Multiple Worksite Report (Voluntary)

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⚠️ Notice: This information collection may be referencing outdated material.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 3020 Multiple Worksite Report (Voluntary) Form and Instruction
BLS 3020 Multiple Worksite Report 3020 - Voluntary MWR 3020_Voluntary.docx Form and Instruction
MWRWeb MWRWeb - Voluntary MWRWeb Screenshots_Mandatory_Voluntary.pdf Form and Instruction
Cover Letter_Voluntary.docx MWR Cover Letter - Voluntary IC Document
Cover Letter_Voluntary (Web Only).docx MWR Cover Letter - Voluntary (Web Reporting) IC Document
T1_Sample_Email.docx MWR Initial Email Notification IC Document
T2_Sample_Email.docx MWR Email Reminder - Second Notification IC Document
T3_Sample_Email.docx MWR Email Reminder - Third Notification IC Document

Information Collection (IC) Details

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	Multiple Worksite Report 3020 - Voluntary	MWR 3020_Voluntary.docx		Yes	Yes	Fillable Printable
Form and Instruction	MWRWeb	MWRWeb - Voluntary	MWRWeb Screenshots_Mandatory_Voluntary.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: 62,310	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: 43 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	249,240	13,320	235,920
Annual IC Time Burden (Hours)	92,219	4,929	87,290
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
MWR Cover Letter - Voluntary	Cover Letter_Voluntary.docx	03/02/2016
MWR Cover Letter - Voluntary (Web Reporting)	Cover Letter_Voluntary (Web Only).docx	03/02/2016
MWR Initial Email Notification	T1_Sample_Email.docx	03/02/2016
MWR Email Reminder - Second Notification	T2_Sample_Email.docx	03/02/2016
MWR Email Reminder - Third Notification	T3_Sample_Email.docx	03/02/2016

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