is due to the availability of more recent information on the expansion in the total number of private-sector businesses in the U.S. economy with multiple-worksite locations.

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Annual Cost to Federal Government: $58,000,000

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: 08/08/2019

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