Occupational Emplo Occupational Employment Report-Private Unstructured

OCCUPATIONAL EMPLOYMENT REPORT
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In Cooperation with the
U.S. Department of Labor
Form Approved
O.M.B. No. 1220-0042

What this report is about: This form asks for information about the occupations and wage ranges of the employees described in Item 3 below. Please complete Items 1 through 5
on this page. Next, please provide the information requested beginning on page 1 for the employees who worked during or received pay for the pay period that included the reference date
in Item 3, printed directly above your establishment name. The instructions on pages ii and 1 explain how to provide the information.
Please see our website at http://www.bls.gov/OES for more information on the OES Program, including a display of national, state and metropolitan area employment and wage estimates
by occupation.

1

Which of the following options describes the status of the location(s) in
Item 3 as of the reference date also printed in Item 3?

3

This form asks for information about the employees described below. Our estimate of
employment for these employees appears at the top right corner of the label. Please
make any needed address corrections.

Operating: Go to item 2.
Temporarily closed during the reference period: Report data only for
employees paid for work during the reference period. If no employees
worked for pay, report "0" in section 4 of this page and return the form
in the reply envelope provided.
Permanently out of business as of __/__/____: Return the form to the
address at the top.
Sold or merged: Enter the new name and address below, then
go to item 2.
New Name:

4

________________________________________

New Address: ________________________________________
________________________________________

How many employees, both full and part-time, worked at this location(s) during
the pay period that included the reference date printed in Item 3?
Enter the number here…

2

Include
 Full or part-time paid workers
 Workers on paid leave
 Workers assigned temporarily
to other units
 Incorporated firms - paid owners,
officers, and staff

Do Not Include
 Contractors and temporary agency
employees not on your payroll
 Unpaid family workers
 Workers on unpaid leave
 Owners, proprietors, and partners
of unincorporated firms
 Workers not covered by
unemployment insurance
Do all employees reported above work at one location?

Our records show that your main products or services are related to those
listed below. If they are not, please list your main products or services on the
lines provided and continue with the rest of the report.

Yes

5

No…Enter number of locations

Please tell us who to contact if we have questions about your data.
Name: _____________________________________________

_________________________________________________________

Title: ______________________________________________

______________________________________________________________

Phone: (_____)______-______Ext._____ Date: ___________
E-mail address: _____________________________________

______________________________________________________________

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FOR
OFFICE
USE ONLY

Rev. August 2009

Instructions for Reporting by Occupation

Instructions for Reporting Wage Information

 Report employees in the occupations in which they are working, not
in occupations for which they have been trained.
For example: An employee trained as an engineer, but working as a drafter,
should be reported as a drafter.

For all employees:
 Please use the hourly and annual wage rate categories to report
employees. If wages are not recorded by hour or year (bi-weekly, or
monthly for example), convert them into an hourly wage rate.
 For part-time workers, please report the specific hourly wage rate,
not an average.
 For tip, commission, and piece-rate workers, please estimate the
earnings (base pay plus tips, commissions, or piece rates), and report the
appropriate wage.
 For salaried workers who do not work a standard 2080 hours per year
(40 hours per week), please report wages on an hourly basis. For workers
who are paid an annual salary by contract, such as Airline Pilots, report
their annual salary.
 Include and/or exclude from pay as follows:

 Report each employee only once in the occupation that requires the highest
level of skill if the employee performs work in two or more occupations.
If there is no measurable difference in skill requirements, report
employees in the occupation in which they spend the most time.
 Use the description of duties along with the job titles to determine where
to place employees. Do not rely on job titles alone.
 Report apprentices and trainees in the job for which they are being trained.
Report helpers separately because they are not in training for the

Include as pay

occupation they are helping.

 Base Rate
 Commissions
 Tips
 Deadheading Pay
 Guaranteed Pay
 Hazard Pay
 Incentive Pay
 Longevity Pay
 Piece Rate
 Portal-to-Portal Rate
 Production Bonus
 Cost-of-Living Allowance

 Report part-time workers in the job they perform.
 Professionals who directly supervise other workers in professional occupations
should be classified in the same occupation as the workers they supervise.
For example, a drafter that supervises other drafters is classified as a drafter.
 Workers in Service, Sales, Office and Administrative, Forestry and Farming,
Production, Maintenance, and Transportation occupations who spend 80
percent or more of their time performing supervisory duties should be
reported as supervisors. Workers with supervisory duties who spend
less than 80 percent of their time supervising should be reported
with the workers they supervise.

