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pdfOMB No. 0607-0452: Approval Expires 01/31/2005
E-5
U.S. DEPARTMENT OF COMMERCE
FORM
Economics and Statistics Administration
U.S. CENSUS BUREAU
E-5
(2-4-2004)
ANNUAL SURVEY OF GOVERNMENT EMPLOYMENT
MARCH 2004 - MUNICIPALITIES AND TOWNSHIPS
RETURN TO:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001
In correspondence pertaining
to this report, please refer to
the Census File Number above
your address
Please check here
if your address has
changed.
(Please correct any errors in name, address, and ZIP Code)
INTERNET RESPONSE: If you prefer, you may respond
to this survey via the Internet at the following web
address: http://harvester.census.gov/sge/index.html
You will only need your User ID to access the Internet form.
User ID
a
NOTE: Please note that this is a national form that applies to governments with wide differences in the size of their service areas, the amount of
the population served, and the extent and complexity of their activities. Public reporting burden for this collection of information is estimated to
vary from 15 minutes to 15 hours per response, with an average of 45 minutes per response, including time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Under the
Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,
to: Paperwork Project 0607-0452, Room 3110, Federal Building 3, U.S. Census Bureau, Washington, DC 20233-1500. You may e-mail
comments to Paperwork@census.gov; use Paperwork Project 0607-0452 as the subject.
DATA SUPPLIED BY
Name
Area Code and Phone Number
Title
-
Extension
-
E-Mail
Fax
-
-
PART I - FULL-TIME STANDARD WEEKLY HOURS
What is the average or standard
number of
hours of work
for the MAJORITY of your full-time
employees?
weekly
Mark (X) ONE box only.
A
39 hours or more
C
34 to 37.4 hours
B
37.5 to 38.9 hours
D
32 to 33.9 hours
30 to 31.9 hours
E
Less than 30 hours per week should be reported as Part-Time.
PART II - PAY INTERVAL
How frequently are
employees paid for
their services?
Provide the payroll
amount in Part III for
the pay period you
indicate here.
1. Full-time employees (all or most)
Mark (X) ONE box only
M
T
B
W
Monthly
Twice a month
Bi-Weekly
Weekly
Q
S
A
Quarterly
Semi-Annually
Annually
2. Part-time employees (all or most)
Mark (X) ONE box only
M
T
B
W
Monthly
Twice a month
Bi-Weekly
Weekly
Q
S
A
Quarterly
Semi-Annually
Annually
Continue on page 2
USCENSUSBUREAU
005017
Page 2
FORM E-5 (2-4-2004)
PART III - EMPLOYEES, PAYROLL, AND PART-TIME HOURS
Report data for the ONE PAY PERIOD, which includes March 12, 2004 and corresponds to the pay interval
marked in Part II. If some employees are on a different pay interval from the majority, please report these
employees, their payroll, and any part-time hours separately as indicated in the special instructions.
Function
Part-time Employees
Full-time Employees
Report data by activity of individual units; not
employee occupations. For example, a secretary in
the streets and highways department should be
reported in "Streets and highways".
A person working in more than one of the following
categories should be reported only once -- in the
area of primary responsibility.
Number of
Employees
Gross payroll
for employees
in column (a)
(omit cents)
(a)
(b)
Number of
Employees
Gross payroll
for employees
in column (c)
(omit cents)
Total paid parttime hours for
amounts reported
in column (d)
(c)
(d)
(e)
(Estimate if
unknown)
TOTAL - Sum of items 1 through 16
A. CENTRAL GOVERNMENTAL ADMINISTRATION
023
1. Financial administration - Treasurer's office,
auditor's or comptroller's office, tax assessing,
tax billing and collection, budgeting, purchasing,
central accounting offices, information
technology, and similar financial administration.
2. Central administration - Council, board of
supervisors or commissioners; central
administrative officers and agencies, such as
manager or mayor; clerk; recorder; zoning;
central personnel agency; and central planning
agency. Exclude financial activities reported in
Financial administration and judicial/legal
activities reported in Judicial and legal.
3. Judicial and legal - All court and court related
activities, court activities of sheriff's office (e.g.,
bailiffs, process servers), prosecuting attorney's
and public defender's offices, legal department
and attorneys providing government-wide legal
services. Exclude private attorneys on retainer
and court appointed attorneys.
B. PUBLIC SAFETY
4. Police protection -
Police department,
law enforcement,
activities of sheriff's
and constable's
offices, coroner, etc.
Report school
crossing guards as
part-time employees.
5. Fire protection -
a. Persons with
power of arrest -
029
025
062
Report only police
employees here.
