R2/S2 JOLTS Form

Cognitive and Psychological Research

Phase 3 JOLTS Form_Final

Cognitive Testing of Respondent Burden and Update to JOLTS Phase 2

OMB: 1220-0141

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JOLTS Form

Part 1

This form requests information about employment, job openings, and employee turnover at:

 

 

 

County:



 

 

UI:

 

in

 

Part 2

Please check all that apply: Employees are paid   Each week Every two weeks Twice a month Once a month Other 

Please provide data for the time periods indicated for each row. Enter "0" if none. Enter "NA" if data are not available.

Part 3

PAY PERIOD

A: TOTAL EMPLOYMENT

B: JOB OPENINGS

 


Enter the FIRST and LAST days of the Pay Period that includes the 12th for the specified month.


Enter the NUMBER of full- or part-time employees who worked or received pay during the Pay Period.


Enter the NUMBER of Job Openings on the LAST DAY of the Pay Period.

A job is open if it meets all three conditions:

  • A specific position exists

  • Work could start within 30 days

  • You are actively seeking workers from outside this location to fill the position

 

Pay Period that includes July 12th 2015


/


/


to


/


/


First Day Last Day

Shape1 (Enter Last Day as END DATE in Part 4)






GO TO Part 4

Part 4

Reporting Period

Hires

Separations

The Reporting Period is an approximate 4 week period. The reporting period falls between the End Date and Start Date identified below:



Shape3 Shape4 Shape2 END DATE: What is the last day of the Pay Period that included July 12th 2015?

This is your END DATE: / /



Shape7 Shape6 Shape5 START DATE: Now think about June 2015 and the Pay Period that included June 12th; then identify the first day the NEXT Pay Period started.

This is your START DATE: / /

(This date will probably fall in June)

Your Reporting Period for columns C through G runs from the START DATE through the END DATE.

C


Enter the NUMBER of Hires and Recalls

for the Reporting Period:


A hire is any addition to your payroll, and:

  • May be a new hire or a previously separated rehire

  • May be permanent, short-term, or seasonal

  • May be a recall from layoff

D
Quits


Enter the NUMBER of Quits for the Reporting Period.
(Except retirements)

E
Layoffs and Discharges


Enter the NUMBER of Layoffs & Discharges for the Reporting Period.

  • Layoffs

  • Discharges

  • Terminations of permanent, short-term, or seasonal employees

F
Other


Enter the NUMBER of Other Separations for the Reporting Period.

  • Retirements

  • Transfers from this location

  • Employee disability

  • Deaths

G

Total Separations


Enter the TOTAL NUMBER of separations for the Reporting Period.

If Columns D, E and F are reported, enter their sum. If not, enter the total number of separations.
















C1_JOLTS Test Form_R2/S2_Version 7/9/2015

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorTeresa Koenig
File Modified0000-00-00
File Created2021-01-23

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