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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
MANDATORY
ATTENTION
COMPANY NAME
ADDRESS
CITY, ST ZIP
98
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: 981234567890
PASSWORD: Aa123456
This survey is mandatory in accordance with State Law No. 15 and 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 | 2019-07-25 |