BLS GGS NAICS 11 ( BLS Green Goods and Services - NAICS 11

U.S. Department of Labor	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
U.S. Department of Labor	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212

U.S. Department of Labor

Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212

Date

Attn: Contact_name (if missing use “Department of Accounting/Finance”)

T_name

BM_addr1

BM_addr2

BM_city, BM_state BM_zip-BM_zip_ext

Dear Employer:

The Bureau of Labor Statistics (BLS) of the U.S. Department of Labor needs your help. We need to hear from businesses like yours as we measure employment involved in the production of green goods and services. We need to hear from every company, even if your company is not involved in producing green goods or services, to get an accurate picture of the economy.

Green goods and services are defined as those that benefit the environment or conserve natural resources. Examples are listed on the following pages.

We are requesting that you participate by responding to the attached survey. Please complete and return the survey within 7 days of receipt.

Your business may have more than one location, and each location may be involved in a different activity. Please respond for the activities performed at the individual worksite identified in Question 1 of the survey.

If you have any questions please contact Kristin Fairman or Robert Viégas at 202-691-5185 or GGS@bls.gov.

Thank you for your participation.

Sincerely yours,

Patricia M. Getz

Assistant Commissioner

Office of Industry Employment Statistics, Office of Employment and Unemployment Statistics

Confidentiality Statement. The Bureau of Labor Statistics, its employees, agents, and partner statistical agencies, will use the 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 Information Protection and Statistical Efficiency Act of 2002 (Title 5 of Public Law 107-347) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. This report is authorized by law 29 U.S.C.2. Paperwork Reduction Act Statement. Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate, and timely. We estimate that completing this form will take an average of 15 minutes. This estimate takes into account time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information. If you have any comments regarding this survey, including suggestions for reducing the burden, send them to the Bureau of Labor Statistics, Office of Industry Employment Statistics, Paperwork Reduction Project, 2 Massachusetts Avenue, N.E., Room 4840, Washington, DC 20212. The OMB control number for this voluntary survey is 1220-0181 and expires on September 30, 2010. Without a currently valid number BLS would not be able to conduct this survey.

U.S. Department of Labor	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
	Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212

Green Goods and Services Survey Bureau of Labor Statistics

U.S. Department of Labor

O.M.B. No. 1220−0181 Expires September 30, 2010

Please complete and return this form within 7 days. If you need help completing this form, send an email to GGS@bls.gov, or call (202)691-5185. Thank you!

I

1

Enter Physical Location Address Corrections Here

T_name ______________________________________________

Phy_addr2 ______________________________________________

PHY_addr1 ______________________________________________

Phy_city, Phy_state phy_zip - phy_zip_ext ______________________________________________

s this the address where this worksite is physically located? Please report data for your worksite located at the address below. If this address is no longer correct, please enter the updated address in the space provided.

W

2

hat is your contact information?

Please provide contact information for the person or persons who completed this form.

2. Primary contact’s name: _____________________________________

Title:_________________________________

Phone: (______)________ - ___________ __

email:________________________________

Business website:______________________

3. Secondary contact’s name: ____________________________________

Title:________________________________

Phone: (______)________ - _____________

email:_______________________________

H

3

ow many employees are at this worksite?

Please provide the number of employees, both full and part-time, who worked at the site listed in Question 1 during the pay period that includes March 12, 2010.

Include:

• Full or part-time paid workers

• Workers on paid leave

• Workers assigned temporarily to other units

• Incorporated firms - paid owners, officers, and staff

Do Not Include:

• Contractors and temporary agency employees not on your payroll

• Unpaid family workers

• Workers on unpaid leave

• Owners, proprietors, and partners of unincorporated firms

• Workers not covered by unemployment insurance

Number of employees for pay period that includes March 12, 2010

D

4

oes this worksite produce goods or services that fall into one or more of the following green goods and services categories? Please indicate yes or no.

Please consider the goods and services you produce for sale or for transfer within your company.

Do not consider internal green practices, such as recycling programs, use of renewable energy, use of green office products or cleaning materials, use of energy-efficient or pollution-reducing equipment or practices at the worksite, etc.

Green goods and services categories	Examples (this is not an exhaustive list)	Yes	No
Renewable energy. Products and services that: generate electricity, heat, or fuel from non-fossil, renewable fuel sources generate electricity, heat, or fuel from waste	Production of: Corn, switch grass, and other crops to be used specifically in the manufacture of ethanol or other biofuels
Natural resources conservation. Products and services that: reduce the environmental impact of agricultural production improve natural resources conservation	Production of: USDA certified organic crops USDA certified organic meat Support services provided specifically for USDA certified organic crops or animal production Nursery or tree products specifically for reforestation Sustainable Forestry Initiative or Forest Stewardship Certified timber tract operations
Other. Does this worksite produce any green goods or services not described above? Green goods or services are those that benefit the environment or conserve natural resources.	If yes, please describe here:

If all are checked no, please stop here and return the survey. Thank you.

If any are checked yes, please go to Question 5.

W

5

Start of Fiscal Year				End of Fiscal Year
MM	DD	YYYY		MM	DD	YYYY

hat is this worksite’s fiscal year?

Please provide us with your fiscal year that includes

April 15, 2009 for the worksite listed in Question 1.

6

During the fiscal year in Question 5, did this worksite have any revenue from the sales of goods or services in the categories checked ‘yes’ in Question 4?

Revenue from sales includes:

• Income a worksite receives from the sale of goods and services

• Market value of goods produced and services rendered for transfers within your company

Revenue from sales does not include:

• Royalties, taxes, interest payments, and all other non-operational revenue

• Y es Go to Question 7

• N o Go to Question 8

(

7

If yes to Question 6) What percent of this worksite’s sales revenue came from the sale of goods or services in the categories checked ‘yes’ in Question 4?

E stimate the percent of sales revenue for

%

the worksite in Question 1 during the fiscal year shown in Question 5.

%

Please stop here and return this completed survey. Thank you.

(

8

If no to Question 6) What percentage of this worksite’s employment listed in Question 3 primarily works on the products or services checked ‘yes’ in Question 4?

E stimate for

%

the worksite in Question 1 during the fiscal year listed in Question 5.

%

P

For internal use only:

NAICS 11

STATE, UI, RUN

For internal use only:

NAICS 11

STATE, UI, RUN

lease stop here and return this completed survey. Thank you.