Form GGS NAICS 11 GGS NAICS 11 Green Goods and Services Survey Booklet NAICS 11

U.S. Department of Labor	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
U.S. Department of Labor	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212

U.S. Department of Labor	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212

U.S. Department of Labor

Bureau of Labor Statistics

2 Massachusetts Avenue, NE, Room 4840

Washington, DC 20212

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 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: GGS_ID1

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 [email protected], or visiting our website (www.bls.gov/respondents/ggs).

Thank you for your help.

Sincerely yours,

Kenneth W. Robertson

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 1220-0183 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 [email protected], 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

T_name ______________________________________________

Phy_addr2 ______________________________________________

PHY_addr1 ______________________________________________

Phy_city, Phy_state phy_zip - phy_zip_ext ______________________________________________

Run_descp

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.

2. Primary contact’s name: _____________________________________

Title: ________________________________

Phone: (______) _______ - ______________

email:________________________________

Business website: ______________________

3. 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 June 12, 2012.

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 June 12, 2012

Y

4

our establishment is classified within the following industry sector: Agriculture

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
Renewable energy. Products and services that: generate electricity, heat, or fuel from non-fossil, renewable fuel sources generate electricity, heat, or fuel from waste	Production of: Corn, switch grass, and other crops to be used specifically in the manufacture of ethanol or other biofuels
Natural resources conservation. Products and services that: reduce the environmental impact of agricultural production improve natural resources conservation	Production of: USDA or third-party certified organic crops USDA or third-party certified organic meat Nursery or tree products specifically for reforestation Support services provided specifically for USDA certified organic crops or animal production Sustainable Forestry Initiative or Forest Stewardship Certified timber tract operations
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.	If yes, please describe here:

If all are checked NO, please stop here and return the survey. Thank you.

If any are checked yes, please go to Question 5.

W

5

Start of Fiscal Year				End of Fiscal Year
MM	DD	YYYY		MM	DD	YYYY

hat was this worksite’s fiscal year for 2012?

Please provide us with your worksite’s 2012 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

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?

E stimate for

%

the worksite in Question 1 during the fiscal year shown in Question 5.

%

P

For internal use only:

NAICS 11

STATE, UI, RUN

For internal use only:

Form Type A - NAICS 11

GGS Identifier

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