Information Collection

Multiple Worksite Report (Mandatory)

IC 178400 under ICR 202505-1220-001 · OMB 1220-0134.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS 3020 MWR - Man Multiple Worksite Report (Mandatory)	Form and Instruction
Form BLS 3020 MWR - Man BLS 3020 Multiple Worksite Report - Mandatory Multiple Worksite Report (Mandatory)	Form and Instruction
Form BLS 3020 MWRWeb BLS 3020 MWRWeb Multiple Worksite Report (Mandatory)	Form and Instruction
BLS 3020 MWR - Man BLS 3020 Multiple Worksite Report - Mandatory MWR Form - Mandatory.pdf	Form and Instruction
BLS 3020 MWR - Man BLS 3020 Multiple Worksite Report - Mandatory MWR Form - Mandatory.pdf	Form and Instruction
BLS 3020 MWRWeb BLS 3020 MWRWeb MWR_Web_Screenshots.pdf	Form and Instruction
BLS 3020 MWRWeb BLS 3020 MWRWeb MWR_Web_Screenshots.pdf	Form and Instruction
MWR Cover Letter - Mandatory.pdf BLS 3020 MWR Cover Letter - Mandatory	IC Document
MWR Cover Letter - Mandatory.pdf BLS 3020 MWR Cover Letter - Mandatory	IC Document
MWR Web Letter - Mandatory.pdf BLS 3020 MWRWeb Cover Letter - Mandatory	IC Document
MWR Web Letter - Mandatory.pdf BLS 3020 MWRWeb Cover Letter - Mandatory	IC Document
MWRweb_Email_Reminders-Template.docx BLS 3020 MWRWeb Reminder Emails	IC Document
MWRweb_Email_Reminders-Template.docx BLS 3020 MWRWeb Reminder Emails	IC Document
MWRweb_Intro_Emails-Template.docx BLS 3020 MWRWeb Email Solicitation Templates	IC Document
MWRweb_Intro_Emails-Template.docx BLS 3020 MWRWeb Email Solicitation Templates	IC Document

IC Title:

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 3020 MWR - Mandatory				Yes	Yes	Fillable Printable
Form and Instruction	BLS 3020 MWRWeb				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: 91,901

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: 59 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	367,604	3,908	363,696
Annual IC Time Burden (Hours)	136,013	1,445	134,568
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BLS 3020 MWR Cover Letter - Mandatory		05/27/2025
BLS 3020 MWRWeb Cover Letter - Mandatory		05/27/2025
BLS 3020 MWRWeb Reminder Emails		05/27/2025
BLS 3020 MWRWeb Email Solicitation Templates		05/27/2025

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

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