BLS LMI ObEx BLS LMI Obligation and Expenditures

BUREAU OF LABOR STATISTICS
LABOR MARKET INFORMATION
OBLIGATIONS AND EXPENDITURES FORM

U.S. DEPARTMENT OF LABOR

See complete instructions in LMI Cooperative Agreement, Part II, Application Instructions.
We estimate that it will take an average of 1 hours to complete this form including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information.
Your response is required to obtain or retain benefits under 29 USC 49L-1. If you have any comments on the estimates or the form, send them to [email protected]. You are not required to respond to the collection of
information unless it displays a currently valid OMB control number.

OMB Control No. 1220-0079
Expiration Date: 06/30/2024

SECTION A – GRANTEE INFORMATION
Application No.
Grant No.

POP for Base Programs

Name of Submitting Official:

Title of Submitting Official:

State

POP for AAMCs

Fiscal Year

Date Prepared

Month:

SECTION B - COMPARATIVE DATA
CES

LAUS

OEWS

QCEW

Total Base
Programs

CES
AAMC

LAUS
AAMC

OEWS
AAMC

QCEW
AAMC

Total
AAMCs

Total Base
+ AAMCs

Fund Ledger Code(s)
a. Cumulative Obligations
b. Cumulative Expenditures
c. Cumulative Cash Received

$ 0.00
$ 0.00
$ 0.00

SECTION C - REMARKS

Certification: I certifify to the best of my knowledge and belief that the information provided herein is accurate and complete, and was obtained from agency accounting records.
Signature:
Date:

BLS LMI ObEx, June 2023

$ 0.00
$ 0.00
$ 0.00

$ 0.00
$ 0.00
$ 0.00

INSTRUCTIONS FOR COMPLETING THE LMI OBLIGATIONS AND EXPENDITURES (ObEx) FORM
The LMI Obligations and Expenditures (ObEx) form displays cumulative obligations, expenditures, and cash received by program. Cumulative is defined
as the beginning of the cooperative agreement period to the end of report period regardless of the fiscal year in which the cooperative agreement began.
Frequency: Cumulative data for all lines must be completed and submitted to the BLS 30 calendar days after the end of each month.
Section A – Grantee Information: Complete all fields in Section A.
Section B – Comparative Data: Enter cumulative obligations, expenditures, and cash received for all programs and AAMCs (if applicable). Enter the
appropriate fund ledger code in the field below the program names.
Section C – Remarks: This section has a 2,000-word limit.
Certification – Electronically sign certifying that the information provided is accurate and complete, and was obtained from agency accounting records.