Information Collection

A-establishment Information, B-wage Data, C-quarterly Report D-benefit Document, E-benefit Change Document, 3076 Refinement Survey

IC 169023 under ICR 197707-1220-003 · OMB 1220-0038.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0038 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	A-ESTABLISHMENT INFORMATION, B-WAGE DATA, C-QUARTERLY REPORT D-BENEFIT DOCUMENT, E-BENEFIT CHANGE DOCUMENT, 3076 REFINEMENT SURVEY	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	BLS 3038A,B,	No	No
Form	3076	No	No
Form	3077	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,362	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	11,362	11,362
Annual IC Time Burden (Hours)	17,272	17,272
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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