Form NCS 04-2G NCS 04-2G Earnings Form (Government)

U.S. Department of Labor EARNINGS FORM (Government)

Bureau of Labor Statistics National Compensation Survey

The BLS publishes statistical tabulations from this survey that may reveal the information reported by individual State and local governments. Upon your request, however, the BLS will hold the information provided on this survey form in confidence.	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.	Form Approved O.M.B. # 1220-0164 Expires 12/31/07
We estimate that it will take an average of 20 minutes to complete this form, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this information. If you have any comments regarding this estimate or any other aspect of this survey; including suggestions for reducing this burden, please send them to the Bureau of Labor Statistics, Office of Compensation and Working Conditions (1220-0164), 2 Massachusetts Avenue N.E., Washington, D.C. 20212. You are not required to respond to the collection of information unless it displays a currently valid OMB control number.

QUOTE LIST Schedule #:_________________

Quote #	Status	SOC Code #	Company Job Title and/or Job Code	FT/PT	T/I	U/N	Number of EE.
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FT/PT = Full Time/Part Time; T/I = Time/Incentive; U/N = Union/Non-union; EE = Employees

NCS Form 04-2G (September 2007)

Remarks

National Compensation Survey – Earnings (Wages)

ESTABLISHMENT NAME:________________________ SCHEDULE #:___________ Page_____ of _____
LINE #		QUOTE #	IDENTIFICATION OF SURVEY OCCUPATIONS, ESTABLISHMENT			Reference Date:
			JOBS, OR EMPLOYEES FOR WHOM WAGE INFORMATION IS BEING REPORTED ON EACH LINE			Source of wage data:
						# HOURS	EARNINGS		# WRKRS	USE		VAL CODE	HIRE DATE
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	Use Codes:			B = Base rate	Validation (VAL)Codes:			BC, RC, NW, LOS, EW, TOP, BOT, and OTH
				A = Add-on ($ and cents)
				P = Percent (% of base rate)

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