Exclude as pay
 Attendance Bonus
 Back Pay
 Draw
 Holiday Bonus
 Holiday Premium Pay
 Jury Duty Pay
 Lodging Payments
 Meal Payments
 Merchandise Discounts
 Nonproduction Bonus
 On-call Pay
 Overtime Pay
 Perquisites
 Profit Sharing Payment

 Relocation Allowance
 Tuition Repayments
 Severance Pay
 Shift Differential
 Stock Bonuses
 Tool Allowance
 Weekend Pay
 Uniform Allowance

The Bureau of Labor Statistics, its employees, agents, and partner statistical agencies, will use the information you provide for statistical purposes only and will hold the information in confidence to the full
extent permitted by law. In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002 (Title 5 of Public Law 107-347) and other applicable Federal laws, your responses
will not be disclosed in identifiable form without your informed consent. This report is authorized by law, 29 U.S.C. §2. Your voluntary cooperation is needed to make the results of this report
comprehensive, accurate, and timely.
*We estimate that it will vary from 30 minutes to 6 hours to complete this report, depending on such factors as the size of the establishment. This includes time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing this information. If you have any comments regarding these estimates or any other aspects of this report, including
suggestions for reducing this burden, send them to the U.S. Bureau of Labor Statistics, Division of Occupational Employment Statistics (1220-0042), 2 Massachusetts Avenue NE, Suite 2135, Washington,
DC 20212. Please do not return your questionnaire to this address. Use the enclosed preaddressed envelope or the address provided at the top of the first page to return your completed questionnaire.
You do not have to complete this questionnaire if it does not display a currently valid OMB control number.

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ii

6

If returning via facsimile, enter the 10 digit Schedule Number (found at the top of the address label on page i):

7

Please use the following pages to report the employees found in your firm. Please write in each unique occupational title, a short description of
duties, the number of employees found in each wage column, and the total employment for each occupation. Refer to page ii for detailed
instructions on how to report by occupation and how to determine wages. If additional space is needed to report all of the workers in your
establishment, please photocopy this page.

__ __ __ __ __ __ __ __ __ - __

NUMBER OF EMPLOYEES IN SELECTED WAGE RANGES
(Report Part-time Workers According to an Hourly Rate)

OCCUPATIONAL TITLE AND
DESCRIPTION OF DUTIES
Hourly (parttime or full-time)
Annual Salary
(full-time only)

A

B

under
$9.25

$9.25 11.49

C

D

E

F

G

H

I

J

K

L

$11.50 - $14.50 - $18.25 - $22.75 - $28.75 - $36.00 - $45.25 - $57.00 - $71.50 - $90.00
14.49
18.24
22.74
28.74
35.99
45.24
56.99
71.49
89.99 and over

T
Total

under $19,240 - $23,920 - $30,160 - $37,960 - $47,320 - $59,800 - $74,880 - $94,120 - $118,560 $148,720 $187,200 Employment
$19,240 23,919 30,159 37,959 47,319 59,799 74,879 94,119 118,559 - 148,719 - 187,199 and over

EXAMPLE:
Secretaries -

A

B

Performs administrative duties, typing, and other tasks
as needed.

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C

D

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E

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1

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If returning via facsimile, enter the 10 digit Schedule Number (found at the top of the address label on page i):

NUMBER OF EMPLOYEES IN SELECTED WAGE RANGES
(Report Part-time Workers According to an Hourly Rate)

OCCUPATIONAL TITLE AND
DESCRIPTION OF DUTIES
Hourly (parttime or full-time)
Annual Salary
(full-time only)

FOR
OFFICE
USE ONLY

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FIPS Code

Schedule Number

__ __ __ __ __ __ __ __ __ - __

NAICS Code

A

B

under
$9.25

$9.25 11.49

C

D

E

F

G

H

I

J

K

L

$11.50 - $14.50 - $18.25 - $22.75 - $28.75 - $36.00 - $45.25 - $57.00 - $71.50 - $90.00
14.49
18.24
22.74
28.74
35.99
45.24
56.99
71.49
89.99 and over

T
Total

under $19,240 - $23,920 - $30,160 - $37,960 - $47,320 - $59,800 - $74,880 - $94,120 - $118,560 $148,720 $187,200 Employment
$19,240 23,919 30,159 37,959 47,319 59,799 74,879 94,119 118,559 - 148,719 - 187,199 and over

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Unit Total Employment

2

Reviewed By

Date Reviewed

Total
Employment

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