E-4 Annual Survey of Government Employment - Municipalities,

Government Employment Forms

e-4

Government Employment Forms

OMB: 0607-0452

Document [pdf]
Download: pdf | pdf
OMB No. 0607-0452: Approval Expires 01/31/2005

E-4
U.S. DEPARTMENT OF COMMERCE

FORM

Economics and Statistics Administration
U.S. CENSUS BUREAU

E-4

(2-4-2004)

ANNUAL SURVEY OF GOVERNMENT EMPLOYMENT
MARCH 2004 - MUNICIPALITIES, COUNTIES, TOWNSHIPS

RETURN TO:

U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001
In correspondence pertaining
to this report, please refer to
the Census File Number above
your address
Please check here
if your address has
changed.
(Please correct any errors in name, address, and ZIP Code)
INTERNET RESPONSE: If you prefer, you may respond
to this survey via the Internet at the following web
address: http://harvester.census.gov/sge/index.html
You will only need your User ID to access the Internet form.

User ID

a

NOTE: Please note that this is a national form that applies to governments with wide differences in the size of their service areas, the amount of

the population served, and the extent and complexity of their activities. Public reporting burden for this collection of information is estimated to
vary from 15 minutes to 15 hours per response, with an average of 45 minutes per response, including time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Under the
Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,
to: Paperwork Project 0607-0452, Room 3110, Federal Building 3, U.S. Census Bureau, Washington, DC 20233-1500. You may e-mail
comments to [email protected]; use Paperwork Project 0607-0452 as the subject.

DATA SUPPLIED BY
Name

Area Code and Phone Number

Title

-

Extension
-

E-Mail

Fax
-

-

PART I - FULL-TIME STANDARD WEEKLY HOURS

What is the average or standard
number of
hours of work
for the MAJORITY of your full-time
employees?
weekly

Mark (X) ONE box only.
A

39 hours or more

C

34 to 37.4 hours

B

37.5 to 38.9 hours

D

32 to 33.9 hours

30 to 31.9 hours

E

Less than 30 hours per week should be reported as Part-Time.

PART II - PAY INTERVAL

How frequently are
employees paid for
their services?
Provide the payroll
amount in Part III for
the pay period you
indicate here.

1. Full-time employees (all or most)
Mark (X) ONE box only
M
T
B
W

Monthly
Twice a month
Bi-Weekly
Weekly

Q
S
A

Quarterly
Semi-Annually
Annually

2. Part-time employees (all or most)
Mark (X) ONE box only
M
T
B
W

Monthly
Twice a month
Bi-Weekly
Weekly

Q
S
A

Quarterly
Semi-Annually
Annually

Continue on page 2

USCENSUSBUREAU

004010

Page 2

FORM E-4 (2-4-2004)

PART III - EMPLOYEES, PAYROLL, AND PART-TIME HOURS
Report data for the ONE PAY PERIOD, which includes March 12, 2004 and corresponds to the pay interval
marked in Part II. If some employees are on a different pay interval from the majority, please report these

employees, their payroll, and any part-time hours separately as indicated in the special instructions.
Function

Part-time Employees

Full-time Employees

Report data by activity of individual units; not
employee occupations. For example, a secretary in
the streets and highways department should be
reported in "Streets and highways".
A person working in more than one of the following
categories should be reported only once -- in the
area of primary responsibility.

Number of
Employees

Gross payroll
for employees
in column (a)
(omit cents)

(a)

(b)

Number of
Employees

Gross payroll
for employees
in column (c)
(omit cents)

Total paid parttime hours for
amounts reported
in column (d)

(c)

(d)

(e)

(Estimate if
unknown)

TOTAL - Sum of items 1 through 23
A. CENTRAL GOVERNMENTAL ADMINISTRATION

023

1. Financial administration - Treasurer's office,

auditor's or comptroller's office, tax assessing,
tax billing and collection, budgeting, purchasing,
central accounting offices, information
technology, and similar financial administration.
029
2. Central administration - Council, board of
supervisors or commissioners; central
administrative officers and agencies, such as
manager or mayor; clerk; recorder; zoning;
central personnel agency; and central planning
agency. Exclude financial activities reported in
Financial administration and judicial/legal
activities reported in Judicial and legal.
3. Judicial and legal - All court and court related 025
activities, (except probation activities reported
in Correction below), court activities of sheriff's
office (e.g., bailiffs, process servers), prosecuting
attorney's and public defender's offices, legal
department and attorneys providing
government-wide legal services. Exclude private
attorneys on retainer and court appointed attorneys.
B. PUBLIC SAFETY

4. Police protection -

Police department,
law enforcement,
activities of sheriff's
and constable's
offices, coroner, etc.
Report school
crossing guards as
part-time employees.
Report sheriff's
correctional
employees in
Correction.

a. Persons with
power of arrest -

062

Report only police
employees here.
Report other employees
with power of arrest in
Correction or Judicial

and legal.
b. Other employees -

162

All police protection
employees not reported
under persons with
power of arrest.

c. TOTAL - Sum of items
4a and 4b.

