Multiple Worksite Report (Voluntary)

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⚠️ Notice: This information collection may be referencing outdated material.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 - Vol Multiple Worksite Report (Voluntary) Form and Instruction
BLS 3020 MWR - Vol BLS 3020 Multiple Worksite Report - Voluntary BLS-3020-MWR_Voluntary.pdf Form and Instruction
BLS 3020 MWRWeb BLS 3020 MWRWeb BLS-3020-MWRWeb_Screenshots.pdf Form and Instruction
BLS-3020-MWR_Cover_Letter_(Print)_Voluntary.doc BLS 3020 MWR Cover Letter - Voluntary IC Document
BLS-3020-MWR_Cover_Letter_(Web)_Voluntary.docx BLS 3020 MWRWeb Cover Letter - Voluntary 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 (Voluntary)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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 - Voluntary	BLS 3020 Multiple Worksite Report - Voluntary	BLS-3020-MWR_Voluntary.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: 58,348	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 56 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	233,392	-15,848	249,240
Annual IC Time Burden (Hours)	86,355	-5,864	92,219
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
BLS 3020 MWR Cover Letter - Voluntary	BLS-3020-MWR_Cover_Letter_(Print)_Voluntary.doc	05/14/2019
BLS 3020 MWRWeb Cover Letter - Voluntary	BLS-3020-MWR_Cover_Letter_(Web)_Voluntary.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.