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 MWR - Vol Multiple Worksite Report (Voluntary)	Form and Instruction	Modified	Repair queued
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 3020 MWR - Man Multiple Worksite Report (Mandatory)	Form and Instruction	Modified	Repair queued
Form BLS 3021 RFEW BLS 3021 Report of Federal Employment and Wages	Form and Instruction	Modified	Available
Form BLS 3021 RFEW Report of Federal Employment and Wages	Form and Instruction	Modified	Repair queued
Supporting Statement Part A (1220-0134)_2022.docx	Supporting Statement A	Uploaded 2022-07-05	Repair queued
MWR_State_Obligations.xlsx	Supplementary Document	Uploaded 2022-04-14	Repair queued
Supporting Statement Part B (1220-0134)_2022.docx	Supporting Statement B	Uploaded 2022-07-05	Repair queued
Uses of QCEW Data.docx	Supplementary Document	Uploaded 2022-04-14	Available
QCEW Authorizing Statutes.docx	Supplementary Document	Uploaded 2022-04-14	Repair queued

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
178402	Multiple Worksite Report (Voluntary)	Form and Instruction	Modified
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
178400	Multiple Worksite Report (Mandatory)	Form and Instruction	Modified
14636	Report of Federal Employment and Wages	Form and Instruction	Modified	BLS 3021 Report of Federal Employment and Wages
14636	Report of Federal Employment and Wages	Form and Instruction	Modified

ICR Details

OMB Control No: 1220-0134	ICR Reference No: 202204-1220-002
Status: Historical Active	Previous ICR Reference No: 202003-1220-002
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Multiple Worksite Report and the Report of Federal Employment and Wages
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/01/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/06/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2025	36 Months From Approved	10/31/2022
Responses	593,768	0	588,556
Time Burden (Hours)	219,694	0	217,765
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 Name of Law: Design and duties of bureau generally
   US Code: 29 USC 2 Name of Law: Collection, collation, and reports of labor statistics
  

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:
	87 FR 23267	04/19/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 54535	09/06/2022
Did the Agency receive public comments on this ICR? Yes

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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	593,768	588,556	0	0	5,212	0
Annual Time Burden (Hours)	219,694	217,765	0	0	1,929	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 survey is a census and the increase of total hours requested, from 217,765 to 219,694, 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: $59,000,000

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? No

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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: 09/06/2022

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