Various Economic Area Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

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Various Economic Area Pretesting Activities

OMB: 0607-0725

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U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

E-6

ANNUAL SURVEY OF PUBLIC EMPLOYMENT & PAYROLL
MARCH 2012 – SCHOOL SYSTEMS
OMB No. 0607-0452: Approval Expires 04/30/2013

(11-09-2010) Draft 4

RETURN TO:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001
If you have any questions,
please call 1-800-642-4901
Weekdays, 7am to 5pm EST.
Questions may also be emailed
to: [email protected]

In correspondence
pertaining to this report,
please refer to the User ID
below the address box.

INTERNET RESPONSE: If you prefer, you may respond
to this survey via the Internet at the following web
address: http://harvester.census.gov/sgenet
You will need your User ID to access the Internet form.

1

User ID
➤

Has your address changed from what is shown in the address label?
Yes, the new address is:
Contact Title

Street

City

State

Zip Code

No
For the remainder of the survey, employees are defined as persons paid for personal services performed in the
indicated pay period, including persons in a paid leave status.
Include:
• Any officials paid on a salary basis; by fees or commissions; on a per meeting basis; or a flat sum quarterly,
semiannually, or annually.
Exclude:
• Employees on unpaid leave, unpaid officials, pensioners, and contractors and their employees.

Continue on page 2

USCENSUSBUREAU

19062017

§4’52¤

–

Page 2

FORM E-6 (11-09-10)

PART 1 – CONTRACTORS

2

Does your government have employees who are contractors during the month of March 2012?
Yes – Total number of contractors
No – Go to

3

4

➤

Go to

.

3

.

If yes, please answer the following questions. (Please do not include data on contractors in
of this form.)

6

a. During March 2012, how many non-governmental contractors
(private sector) does your government employ? . . . . . . . . . . . . . . . . . . . . .
b. Please provide the payroll amount for the month of
March 2012 for the non-governmental contractors listed
in a. If unable to provide a payroll amount, please explain in
Part 5 (Additional Remarks) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

.00

c. During March 2012, how many government contractors
(employees from other governments) does your government
employ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Please provide the payroll amount for the month of
March 2012 for governmental contractors listed in c.
If unable to provide a payroll amount, please explain in
Part 5 (Additional Remarks) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

.00

PART 2 – FULL-TIME EMPLOYEES STANDARD WEEKLY HOURS

4

On average, how many hours per week do the majority of your full-time employees
(non-contracted) work?
Full-time employees are persons employed during the pay period to work the number of hours per
week that represents regular full-time employment.
Include:
• Temporary or seasonal employees who are working the number of hours that represent full-time employment.
• Any officials paid on a salary basis; by fees or commissions; on a per meeting basis; or a flat sum quarterly,
semiannually, or annually.
Exclude:
• Employees on unpaid leave, unpaid officials, pensioners, and contractors and their employees.

5

A

39 hours or more

C

34 to 37.4 hours

B

37.5 to 38.9 hours

D

32 to 33.9 hours

E

30 to 31.9 hours

Please specify the number of months per year over which the annual salaries of the MAJORITY
of the following classes of full-time employees are disbursed.
Instructional Personnel

All other paid employees

Continue on page 3

19062025

§4’5:¤

Mark (X) ONE box only.

Page 3

FORM E-6 (11-09-10)

PART 3 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS

6

For each different pay interval, what were the TOTAL number of employees (non-contracted) and TOTAL
gross payroll amounts for the pay period which includes MARCH 12, 2012 for both full-time and part-time
employees? Please also report hours paid for each applicable pay interval for part-time employees.
Payroll (Gross Before Deductions) includes salaries, wages, fees, or commissions earned by employees during (or
applicable to) the pay period(s) which includes March 12, 2012.
If some employees are on a different pay interval from the majority, please report these employees and their payroll
separately as indicated in the example below.

A – ELEMENTARY AND SECONDARY EDUCATION
Report here all employees of your school system except those concerned solely with college and other postsecondary
level education (above grade 12), who are to be reported in Section B.
Include:
Do Not Report:
• Amounts withheld for taxes, employee
• Cumulative salaries since the beginning of the
contributions to retirement system, etc.
calendar or fiscal year.
Exclude:
• Payroll amounts from last fiscal year.
• Lump sum payments and the value of living quarters
• Employer costs of non-wage employee benefits such
and subsistence allowances furnished to employees.
as workers’ compensation, FICA, health insurance, etc.

Number of
Full-Time
Employees

Number of
Part-time
Employees

Hours
Paid

Gross Payroll

27

$

94500

.00

M

5

$

6642

.00

266

W

15

$

8250

.00

Q

2

$

10500

.00

700

TOTAL Sum of
totals 1 through 2 . . . . . . .

§4’5B¤

Gross Payroll

M

Example . . . . . . . . . . .

1. Instructional
Personnel Teachers, teacher
aides, substitute
teachers, principals,
supervisors of
instruction,
superintendent, school
librarians, guidance
and psychological
personnel . . . . . . . . . . .
2. All other school
system employees Include administrative
and clerical personnel;
plant operation,
maintenance and
custodial personnel;
cafeteria, bus
transportation, health,
recreation, student, and
all other employees . . .

