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Multiple Worksite Report (Mandatory)
Multiple Worksite Report and the Report of Federal Employment and Wages
OMB: 1220-0134
IC ID: 178400
OMB.report
DOL/BLS
OMB 1220-0134
ICR 202505-1220-001
IC 178400
( )
Documents and Forms
Document Name
Document Type
Form BLS 3020 MWR - Man
Multiple Worksite Report (Mandatory)
Form and Instruction
BLS 3020 MWR - Man BLS 3020 Multiple Worksite Report - Mandatory
MWR Form - Mandatory.pdf
Form and Instruction
BLS 3020 MWRWeb BLS 3020 MWRWeb
MWR_Web_Screenshots.pdf
Form and Instruction
MWR Cover Letter - Mandatory.pdf
BLS 3020 MWR Cover Letter - Mandatory
IC Document
MWR Web Letter - Mandatory.pdf
BLS 3020 MWRWeb Cover Letter - Mandatory
IC Document
MWRweb_Email_Reminders-Template.docx
BLS 3020 MWRWeb Reminder Emails
IC Document
MWRweb_Intro_Emails-Template.docx
BLS 3020 MWRWeb Email Solicitation Templates
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Multiple Worksite Report (Mandatory)
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 3020 MWR - Mandatory
BLS 3020 Multiple Worksite Report - Mandatory
MWR Form - Mandatory.pdf
Yes
Yes
Fillable Printable
Form and Instruction
BLS 3020 MWRWeb
BLS 3020 MWRWeb
MWR_Web_Screenshots.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
91,901
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:
59 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
367,604
0
3,908
0
0
363,696
Annual IC Time Burden (Hours)
136,013
0
1,445
0
0
134,568
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
BLS 3020 MWR Cover Letter - Mandatory
MWR Cover Letter - Mandatory.pdf
05/27/2025
BLS 3020 MWRWeb Cover Letter - Mandatory
MWR Web Letter - Mandatory.pdf
05/27/2025
BLS 3020 MWRWeb Reminder Emails
MWRweb_Email_Reminders-Template.docx
05/27/2025
BLS 3020 MWRWeb Email Solicitation Templates
MWRweb_Intro_Emails-Template.docx
05/27/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.