Information Collection

Multiple Worksite Report (Voluntary)

IC 178402 under ICR 202505-1220-001 · OMB 1220-0134.

Documents and Forms

Document Name Document Type
Form BLS 3020 MWR - Vol Multiple Worksite Report (Voluntary) Form and Instruction
Form BLS 3020 MWR - Vol BLS 3020 Multiple Worksite Report - Voluntary Multiple Worksite Report (Voluntary) Form and Instruction
Form BLS 3020 MWRWeb BLS 3020 MWRWeb Multiple Worksite Report (Voluntary) Form and Instruction
BLS 3020 MWR - Vol BLS 3020 Multiple Worksite Report - Voluntary MWR Form - Voluntary.pdf Form and Instruction
BLS 3020 MWR - Vol BLS 3020 Multiple Worksite Report - Voluntary MWR Form - Voluntary.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 - Voluntary.pdf BLS 3020 MWR Cover Letter - Voluntary IC Document
MWR Cover Letter - Voluntary.pdf BLS 3020 MWR Cover Letter - Voluntary IC Document
MWR Web Letter - Voluntary.pdf BLS 3020 MWRWeb Cover Letter - Voluntary IC Document
MWR Web Letter - Voluntary.pdf BLS 3020 MWRWeb Cover Letter - Voluntary IC Document
MWRweb_Email_Reminders-Template.docx BLS 3020 MWRWeb Email Reminders IC Document
MWRweb_Email_Reminders-Template.docx BLS 3020 MWRWeb Email Reminders 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

Information Collection (IC) Details

View Information Collection (IC)

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	MWR Form - Voluntary.pdf		Yes	Yes	Fillable Printable
Form and Instruction	BLS 3020 MWRWeb	BLS 3020 MWRWeb	MWR_Web_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: 57,344	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	229,376	6,164	223,212
Annual IC Time Burden (Hours)	84,869	2,281	82,588
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
BLS 3020 MWR Cover Letter - Voluntary	MWR Cover Letter - Voluntary.pdf	05/27/2025
BLS 3020 MWRWeb Cover Letter - Voluntary	MWR Web Letter - Voluntary.pdf	05/27/2025
BLS 3020 MWRWeb Email Reminders	MWRweb_Email_Reminders-Template.docx	05/27/2025
BLS 3020 MWRWeb Email Solicitation Templates	MWRweb_Intro_Emails-Template.docx	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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