BLS 1810B Cluster Form

Bureau of labor Statistics
Producer Price Indexes Cluster Form
The Bureau of Labor Statistics,
information

in confidence

its employees,

This report is authorized

agents, and partner statistical

to the full extent permitted

Public Law 107-347) and other applicable

by law. In accordance

by law 29 U.S.C 2. Your voluntary cooperation

collection,

the data needed,

including

suggestions

agencies, will use the information
with the Confidential

Federal laws, your responses will not be disclosed

Public reporting burden for this collection of information
and maintaining

is estimated

and reviewing the collection

Information

in identifiable

you provide for statistical

Protection

and Statistical

is needed to make the results of this survey comprehensive,

to average 2 hours, including time for reviewing

of information.

If you have any comments

You are not required to respond to this collection

Efficiency Act of 2002 ( Title 5 of

instructions,

regarding this estimate

accurate,

and timely.

searching existing data sources, gathering
or any other aspect of this information

Producer Price Index Program,

1220-0008,2

unless it displays a currently valid OMB control number.

SU 10:
Name:

Frame Record ID:
Hidden Cluster

:0

Rep Member Status:

D

Street:

In SU,
In RU

In SU, not in RU
B.OOB

Not in SU, in RU

D. Duplicate

O.OOS
A. Added

M. Misclassified

C. Combined

City:

State:

S. Subsampled
R. Refusal

County:

U. Unlocatable

PRUs

Z. In Diff RU

F. FCSU

ProducUService:

EIN

Employment

UIID

Wages

NAIC:

Sample Overlap
Reporter Code:

Name:

Frame Record ID:
Hidden Cluster

:0

Rep Member Status:

D

Street:

In SU,
In RU

Not in SU, in RU

In SU, not in RU
B.OOB

D. Duplicate

O.OOS
M. Misclassified

A. Added
C. Combined

PRUs

City:

State:

S. Subsampled
R. Refusal

County:

U. Unlocatable
Z. In Diff RU

F. FCSU

ProducUService:

EIN

Employment

UIID

Wages

NAIC:

Sample Overlap
Reporter Code:
Name:

Frame Record ID:
Hidden Cluster

:0

Rep Member Status:

D

Street:

InSU,
In RU

Not in SU, in RU

In SU, not in RU
B.OOB
O.OOS
M. Misclassified

A. Added
C. Combined

PRUs

U. Un locatable
Z. In Diff RU

D. Duplicate

City:

F. FCSU

County:
ProducUService:

EIN

Employment

UIID

Wages

Sample Overlap
Reporter Code:

BLS 1810B (Revised June 2005)

State:

S. Subsampled
R. Refusal

~

purposes only and will hold the

form without your informed consent.

for reducing this burden, please send them to the Bureau of Labor Statistics,

Avenue, N.E., Wash., DC 20212.

Form Approved
a.M.B. No. 1220-0008

U.S. Department of Labor

NAIC:

Massachusetts