E-7 Annual Survey of Government Employment - Major Special D

OMB No. 0607-0452: Approval Expires 01/31/2005

E-7
U.S. DEPARTMENT OF COMMERCE

FORM

Economics and Statistics Administration
U.S. CENSUS BUREAU

E-7

(2-4-2004)

ANNUAL SURVEY OF GOVERNMENT EMPLOYMENT
MARCH 2004 - MAJOR SPECIAL DISTRICTS AND AGENCIES

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 10 minutes to 1½ 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

-

Fax

Extension
-

E-Mail
-

-

PAID EMPLOYEES/OFFICIALS

Please complete this survey form if your agency currently has paid employees/officials.
If your agency has NO PAID employees/officials, mark (x) here ¥
and check the appropriate box below:
This agency MAY have paid employees/officials in the future.
This agency IS NOT LIKELY to have any paid employees/officials in the future.
PART I - FULL-TIME STANDARD WEEKLY HOURS

What is the average or standard
number of weekly hours of work
for the MAJORITY of your full-time
employees?
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.

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

Less than 30 hours per week should be reported as Part-Time.

1. Full-time employees (all or most)
Mark (X) ONE box only

M
T
B
W

30 to 31.9 hours

E

Monthly
Twice a month
Bi-Weekly
Weekly

Q
S
A

Quarterly
Semi-Annually
Annually
Continue on page 2

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

USCENSUSBUREAU

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Page 2

FORM E-7 (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

A person working in more than one of the
following categories should be reported only
once -- in the area of primary
responsibility.

TOTAL - Sum of items 1 through 16
1. Fire protection - Report paid volunteer

firefighters as part-time employees; exclude
unpaid volunteers. Report forest fire protection
employees in Natural Resources.
a. Firefighters - Persons engaged in fire
suppression and prevention. Include
employees trained in these activities
but performing other duties such as
dispatching, emergency medical care, etc.

b. All other fire protection employees.
c. TOTAL - Sum of items 1a and 1b.
2. Water supply system - Public water

supply system operated by your government.
Irrigation activities should be reported in

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)

024

124

091

Natural resources.

3. Electric power system - Owned and

operated by your government.
4. Gas supply system - Owned and operated
by your government.

092
093

5. Transit system - Owned and operated by

094

6. Natural resources - Forest fire protection,

059

7. Sewers and sewage disposal - Provision,

080

your government.

irrigation, drainage, flood control, forestry, etc.
maintenance, and operation of sanitary and
storm sewer systems and sewage disposal
plants. Report water supply employees in

Water supply system.

8. Solid waste management - Street cleaning,

081

recycling, garbage and refuse collection and
disposal, operation of sanitary landfill.
044
9. Streets and highways - Maintenance,
repair, construction, and administration of streets,
alleys, sidewalks, roads, highways, and bridges.

10. Airport - Owned and operated by your

001

11. Sea and inland port facilities - Owned

087

government.

and operated by your government.
12. 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, and social workers.
13. 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.
14. Hospitals - Institutions for in-patient medical
care. Include all paid student help. Report
nursing home and welfare institution employees
in Public welfare.
15. Parks and recreation - Parks, playgrounds,
swimming pools, auditoriums, museums,
marinas, zoos, etc.

079

032

036

061

089

16. All other
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.

007021

E-7(I) (2-4-2004)

Page 1

DEFINITIONS
EMPLOYEES – Persons paid for personal services performed
in the indicated pay period, including persons in a paid leave
status. Include any officials paid on a salary basis; by fees or
commissions; on a per meeting basis; or a flat sum quarterly,
semiannually, or annually. Exclude employees on unpaid
leave, unpaid officials, pensioners, and contractors and their
employees.

PAYROLL (GROSS BEFORE DEDUCTIONS) – Salaries,
wages, fees, or commissions earned by employees during (or
applicable to) the pay period(s) which includes March 12,
2004. Include overtime, premium, night differential pay,
bonuses, 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 these
employees, their payroll, and part-time hours separately as
indicated in the Special Instructions for Part III.

FULL-TIME EMPLOYEES – Persons employed during the pay
period to work the number of hours per week that represents
regular full-time employment. Include temporary or seasonal
employees who are working the number of hours that
represents full-time employment.

PART-TIME HOURS PAID – Total hours actually paid during
the pay interval for all persons working less than the number of
hours that represents full-time employment. Include an
estimate of hours worked during the pay interval for part-time
employees not compensated on an hourly basis.

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 this
pay period.

GENERAL INSTRUCTIONS
1.

Indicate in Part I the standard weekly hours of work for most full-time 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.

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.

5.

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.

6.

Use the reporting format shown in SPECIAL INSTRUCTIONS FOR PART III if you have multiple pay intervals.

7.

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).

8.

If exact figures are not available, enter estimates and mark with an asterisk.

9.

Complete the “Data supplied by” box on the front of the form and return the completed questionnaire in the envelope
provided.

10. Retain a copy of the completed questionnaire for your records.

SPECIAL INSTRUCTIONS FOR PART III
Report separately in Part III all employees, payrolls, and parttime 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 parttime employees.