Iowa Administrative Code
Agency 871 - WORKFORCE DEVELOPMENT DEPARTMENT
Chapter 12 - FORMS AND INFORMATIONAL MATERIALS
Rule 871-12.1 - Federal restriction-forms
Universal Citation: IA Admin Code 871-12.1
Current through Register Vol. 46, No. 19, March 20, 2024
The research and information services division uses many federally prepared and supplied forms that contain an office of management and budget (OMB) number and an approved expiration date. The department, which receives and uses in its normal operations such federal forms through a federally appointed special agent, is subject to all of the provisions, restrictions, sanctions and penalties imposed by the Federal Reports Act of 1942 and subsequent amendments.
Form No. Name and description of form.
(1) Federal forms.
a.
BLS 790, Bureau of Labor Statistics
Report on Employment, Payroll and Hours. A research and information
services division shuttle schedule sent each month, to a sample of Iowa
employers, to collect employment, payroll and hours worked information.
b.
BLS 3020, Multiple Worksite Report
(65-5519) [reference 345-2.3 (96) ]. A research and information services
division form required each quarter of Iowa employers subject to the unemployment
insurance law.
c.
BLS 3023
VS, Industry Verification Statement (single worksite). A research and
information services division form required of employers on a periodic basis to
verify the products or services, or both, provided by an employer to ensure that
the correct standard industrial classification code is assigned to the employer's
unemployment insurance account.
d.
BLS 3023VM, Industry Verification Statement (multiple worksites).
A research and information services division form required of employers
on a periodic basis to verify the products or services, or both, provided at each
worksite by an employer to ensure that the correct standard industrial
classification code is assigned to each employer location.
e.
BLS 2877, Occupational Employment
Survey. Sent once a year to a sample of employers. Voluntary. Used to
obtain confidential information on occupational employment and occupational wages
by industry. Forms differ by industry.
(2) State forms.
a.
E-Z Form-for Occupational
Employment Survey. Short form for collecting confidential occupational
employment and occupational wages. Sent once a year to a sample of employers.
Voluntary. Forms differ by industry.
b.
Fringe Benefit Survey.
Sent once a year to a sample of employers. Voluntary. Used to collect
confidential information on employee fringe benefits.
c.
Prevailing Wage Request
Form. Used by employers to request prevailing wage determinations from
the department of workforce development.
This rule is intended to implement Iowa Code chapter 96.
Disclaimer: These regulations may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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