5. Correction - Jails, reformatories, detention

005

6. Fire protection -

024

homes, and probation and parole activities
for both adults and juveniles. Report lock-up
employees at Police protection.

a. Firefighters -

Persons engaged in
Report paid volunteer
firefighters as part-time fire suppression and
prevention. Include
employees; exclude
unpaid volunteers.
employees trained in
these activities but
Report forest fire
performing such other
protection employees
duties as dispatching,
in Natural resources.
emergency medical
Report separately
care, etc.
identifiable rescue
squad and emergency b. Other employees - 124
medical services in
All fire protection
Health, if they are not
employees not
a part of the fire
included above.
department.

C. TRANSPORTATION

c. TOTAL - Sum of items
6a and 6b.

7. Streets and highways - Maintenance, repair,

044

construction, and administration of streets,
alleys, sidewalks, roads, highways, and bridges.
Include engineering activities and traffic signal
maintenance. Report street cleaning employees
in Solid waste management and sewer
employees in Sewers and sewage disposal.
001
8. Airport - Airport and air terminal facilities
owned and operated by your government.
087
9. Sea and inland port facilities - Docks,
wharves, and related warehouses owned and
operated by your government. Report facilities
for pleasure boats only in Parks and recreation.

Continue on page 3

004028

Page 3

FORM E-4 (2-4-2004)

PART III - EMPLOYEES, PAYROLL, AND PART-TIME HOURS -- Continued

Function

Report data by activity of individual units; not
employee occupations. For example, a secretary in
the streets and highways department should be
reported in "Streets and highways".
A person working in more than one of the following
categories should be reported only once -- in the
area of primary responsibility.
D. SOCIAL SERVICES AND INCOME MAINTENANCE 079
10. Public welfare - Maintenance of homes and
other institutions for the needy, nursing homes,
administration of public assistance and veteran
services, senior citizen and handicap
transportation, social workers. Report hospital
employees under Hospitals.
032
11. Health - Public health services, emergency
medical services, mental health, alcohol and
drug abuse, out-patient clinics, visiting nurses,
food and sanitary inspections, animal control,
other environmental health activities (e.g.,
pollution control), etc.
12. Hospitals - Institutions for in-patient medical 036
care. Include all paid student help. Report
nursing home and welfare institution employees
in Public welfare.
081
E. ENVIRONMENT AND HOUSING
13. Solid waste management - Street cleaning,
recycling, garbage and refuse collection and
disposal, operation of sanitary landfill.
080
14. Sewers and sewage disposal - Provision,
maintenance, and operation of sanitary and
storm sewer systems and sewage disposal
plants. Report water supply employees in

Water supply system.
15. Parks and recreation - Parks, playgrounds,

Full-time Employees
Number of
Employees

Gross payroll
for employees
in column (a)
(omit cents)

(a)

(b)

Part-time Employees
Number of
Employees

Gross payroll
for employees
in column (c)
(omit cents)

Total paid parttime hours for
amounts reported
in column (d)

(c)

(d)

(e)

(Estimate if
unknown)

061

swimming pools, auditoriums, museums,
marinas, zoos, etc.

16. Housing and community development -

050

Slum clearance, redevelopment programs,
and any housing projects of your government.
17. Natural resources - Forest fire protection,
irrigation, drainage, flood control, forestry,
agriculture, extension service, etc.

059

F. UTILITIES

091

18. Water supply system - Public water supply
system operated by your government.

19. Electric power system - Public electric

092

G. OTHER ACTIVITIES

052

power supply or distribution system operated
by your government.
093
20. Gas supply system - Public gas supply or
distribution system operated by your government.
21. Transit system - Public transportation system 094
(bus, rail, etc.) operated by your government.
Report transit system exclusively for handicapped
or senior citizens in Public welfare.

22. Libraries - Public libraries operated by your
government. Report law libraries in Judicial
and legal.
23. All other - All employees of your government

and its agencies not reported elsewhere,
except for any school system employees, and
payrolls. Include employees concerned with
elections and voter registration, protective
inspection (building, electrical, etc.), motor
pools, maintenance of general public buildings,
parking facilities, and other activities not
reported previously.

TOTAL all other

089

a

List the major activities reported above in TOTAL

all other »
a.
b.
c.
d.

Additional remarks - Please indicate below any groups of your employees for which you could not supply
information or any difficulties you encountered in completing the form.