Report other employees
with power of arrest in
Judicial and legal.
b. Other employees -
162
All police protection
employees not reported
under persons with
power of arrest.
c. TOTAL - Sum of items
4a and 4b.
024
a. Firefighters -
Persons engaged in
Report paid volunteer
fire suppression and
firefighters as
prevention. Include
part-time employees;
employees trained in
exclude unpaid
these
activities but
volunteers. Report
performing such other
separately identifiable
duties as dispatching,
rescue squad and
emergency medical
emergency medical
care, etc.
services in Health, if
they are not a part of b. Other employees - 124
All fire protection
the fire department.
employees not
included above.
c. TOTAL - Sum of items
5a and 5b.
C. TRANSPORTATION
6. Streets and highways - Maintenance, repair,
044
construction, and administration of streets,
alleys, sidewalks, roads, highways, and bridges.
Include engineering activities and traffic signal
maintenance. Report street cleaning employees
in Solid waste management and sewer
employees in Sewers and sewage disposal.
D. SOCIAL SERVICES AND INCOME MAINTENANCE
7. Public welfare - Maintenance of homes and
other institutions for the needy, nursing homes,
administration of public assistance and veteran
services, senior citizen and handicap
transportation, social workers. Report hospital
employees under Hospitals.
8. Health - Public health services, emergency
medical services, mental health, alcohol and
drug abuse, out-patient clinics, visiting nurses,
food and sanitary inspections, animal control,
other environmental health activities (e.g.,
pollution control), etc.
9. Hospitals - Institutions for in-patient medical
care. Include all paid student help. Report
nursing home and welfare institution employees
in Public welfare.
079
032
036
Continue on page 3
005025
Page 3
FORM E-5 (2-4-2004)
PART III - EMPLOYEES, PAYROLL, AND PART-TIME HOURS -- Continued
Function
Report data by activity of individual units; not
employee occupations. For example, a secretary in
the streets and highways department should be
reported in "Streets and highways".
A person working in more than one of the following
categories should be reported only once -- in the
area of primary responsibility.
081
E. ENVIRONMENT AND HOUSING
10. Solid waste management - Street cleaning,
recycling, garbage and refuse collection and
disposal, operation of sanitary landfill.
080
11. Sewers and sewage disposal - Provision,
maintenance, and operation of sanitary and
storm sewer systems and sewage disposal
plants. Report water supply employees in
Water supply system.
12. Parks and recreation - Parks, playgrounds,
swimming pools, auditoriums, museums,
marinas, zoos, etc.
Part-time Employees
Full-time Employees
Number of
Employees
Gross payroll
for employees
in column (a)
(omit cents)
Number of
Employees
Gross payroll
for employees
in column (c)
(omit cents)
(a)
(b)
(c)
(d)
Total paid parttime hours for
amounts reported
in column (d)
(Estimate if
unknown)
(e)
061
091
F. UTILITIES
13. Water supply system - Public water supply
system operated by your government.
14. Electric power system - Public electric
power supply or distribution system operated
by your government.
092
052
G. OTHER ACTIVITIES
15. Libraries - Public libraries operated by your
government. Report law libraries in Judicial
and legal.
16. All other - All employees of your government
and its agencies not reported elsewhere,
except for any school system employees, and
payrolls. Include employees concerned with
elections and voter registration, protective
inspection (building, electrical, etc.), motor
pools, maintenance of general public buildings,
parking facilities, and other activities not
reported previously.
089
TOTAL all other
a
List the major activities reported above in TOTAL
all other »
a.
b.
c.
d.
Additional remarks Please indicate below any groups of your employees for which you could not supply
information or any difficulties you encountered in completing the form.
-
005033
E-5 (2-4-2004)
Page 4
DEFINITIONS
Please report figures covering all departments and agencies (except
any school system employment and payrolls) of the government
named in the address label.
If your office records do not contain all the information requested,
please obtain the figures from other agencies for inclusion in this
report. If you cannot supply entirely comprehensive data, list in the
remarks section at the end of this questionnaire any agencies of your
government that are not included.
EMPLOYEES – Persons paid for personal services performed in the
indicated pay period, including any persons in a paid leave status.
Include officials paid on a salary basis; by fees or commissions; on a
per meeting basis; or a flat sum quarterly, semiannually, or annually.
Employees who have multiple responsibilities should be reported only
once at the functional classification which is their primary responsibility.
For example, employees in city or county clerk offices may have
financial administration, central administration, and judicial
responsibility; these employees and their total gross pay should be
reported only at the one activity which accounts for most of their time.
Exclude school system employees, employees on unpaid leave,
unpaid officials, pensioners, and contractors and their employees.
