Document

Green Goods and Services Survey Booklet NAICS 32

ICR 201011-1220-002 · OMB 1220-0183 · Object 21630101.

Document Viewer [docx]

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…

Document Metadata

Record metadata
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Green Goods and Services Survey Booklet NAICS 32
viegas_r
Writer
2011-02-09
2026-11-04
complete

Extracted Text



Date

Attn: Contact_name (if missing use “Department of Accounting/Finance”)
T_name 
BM_addr1 
BM_addr2
BM_city, BM_state  BM_zip-BM_zip_ext

Dear Employer:
				
The Bureau of Labor Statistics (BLS) of the U.S. Department of Labor needs your help. We need to hear from businesses like yours as we measure employment involved in the production of green goods and services. We need to hear from every company, even if your company is not involved in producing green goods or services, to get an accurate picture of the economy.  

Green goods and services are defined as those that benefit the environment or conserve natural resources. Examples are listed on the following pages. 

We are requesting that you participate by responding to the attached survey. Please complete and return the survey within 30 days of receipt.  

Your business may have more than one location, and each location may be involved in a different activity. Please respond for the activities performed at the individual worksite identified in Question 1 of the survey. 

If you have any questions, please contact our helpdesk by calling toll free at [toll-free number] or by emailing [_ [email protected]].

Thank you for your participation.

Sincerely yours,

Patricia M. Getz
Assistant Commissioner
Office of Industry Employment Statistics, Office of Employment and Unemployment Statistics




Confidentiality Statement. 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.  Paperwork Reduction Act Statement.  Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate, and timely. We estimate that completing this form will take an average of 15 minutes. This estimate takes into account time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information.  If you have any comments regarding this survey, including suggestions for reducing the burden, send them to the Bureau of Labor Statistics, Office of Industry Employment Statistics, Paperwork Reduction Project, 2 Massachusetts Avenue, N.E., Room 4840, Washington, DC 20212.  The OMB control number for this voluntary survey is 1220-XXXX and expires on Month, Day Year.  Without a currently valid number BLS would not be able to conduct this survey.
Green Goods and Services Survey				       Bureau of Labor Statistics            
            U.S. Department of Labor  
  O.M.B. No. 1220−XXXX Expires Month, Day Year
Please complete and return this form within 30 days.  If you need help completing this form, send an email to [email protected], or call tollfree#.  Thank you!
              
Is this the address where this worksite is physically located?  						 Please report data for your worksite located at the address below. If this address is no longer correct, please enter the updated address in the space provided. 	 
	
   





What is your contact information?  
Please provide contact information for the person or persons who completed this form.
    1. Primary contact’s name:  _____________________________________
Title:_________________________________
Phone:  (______)________ - ___________ __
email:________________________________
Business website:______________________
    2. Secondary contact’s name:  ____________________________________
Title:________________________________
Phone:  (______)________ - _____________
email:_______________________________

How many employees are at this worksite?  
Please provide the number of employees, both full and part-time, who worked at the site listed in Question 1 during the pay period that includes January 12, 2010. 
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









Does this worksite produce goods or services that fall into one or more of the following green goods and services categories?  Please indicate yes or no.  
    • Please consider the goods and services you produce for sale or for transfer within your company.
    • Do not consider internal green practices, such as recycling programs, use of renewable energy, use of green office products or cleaning materials, use of energy-efficient or pollution-reducing equipment or practices at the worksite, etc.
		


























                   



What was this worksite’s fiscal year for 2010?  
Please provide us with your worksite’s 2010 fiscal year.









During the fiscal year in Question 5, did this worksite have any revenue from the sales of goods or services in the categories checked ‘yes’ in Question 4?    
Revenue from sales includes:
    • Income a worksite receives from the sale of goods and services
    • Market value of goods produced and services rendered for transfers within your company
Revenue from sales does not include:
    • Royalties, taxes, interest payments, and all other non-operational revenue
    • No                   Go to Question 8
    • Yes                  Go to Question 7      


(If yes to Question 6) What percent of this worksite’s sales revenue came from the sale of goods or services in the categories checked ‘yes’ in Question 4?    
Estimate the percent of sales revenue for the worksite in Question 1 during the fiscal year shown in Question 5. 

						Please stop here and return this completed survey.  Thank you.


(If no to Question 6) What percentage of this worksite’s employment listed in Question 3 primarily works on the products or services checked ‘yes’ in Question 4?    
Estimate for the worksite in Question 1 during the fiscal year shown in Question 5. 

Please stop here and return this completed survey.  Thank you.