004036

E-4 (2-4-2004)

Page 4
DEFINITIONS

Please report figures covering all departments and agencies (except
any school system employment and payrolls) of the government
named in the address label.
If your office records do not contain all the information requested,
please obtain the figures from other agencies for inclusion in this
report. If you cannot supply entirely comprehensive data, list in the
remarks section at the end of this questionnaire any agencies of your
government that are not included.
EMPLOYEES – Persons paid for personal services performed in the
indicated pay period, including any persons in a paid leave status.
Include officials paid on a salary basis; by fees or commissions; on a
per meeting basis; or a flat sum quarterly, semiannually, or annually.
Employees who have multiple responsibilities should be reported only
once at the functional classification which is their primary responsibility.
For example, employees in city or county clerk offices may have
financial administration, central administration, and judicial
responsibility; these employees and their total gross pay should be
reported only at the one activity which accounts for most of their time.
Exclude school system employees, employees on unpaid leave,
unpaid officials, pensioners, and contractors and their employees.
FULL-TIME EMPLOYEES – Persons employed during the pay period
to work the number of hours per week that represents regular full-time
employment. Include full-time temporary or seasonal employees who
are working the number of hours that represents full-time employment.
PART-TIME EMPLOYEES – Persons employed on a part-time basis
during the designated pay period. Include those daily or hourly
employees usually engaged for less than the regular full-time
workweek, as well as any part-time paid officials. Exclude here, and
report as full-time, any temporary or seasonal employees working on a
full-time basis during the pay period.

PAYROLL (GROSS BEFORE DEDUCTIONS) – Salaries, wages, fees,
or commissions earned during (applicable to) the pay period(s) which
includes March 12, 2004. Include overtime, premium, and night
differential pay. Include bonus and incentive payments that are paid at
regular pay intervals. Include amounts withheld for taxes, employee
contributions to retirement systems, etc. Exclude lump sum payments
and the value of living quarters and subsistence allowances furnished
to employees. If some employees are on a different pay interval from
the majority, please report their payroll and any part-time hours
separately as indicated in the Special Instructions for Part III below.
PART-TIME HOURS PAID – Total hours actually paid during pay
interval for all persons working less than the number of hours that
represents full-time employment. Include an estimate of hours worked
during pay interval for part-time employees and officials not
compensated on an hourly basis.
SHERIFF’S OFFICE EMPLOYEES – In addition to reporting
employees and payrolls in “Police protection,” court bailiffs and any
other court employees should be reported in “Judicial and legal.” Any
sheriff’s office employees engaged in probation/parole activities or the
operation of jails or other detention facilities (except “lock-ups” holding
persons for less than 48 hours) should be reported in “Correction”.
FEE OFFICES – Include employees of fee offices in “Financial
administration.” If information on fee office employees and payrolls is
not available, please note and list the fee offices in “Additional
remarks”.
EDUCATION EMPLOYEES – Exclude any school system employees
and payrolls from this form. Include any county supervision of public
school districts in “All other.”

EMPLOYEES IN FEDERALLY FUNDED PROGRAMS – Persons paid
from Federal grant funds should be reported as employees of this
government. Report these employees and their pay in the appropriate
functional classification.

GENERAL INSTRUCTIONS
1.

Indicate in Part I the standard weekly hours of work for most fulltime employees.

2.

Indicate in Part II the length or frequency of your pay interval.

3.

Include all current employees whether paid from the general fund
or special funds.

4.

Include all paid elected or appointed officials.

5.

Report in Part III gross payroll amounts for just the one pay period
which includes March 12, 2004.
a.

Do not report cumulative salaries since the beginning of the
calendar or fiscal year.

b.

Do not report payroll amounts from last fiscal year.

c.

Do not report the employer costs of non-wage employee
benefits such as workers’ compensation, FICA, health
insurance, etc.

6.

Include total paid hours of work for part-time employees in Part
III, column (e). If actual hours are not known, please enter an
estimate.

7.

Use the reporting format shown in SPECIAL INSTRUCTIONS
FOR PART III if you have multiple pay intervals.

8.

If you are unable to supply any of the information requested in
Part III, please list in Additional remarks the source(s) of the
missing information (including address and telephone number).

9.

If exact figures are not available, enter estimates and mark with
an asterisk.

10. Complete the DATA SUPPLIED BY box on the front of the form
and return the completed questionnaire in the envelope provided.
11. Retain a copy of the completed questionnaire for your records.

SPECIAL INSTRUCTIONS FOR PART III
Report separately in Part III all employees, payrolls, and part-time
hours that are on a pay interval different from the one reported in Part
II, PAY INTERVAL. Write a pay interval code M, T, B, W, Q, S, or A
next to payroll amounts and part-time hours to indicate applicable pay
interval.

Part III

For example, if your government has three (3) full-time employees and
three (3) part-time employees and each is paid at different pay
intervals, report data separately as shown in the following example:

EMPLOYEES, PAYROLL, AND PART-TIME HOURS
Full-time employees

Number

Payroll
1
1
1

$3,500 (M)
$550 (W)
$20,000 (A)

Part-time employees
Number

Payroll
1
2

$1,100 (B)
$10,500 (Q)

Hours
114 (B)
1,000 (Q)

In this example, $3,500 represents the monthly (code M) amount for 1 full-time employee; $550 represents
the weekly (code W) amount for 1 full-time employee; and $20,000 represents the annual (code A) amount
for 1 full-time employee; and $1,100 represents the biweekly (code B) amount for 1 part-time employee.
$10,500 represents the quarterly (code Q) amount for 2 part-time employees.


File Typeapplication/pdf
File TitleE-4.fdl
Authormager001
File Modified2004-02-05
File Created2004-02-05

© 2024 OMB.report | Privacy Policy