FULL-TIME EMPLOYEES – Persons employed during the pay period
to work the number of hours per week that represents regular full-time
employment. Include full-time temporary or seasonal employees who
are working the number of hours that represents full-time employment.
PART-TIME EMPLOYEES – Persons employed on a part-time basis
during the designated pay period. Include those daily or hourly
employees usually engaged for less than the regular full-time
workweek, as well as any part-time paid officials. Exclude here, and
report as full-time, any temporary or seasonal employees working on a
full-time basis during the pay period.
PAYROLL (GROSS BEFORE DEDUCTIONS) – Salaries, wages, fees,
or commissions earned during (applicable to) the pay period(s) which
includes March 12, 2004. Include overtime, premium, and night
differential pay. Include bonus and incentive payments that are paid at
regular pay intervals. Include amounts withheld for taxes, employee
contributions to retirement systems, etc. Exclude lump sum payments
and the value of living quarters and subsistence allowances furnished
to employees. If some employees are on a different pay interval from
the majority, please report their payroll and any part-time hours
separately as indicated in the Special Instructions for Part III below.
PART-TIME HOURS PAID – Total hours actually paid during pay
interval for all persons working less than the number of hours that
represents full-time employment. Include an estimate of hours worked
during pay interval for part-time employees and officials not
compensated on an hourly basis.
SHERIFF’S OFFICE EMPLOYEES – In addition to reporting
employees and payrolls in “Police protection,” court bailiffs and any
other court employees should be reported in “Judicial and legal.”
FEE OFFICES – Include employees of fee offices in “Financial
administration.” If information on fee office employees and payrolls is
not available, please note and list the fee offices in “Additional
remarks”.
EDUCATION EMPLOYEES – Exclude any school system employees
and payrolls from this form. Include any county supervision of public
school districts in “All other.”
EMPLOYEES IN FEDERALLY FUNDED PROGRAMS – Persons paid
from Federal grant funds should be reported as employees of this
government. Report these employees and their pay in the appropriate
functional classification.
GENERAL INSTRUCTIONS
1.
Indicate in Part I the standard weekly hours of work for most fulltime employees.
2.
Indicate in Part II the length or frequency of your pay interval.
3.
Include all current employees whether paid from the general fund
or special funds.
4.
Include all paid elected or appointed officials.
5.
Report in Part III gross payroll amounts for just the one pay period
which includes March 12, 2004.
a.
Do not report cumulative salaries since the beginning of the
calendar or fiscal year.
b.
Do not report payroll amounts from last fiscal year.
c.
Do not report the employer costs of non-wage employee
benefits such as workers’ compensation, FICA, health
insurance, etc.
6.
Include total paid hours of work for part-time employees in Part
III, column (e). If actual hours are not known, please enter an
estimate.
7.
Use the reporting format shown in SPECIAL INSTRUCTIONS
FOR PART III if you have multiple pay intervals.
8.
If you are unable to supply any of the information requested in
Part III, please list in Additional remarks the source(s) of the
missing information (including address and telephone number).
9.
If exact figures are not available, enter estimates and mark with
an asterisk.
10. Complete the DATA SUPPLIED BY box on the front of the form
and return the completed questionnaire in the envelope provided.
11. Retain a copy of the completed questionnaire for your records.
SPECIAL INSTRUCTIONS FOR PART III
Report separately in Part III all employees, payrolls, and part-time
hours that are on a pay interval different from the one reported in Part
II, PAY INTERVAL. Write a pay interval code M, T, B, W, Q, S, or A
next to payroll amounts and part-time hours to indicate applicable pay
interval.
Part III
For example, if your government has three (3) full-time employees and
three (3) part-time employees and each is paid at different pay
intervals, report data separately as shown in the following example:
EMPLOYEES, PAYROLL, AND PART-TIME HOURS
Full-time employees
Number
Payroll
1
1
1
$3,500 (M)
$550 (W)
$20,000 (A)
Part-time employees
Number
Payroll
1
2
$1,100 (B)
$10,500 (Q)
Hours
114 (B)
1,000 (Q)
In this example, $3,500 represents the monthly (code M) amount for 1 full-time employee; $550 represents
the weekly (code W) amount for 1 full-time employee; and $20,000 represents the annual (code A) amount
for 1 full-time employee; and $1,100 represents the biweekly (code B) amount for 1 part-time employee.
$10,500 represents the quarterly (code Q) amount for 2 part-time employees.
File Type | application/pdf |
File Title | E-5.fdl |
Author | mager001 |
File Modified | 2004-02-05 |
File Created | 2004-02-05 |