W = Weekly;

Part-Time Employees
Payroll
Frequency
Codes
Use
Codes at
Bottom

B = Bi-Weekly;

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

Payroll Frequency Codes
T = Twice a month; M = Monthly; Q = Quarterly;
Continue on page 4

S = Semi-Annually;

A = Annually

19062033

Full-Time Employees
Payroll
Frequency
Codes
Use
Codes at
Bottom

Page 4

FORM E-6 (11-09-10)

PART 3 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS
B – COLLEGE AND OTHER POSTSECONDARY EDUCATION
Report here only those persons employed in college and other postsecondary activities (above grade 12).

Full-Time Employees
Payroll
Frequency
Codes
Use
Codes at
Bottom

Number of
Full-Time
Employees

TOTAL Sum of
totals 1 through 2 . . . . . . .
1. Instructional Staff Employees engaged in
college or other postsecondary level
teaching and related
academic (departmental)
research, including
continuing education
and other non-degree
programs that are
operated by degree
granting institutions.
Report adjunct
professors and graduate
teaching/research
assistants as part-time . .
2. All other - All noninstructional employees
of your college or other
postsecondary level
institution not reported
above (including all
paid student help) i.e.,
administrative, clerical,
custodial, cafeteria, and
health personnel; noninstructional employees
engaged in organized
research, law
enforcement personnel;
and all other employees
of your institution . . . . .

B = Bi-Weekly;

Use
Codes at
Bottom

Gross Payroll

Number of
Part-time
Employees

Hours
Paid

Gross Payroll

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

$

.00

Payroll Frequency Codes
T = Twice a month; M = Monthly; Q = Quarterly;

S = Semi-Annually;

A = Annually

19062041

§4’5J¤

W = Weekly;

Part-Time Employees
Payroll
Frequency
Codes

Continue on page 5

Page 5

FORM E-6 (11-09-10)

PART 4 – CERTIFICATION

7

This report is substantially accurate and has been prepared in accordance with the instructions.
Name of person completing this report

Title of person completing report

Telephone

Extension

Fax

Email

Date form was completed (MM/DD/YYYY)

/

/

PART 5 – ADDITIONAL REMARKS

8

Were there any groups of your employees for which you could not supply information or any
difficulties you encountered in completing the form? If yes, please provide an explanation for
any significant changes to employment or payroll occurring within the last year that would
aid in understanding this report.

19062058

§4’5[¤

Please continue on page 10

Page 6

FORM E-6 (11-09-10)

DEFINITIONS
EMPLOYEES – Persons paid for personal services performed in the indicated pay period, including persons in a
paid leave status, but excluding employees on unpaid leave.
Include as part-time school board members or school
trustees paid on a per meeting basis or a flat sum quarterly,
semiannually, or annually. Include employees who are not
in a degree granting institution in Part A – Elementary and
Secondary Education. Exclude school board members or
school trustees who serve without compensation and any
persons providing services on a contract basis rather than
as employees of the school system.
FULL-TIME EMPLOYEES – Persons employed during the
pay period to work the number of hours per week that represents regular full-time employment. Include substitute
teachers who worked full-time during the pay period.
Exclude here, and report as part-time, any employees working part-time basis (e.g. bus drivers) even if their employment is regular rather than intermittent or temporary.
PART-TIME EMPLOYEES – Persons employed on a
part-time basis during the designated pay period. Include
all student employees and those daily or hourly employees
usually engaged for less than the regular full-time work week,
as well as part-time intermittent employees. Exclude here,
and report as full-time, any temporary or seasonal employees working on a full-time basis during this pay period.

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.
PAYROLL (GROSS BEFORE DEDUCTIONS) – Salaries,
wages, fees, or commissions earned by employees during
(or applicable to) the pay period(s) which includes March
12, 2012. Include overtime, premium, night differential
pay, bonuses, and incentive payments that are paid at regular
pay intervals. Include amounts withheld for taxes, employee
contributions to retirement systems, etc. Exclude employer
share of fringe benefits, 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 these employees, their payroll,
and part-time hours separately.
PART-TIME HOURS PAID – Total hours actually paid
during the pay interval for all persons working less than the
number of hours that represents full-time employment.
Include an estimate of hours worked during the pay interval
for part-time employees not compensated on an hourly
basis.

GENERAL INSTRUCTIONS
1.

Indicate in Part 2 the standard weekly hours of work for most full-time employees.

2.

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

3.

Report in Part 3 gross payroll amounts for just the ONE PAY PERIOD which includes March 12, 2012.
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.

4.

Include total paid hours of work for part-time employees in Part 3, last column. If actual hours are not known,
please enter an estimate.

5.

If you are unable to supply any of the information requested in Part 3, please list in “Additional remarks” the
source(s) of the missing information (including address and telephone number). Please provide an explanation
for any significant changes to employment or payroll occurring within the last year that would aid in understanding
this report.

6.

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

7.

Complete the "Certification" box on page 5 of the form and return the completed questionnaire in the envelope
provided. If additional people assisted in completing this report, please include contact information in
"Additional remarks" on page 5.

8.

Retain a copy of the completed questionnaire for your records.

Thank you.

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 10 minutes to 1 ½ hours per response, with an average of 45 minutes per response for this form type (E-6),
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, U.S. Census Bureau, 4600 Silver
Hill Road, AMSD – 3K138, Washington, DC 20233. You may e-mail comments to [email protected]; use Paperwork Project 0607-0452
as the subject.

19062066

§4’5c¤

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


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