Multiple Worksite Report (Mandatory)

Multiple Worksite Report and the Report of Federal Employment and Wages

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0134 can be found here:

Documents and Forms

Document Name Document Type
Form BLS 3020 MWR - Man Multiple Worksite Report (Mandatory) Form and Instruction
BLS 3020 MWR - Man BLS 3020 Multiple Worksite Report - Mandatory BLS-3020-MWR_Mandatory.pdf Form and Instruction
BLS 3020 MWRWeb BLS 3020 MWRWeb BLS-3020-MWRWeb_Screenshots.pdf Form and Instruction
BLS-3020-MWR_Cover_Letter_(Print)_Mandatory.doc BLS 3020 MWR Cover Letter - Mandatory IC Document
BLS-3020-MWR_Cover_Letter_(Web)_Mandatory.docx BLS 3020 MWRWeb Cover Letter - Mandatory IC Document
BLS-3020-MWRweb_Email_Reminders.docx BLS 3020 MWRWeb Email Reminders IC Document
BLS-3020-MWRWeb_File_Upload_Letter.docx BLS 3020 MWRWeb FIle Upload Cover Letter IC Document

Information Collection (IC) Details

IC Title:	Multiple Worksite Report (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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 3020 MWR - Mandatory	BLS 3020 Multiple Worksite Report - Mandatory	BLS-3020-MWR_Mandatory.pdf		Yes	Yes	Fillable Printable
Form and Instruction	BLS 3020 MWRWeb	BLS 3020 MWRWeb	BLS-3020-MWRWeb_Screenshots.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: 86,161	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 56 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	344,644	34,616	310,028
Annual IC Time Burden (Hours)	127,518	12,808	114,710
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
BLS 3020 MWR Cover Letter - Mandatory	BLS-3020-MWR_Cover_Letter_(Print)_Mandatory.doc	05/14/2019
BLS 3020 MWRWeb Cover Letter - Mandatory	BLS-3020-MWR_Cover_Letter_(Web)_Mandatory.docx	05/14/2019
BLS 3020 MWRWeb Email Reminders	BLS-3020-MWRweb_Email_Reminders.docx	05/14/2019
BLS 3020 MWRWeb FIle Upload Cover Letter	BLS-3020-MWRWeb_File_Upload_Letter.docx	05/14/2019

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