ORS Form 3 PP3-3P Leveling Form (Private Industry)

Occupational Requirements Survey (ORS)

FinalORS2014WorklevelformPrivind3 PP3-3P

Private Sector

OMB: 1220-0188

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U.S. Department of Labor

WORK LEVEL FORM (Private Industry)


Bureau of Labor Statistics

Occupational Requirements Survey


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. 9. Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate and timely.


O.M.B. #1220-XXXX

Expires X/XX/XX

We estimate that it will take an average of 25 minutes to complete this form, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this information. If you have any comments regarding this estimate or any other aspect of this survey; including suggestions for reducing this burden, please send them to the Bureau of Labor Statistics, Office of Compensation and Working Conditions (1220-XXXX), 2 Massachusetts Avenue N.E., Washington, D.C. 20212. You are not required to respond to the collection of information unless it displays a currently valid OMB control number.


Occupational Requirements Survey - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT






Remarks














ORS Form 3 PP3-3P (XXXX-2014)


U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT






Remarks























U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT






Remarks























U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT






Remarks






















U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT







Remarks






















U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT






Remarks























U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT






Remarks





















U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY - Leveling

Schedule Number:




Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTRACTS




PHYSICAL ENVIRONMENT






Remarks






















U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY – Base Leveling Supervisor

Schedule Number:




Supervisor

1st 2nd 3rd Line Supervisor/Manager



Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:






Highest Level Non-Supervisory Subordinate Position _________________________________________________


Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT





Remarks




















U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form





OCCUPATIONAL REQUIREMENTS SURVEY – Leveling on Duties and Responsibilities of Supervisor

Schedule Number:




Supervisor

1st 2nd 3rd Line Supervisor/Manager



Quote:


Occupation:






Establishment Grade:


SOC:




Establishment Rate Range:

Establishment Job Title:






Factor

Level

Education, experience, other comments

KNOWLEDGE



JOB CONTROLS AND

COMPLEXITY




CONTACTS




PHYSICAL ENVIRONMENT





Remarks

















U.S. Department of Labor

Bureau of Labor Statistics


Occupational Requirements Survey

Leveling Form




OCCUPATIONAL REQUIREMENTS SURVEY – Leveling Summary

Schedule Number:








Leveling Factors


QUOTE 1

QUOTE 2

QUOTE 3

QUOTE 4

QUOTE 5

QUOTE 6

QUOTE 7

QUOTE 8

KNOWLEDGE











JOB CONTROLS AND

COMPLEXITY










CONTACTS











PHYSICAL ENVIRONMENT













Remarks






















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