Report of Federal Employment and Wages

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⚠️ Notice: This information collection may be referencing outdated material.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 3021 Report of Federal Employment and Wages Form and Instruction
BLS 3021 Report of Federal Employment and Wages 3021 RFEW 3021 Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Report of Federal Employment and Wages	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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 3021	Report of Federal Employment and Wages 3021	RFEW 3021 Form.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,737	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 43 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,948	-520	11,468
Annual IC Time Burden (Hours)	4,051	-192	4,243
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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