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pdfSTATE AGENCY
STATE DEPARTMENT
STATE ADDRESS
CITY, ST ZIP
Phone: 132-456-7890
Email: email@email.com
UNITED STATES DEPARTMENT OF LABOR
Bureau of Labor Statistics
Washington, D.C.
BLS 3023 - Industry Verification Form
ATTENTION
COMPANY NAME
ADDRESS
CITY, ST ZIP
99
DATE
Dear Employer,
Every three years, the Utana Department of Labor and the U.S. Bureau of Labor Statistics (BLS) request that
you complete the Annual Refiling Survey to verify or provide general business information about your firm.
Your cooperation is essential so that we are able to produce data that are complete, accurate and timely.
To reduce costs and save tax dollars, this survey has been moved online and can be completed in 5 to 10
minutes. Please use the Web ID and password provided below to log into the secure BLS website:
https://idcfars.bls.gov
WEB ID: 991234567890
PASSWORD: Ab123456
This survey is authorized by 29 U.S. Code, Section 2.
The BLS3023 form is approved with O.M.B. No. 12200032, in cooperation with the U.S. Department of
Labor. The information collected by the Utana Department of Labor and BLS will be used for statistical
and Unemployment Insurance program purposes and other purposes in accordance with law. Additional
information and instructions for this survey can be found at: www.bls.gov/respondents/ars
Please provide your response within 14 days. If you have already submitted this report, please disregard
this notice and accept our thanks for responding.
Sincerely,
Kelly Quinn
U.S. Bureau of Labor Statistics
En Español: www.bls.gov/respondents/ars/espanol.pdf
File Type | application/pdf |
File Modified | 2023-12-04 |
File Created | 2023-12-04 |