Multiple Worksite Report and the Report of Federal Employment and Wages

Forms and Documents

Document Name	Status
Form BLS 3020 Multiple Worksite Report (Voluntary) Form and Instruction	Modified
Form BLS 3020 Multiple Worksite Report (Mandatory) Form and Instruction	Modified
Form BLS 3021 Report of Federal Employment and Wages Form and Instruction	Modified
Supporting Statement Part A (1220-0134)_2016.doc Supporting Statement A	2016-08-11
Supporting Statement Part B (1220-0134)_04282016.doc Supporting Statement B	2016-05-10
Uses of QCEW Data.doc Supplementary Document	2016-03-02
BLS Handbook of Methods.pdf Supplementary Document	2016-03-02
BLS Authorizing Statutes.doc Supplementary Document	2016-03-02

IC Document Collections

IC ID	Document Title	Status
178402	Multiple Worksite Report (Voluntary) Form and Instruction	Modified
178400	Multiple Worksite Report (Mandatory) Form and Instruction	Modified
14636	Report of Federal Employment and Wages Form and Instruction	Modified

ICR Details

OMB Control No: 1220-0134	ICR Reference No: 201601-1220-001
Status: Historical Active	Previous ICR Reference No: 201508-1220-002
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 with change	Conclusion Date: 08/11/2016
	Date Received in OIRA: 05/23/2016
Terms of Clearance: Collection is approved on the condition that the next full clearance submission will include a data quality assessment that includes an evaluation of unit and item nonresponse, considering the effect of mandatory vs. voluntary collection requirements at the state level, the effect of other state level policies such as procedures for filings by Multisite Professional Employer Organizations, the effect of collection mode (mail vs web), and other relevant factors.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	36 Months From Approved	08/31/2016
Responses	570,216	0	544,232
Time Burden (Hours)	210,980	0	201,365
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 & 2 Name of Law: BLS Authorizing Statute
  

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:
	80 FR 79100	12/18/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 32347	05/23/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Multiple Worksite Report (Mandatory)	BLS 3020, MWRWeb	Multiple Worksite Report 3020 - Mandatory ,   MWRWeb - Mandatory
Multiple Worksite Report (Voluntary)	MWRWeb, BLS 3020	Multiple Worksite Report 3020 - Voluntary ,   MWRWeb - Voluntary
Report of Federal Employment and Wages	BLS 3021	Report of Federal Employment and Wages 3021

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ICR Summary 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	570,216	544,232	0	0	25,984	0
Annual Time Burden (Hours)	210,980	201,365	0	0	9,615	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 increase in total hours requested, from 201,365 to 210,980, 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, although the number of Federal establishments/installations with multiple worksite locations has decreased.

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Annual Cost to Federal Government: $57,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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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: 05/23/2016

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