U.S. Department of Labor |
Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
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U.S. Department of Labor |
Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
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Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
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Date
Attn: Contact Name or Department of Accounting/Finance
Establishment Name
Establishment Address
Address cont.
City, State, Zip
Dear Employer:
The Bureau of Labor Statistics (BLS) of the U.S. Department of Labor needs your help measuring the number of jobs involved in the production of green goods and services. By completing a brief survey, you will help us determine the number, growth, and distribution of green jobs by industry, occupation, and geography in the United States.
I don’t produce anything green; does this survey apply to me? Yes. We collect data from both green and non-green establishments so we can publish an accurate picture of the economy.
What are green goods and services? They are goods and services that benefit the environment or conserve natural resources. Examples are listed on the following pages.
What if my business has more than one location? Your business may have more than one location, and each location may be involved in a different activity. Please respond for the individual worksite identified in Question 1 of the survey.
What if I want to report using the internet? Please go to the web address https://ggsdata.bls.gov and use your report number to access the data collection form.
Report Number: *[This is your Report Number]*
Please help us better understand our current economy by completing and returning the attached survey within 30 days.
If you have any questions, please contact our helpdesk by calling toll free at 1-866-840-3801 (TTY at 1-866-841-3259), sending an email to GGSHelp@bls.gov, or visiting our website (www.bls.gov/respondents/ggs).
Thank you for your help.
Sincerely yours,
Richard Clayton
Chief, Division of Administrative Statistics and Labor Turnover
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 1220-0183 and expires on April 30, 2014. 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. 1220−0183 Expires April 30, 2014
Please complete and return this form within 30 days. If you need help completing this form, send an email to GGSHelp@bls.gov, or call toll free at 1-866-840-3801 (TTY at 1-866-841-3259). Thank you!
I
1
Enter Physical Location Address Corrections Here
Establishment Name ______________________________________________
Worksite Address ______________________________________________
Address cont. ______________________________________________
City, State, Zip ______________________________________________
Worksite Description (if available)
s 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.
W
2
hat is your contact information?Please provide contact information for the person or persons who completed this form.
Primary contact’s name: _____________________________________
Title: ________________________________
Phone: (______) _______ - ______________
email:________________________________
Business website: ______________________
Secondary contact’s name: ____________________________________
Title: _______________________________
Phone: (______)_______ - _____________
email:_______________________________
H
3
ow 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 [date of sampled pay period].
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
Number of employees for pay period that includes [date of sample pay period] |
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Y
4
our establishment is classified within the following industry sector: Manufacturing
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.
If none of the examples match your green product or you are classified under the wrong industry, please explain your green product or service in the ‘other’ section.
Green goods and services categories |
Examples (this is not an exhaustive list) |
Yes |
No |
Energy efficiency. Products and services that:
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Design, manufacture, installation, or maintenance of:
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Pollution mitigation and greenhouse gas reduction. Products and services that:
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Development, manufacture, operation, or maintenance of:
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Recycling and reuse. Products and services that:
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Development, manufacture, operation, or maintenance of:
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Other. Does this worksite produce any green goods or services not described above? Green goods or services are those that benefit the environment or conserve natural resources.
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If yes, please describe here:
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If all are checked NO, please stop here and return the survey. Thank you.
If any are checked yes, please go to Question 5.
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5
Start of Fiscal Year |
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End of Fiscal Year |
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MM |
DD |
YYYY |
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MM |
DD |
YYYY |
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Please provide us with your worksite’s 2011 fiscal year.
Continued on back
6
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
N
o
Go to Question 8
Y
es
Go to Question 7
(
7
If yes to Question 6) What percentage of this worksite’s sales revenue came from the sale of goods or services in the categories checked ‘yes’ in Question 4?
E
stimate
for
%
the worksite in Question 1 during the fiscal year shown in Question 5.%
Please
stop
here and return this completed survey. Thank you.
(
8
E
stimate
for
%
the worksite in Question 1 during the fiscal year shown in Question 5.
%
P
THIS IS A SAMPLE FORM
lease stop here and return this completed survey. Thank you.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | GGS Sample Form D |
Author | U.S. Bureau of Labor Statistics |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |