Forms and informational materials, ch 12
ARC 8687C
WORKFORCE DEVELOPMENT DEPARTMENT[871]
Adopted and Filed
Rulemaking related to forms and informational materials
The Director of the Workforce Development Department hereby rescinds Chapter 12, “Forms and Informational Materials,” Iowa Administrative Code, and adopts a new chapter with the same title.
Legal Authority for Rulemaking
This rulemaking is adopted under the authority provided in Iowa Code chapters 17A and 84A.
State or Federal Law Implemented
This rulemaking implements, in whole or in part, Iowa Code chapters 17A and 84A.
Purpose and Summary
Chapter 12 provides administrative rules for the Research and Information Services Division of the Department of Workforce Development. The chapter identifies the forms the Division must utilize.
As part of the Department’s review of rules under Executive Order 10, the Department identified several instances where the current chapter duplicates statutory language and uses restrictive terms.This text has been removed from the chapter.
Public Comment and Changes to Rulemaking
Notice of Intended Action for this rulemaking was published in the Iowa Administrative Bulletin on October 30, 2024, as ARC 8308C. A public hearing was held on the following date(s):
●November 19, 2024
No one attended the public hearing. No public comments were received. No changes from the Notice have been made.
Adoption of Rulemaking
This rulemaking was adopted by the Director on December 4, 2024.
Fiscal Impact
This rulemaking has no fiscal impact to the State of Iowa.
Jobs Impact
After analysis and review of this rulemaking, no impact on jobs has been found.
Waivers
Any person who believes that the application of the discretionary provisions of this rulemaking would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to 871—Chapter 41.
Review by Administrative Rules Review Committee
The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rulemaking by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rulemaking at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
Effective Date
This rulemaking will become effective on January 29, 2025.
The following rulemaking action is adopted:
ITEM 1.Rescind 871—Chapter 12 and adopt the following new chapter in lieu thereof:
CHAPTER 12
FORMS AND INFORMATIONAL MATERIALS
871—12.1(96) Federal restriction—forms. 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.
12.1(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 3023VS, 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 North American Industry Classification System 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 North American Industry Classification System code is assigned to each employer location.
e.BLS 2877, Occupational Employment Survey. Sent twice 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.
12.1(2) State form. E-Z Form—for Occupational Employment Survey. Short form for collecting confidential occupational employment and occupational wages. Voluntary.
This rule is intended to implement Iowa Code chapter 96.
[Filed 12/4/24, effective 1/29/25]
[Published 12/25/24]
EDITOR’S NOTE: For replacement pages for IAC, see IAC Supplement 12/25/24.
The official published PDF of this document is available from the Iowa General Assembly’s Administrative Rules page.
View the Iowa Administrative Bulletin for 12/25/2024.
The following administrative rule references were added to this document. You may click a reference to view related notices.
Rule 871-12.1The following Iowa code references were added to this document. You may click a reference to view related notices.
Iowa Code 96The following keywords and tags were added to this document. You may click a keyword to view related notices.
BLS 2877, Occupational Employment Survey BLS 3023VM, Industry Verification Statement (multiple worksites) BLS 3023VS, Industry Verification Statement (single worksite) Federal forms Federal restriction—forms State form© 2025 State of Iowa | Privacy Policy