Annual Refiling Survey Forms

OMB Control No: 1220-0032	ICR Reference No: 201212-1220-001
Status: Historical Active	Previous ICR Reference No: 201111-1220-003
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Annual Refiling Survey Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/19/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/12/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	12/31/2013	12/31/2013
Responses	1,586,512	0	1,586,512
Time Burden (Hours)	147,564	0	147,564
Cost Burden (Dollars)	0	0	0

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Abstract: The Annual Refiling Survey (ARS) is used in conjunction with the Unemployment Insurance tax reporting system in each State in order to ensure the continued accuracy of Quarterly Census of Employment and Wages data. The primary purpose of the ARS is to verify or to correct the North American Industry Classification System (NAICS) code assigned to establishments as well as to obtain accurate mailing and physical location addresses of establishments. As a result, changes in the industrial and geographical compositions of the economy are captured in a timely manner and reflected in the BLS statistical programs. Federal, State, and local government officials as well as private researchers depend on accurate geographical and industrial coding based on the 2007 North American Industry Classification System Manual.

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Authorizing Statute(s): US Code: 29 USC 49 et seq. Name of Law: Wagner-Peyser Act as amended by the Workforce Investment Act of 1998    US Code: 29 USC 1 et seq. Name of Law: BLS Authorizing Statute

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 29782	05/27/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 61774	10/06/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title Form No. Form Name Annual Refiling Survey (Mandatory) BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NVS , BLS-3023-NCA, BLS-3023-NVS, BLS-3023-NCA, BLS-3023-NVM, BLS-3023-NCA, BLS-3023-NVS, BLS-3023-NVM BLS-3023-NVS (01) ,   BLS-3023-NVS (02) ,   BLS-3023-NVS (03) ,   BLS-3023-NVM ,   BLS-3023-NCA (01) ,   BLS-3023-NCA (02) ,   BLS-3023-NCA (03) ,   BLS-3023-NVS ,   BLS-3023-NVS (Web) ,   BLS-3023-NVM (Web) Annual Refiling Survey (Voluntary) BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NVM, BLS-3023-NCA, BLS-3023-NCA, BLS-3023-NVS, BLS-3023-NVS, BLS-3023-NCA, BLS-3023-NVM BLS-3023-NVS (01) ,   BLS-3023-NCA (03) ,   BLS-3023-NVS (02) ,   BLS-3023-NVS (03) ,   BLS-3023-NVM ,   BLS-3023-NCA (01) ,   BLS-3023-NCA (02) ,   BLS-3023-NVS ,   BLS-3023-NVS (Web) ,   BLS-3023-NVM (Web)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,586,512	1,586,512	0	0	0	0
Annual Time Burden (Hours)	147,564	147,564	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: While there are no changes to the information collection instruments, the decrease in total hours requested is due to no longer mailing ARS forms to establishments with 2 or fewer employees for the past 12 months. In addition, an increased number of selected large employers are reviewed centrally rather than by mailing them ARS forms.

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Annual Cost to Federal Government: $53,700,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Michael Searson 2026916469

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 12/12/2012

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