BLS 1810B Cluster Form

Producer Price Index Survey

BLS-1810B

Producer Price Index Survey - Initiation Private Sector

OMB: 1220-0008

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Bureau of Labor Statistics
Producer Price Indexes Cluster Form

U.S. Department of Labor

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

The Bureau of Labor Statistics, its employees, agents, and partner statis ical agencies, will use he 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 Informa ion Protection and Statistical Efficiency Act (44 U.S.C. 3572) and
other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. Per the Federal Cybersecurity Enhancement Act of 2015,
Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data.
This report is authorized by law 29 U.S.C 2. Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate, and timely.
Public reporting burden for this collection of information is estimated to average 2 hours, including time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and reviewing the collection of information. If you have any comments regarding this estimate or any other aspect of this information
collection, including suggestions for reducing this burden, please send them to the Bureau of Labor Statistics, Producer Price Index Program, 1220-0008, 2 Massachusetts
Avenue, N.E., Wash., DC 20212. You are not required to respond to this collection unless it displays a currently valid OMB control number.

SU ID:
Frame Record ID:

Name:

Hidden Cluster :
Rep Member Status:
In SU,
In RU
Not in SU, in RU

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

A. Added
C. Combined PRUs

EIN
UI ID
Sample Overlap
Reporter Code :

U. Unlocatable
Z. In Diff RU

D. Duplicate
S. Subsampled

Street:

R. Refusal

County:

F. FCSU

Product/Service:

:
:

State:

City:

Employment
Wages

:
:

NAIC:

Name:

Frame Record ID:
Hidden Cluster :
Rep Member Status:
In SU,
In RU
Not in SU, in RU

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

A. Added
C. Combined PRUs

EIN
UI ID
Sample Overlap
Reporter Code :

U. Unlocatable
Z. In Diff RU

D. Duplicate
S. Subsampled

Street:
City:

R. Refusal

County:

F. FCSU

Product/Service:

:
:

State:

Employment

:

Wages

:

NAIC:

Name:

Frame Record ID:
Hidden Cluster :
Rep Member Status:
In SU,
In RU
Not in SU, in RU
A. Added
C. Combined PRUs

EIN
UI ID
Sample Overlap
Reporter Code :

In SU, not in RU
B. OOB
O. OOS
M. Misclassified
U. Unlocatable
Z. In Diff RU

:
:

BLS 1810B (Revised 10/2020)

D. Duplicate
S. Subsampled

Street:
City:

R. Refusal

County:

F. FCSU

Product/Service:

State:

Employment

:

Wages

:

NAIC:


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