BLS 3020 MWRWeb BLS 3020 MWRWeb

BUREAU OF LABOR STATISTICS
Multiple Worksite Report
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Select a UI Account
These are the UI Accounts that you report for in MWRWeb. Use the Select button to enter the data for any UI account.
Status

State

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MA

Legal Name

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Paperwork Reduction Act Statement
We estimate that this form will take 1rom 10 minutes to 60 minutes to complete per response, with an average of22 minutes. This includes time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing this information. Ifyou have any comments regarding these estimates or any aspect ofthis form, send them to the
Bureau oflabor Statistics, Division ofAdministrative Statistics and Labor Turnover, Room 4840, 2 Massachusetts Avenue N.E., Washington, D.C. 20212. The 0MB control number for this survey is
1220-0134 and it expires on xx/xx/xxxx. Without a currently valid 0MB number, BLS would not be able to conduct this survey.

If you have questions or comment s please send e-mail to: mwr.helpdesk@bls.gov

Version: 4.5

BUREAU OF LABOR STATISTICS
Multiple Worlcsite Report
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UI Account Information
Here is the information for
Legal Name:
UI Account Number:
state:

&·Wil
The Multiple Worksite Report is MANDATORY in New York

This report is mandatory under Section 531 of the New York labor law, and is authorized by law, 29 U.S.C. 2. Your cooperation is needed to make the results of this survey complete, accurate, and
timely. The totals on this form must match the corresponding totals on your Quarterly Combined Withholding, Wage Reporting and UI Return (Form NYS-45).
Paperwork Reduction Act statement

We estimate that this form will take from 10 minutes to 60 minutes to complete per response, with an average o f 22 minutes. This includes time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and revi ewing this information. If you have any comments regarding these estimates or any aspect of this form, send them to
the Bureau of Labor Statistics, Division of Administrative Statistics and Labor Turnover, Room 4840, 2 Massachusetts Avenue N.E., Washington, D.C. 20212. The 0MB control number for this survey
is 1220-0134 and it expires on xx/xx/xxxx. Without a currently valid 0MB number, BLS would not be able to conduct this survey.
If you have questions or comments , please send e-mail to: mwr.helodesk@bls.gov
If you have questions or concerns about your data , please contact:
New York State Department of Labor
Division of Research and Stattstics
P.O. Box 15001

Albany, NY 12240

PH: (518) 485-8145, FAX: (518) 485-7810

Version: 5.1.3

BUREAU OF LABOR STATISTICS
Multiple Worksite Report
Home

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UI Account Information
Here is the information fo�:
Legal Name:
UI Account Number
State:

l·@+!ii
Legal Authorization in Massachusetts
This report is authorized by law, 29 U.S.C. 2. Your voluntary cooperation is needed to make the results of this survey complete, accurate, and timely. The totals on this form must matr:h the
corresponding totals on your Employer's Quarterly Contribution Report (Form 0001).
Paperwork Reduction Act Statement
We estimate that this form will take from 10 minutes to 60 minutes to complete per response, with an average of22 minutes. This includes time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing this information. Ifyou have any comments regarding these estimates or any aspect ofthis form, send them to the
Bureau of Labor Statistics, Division ofAdministrative Statistics and Labor Turnover, Room 4840, 2 Massachusetts Avenue N.E., Washington, D.C. 20212. The 0MB control number for this survey is
1220-0134 and it expires on xx/xx/xxxx. Without a currently valid 0MB number, BLS would not be able to conduct this survey.
If you have questions or comments please send e-mail to: mwr.helpdesk@bls.gov
If you have questions or concerns about your data, please contact:
Massachusett s Division of Employment and Training
Division of Research and Statistics
P.O. Box 9503
Boston, MA 02114-9503
PH: (617) 626-6555 or PH: 1-800-322-7739 , FAX: (617) 727-5981

Version: 4.5