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 30 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 our helpdesk by calling toll free at [toll-free number] or by emailing [_ _______@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-XXXX and expires on Month, Day Year. 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
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|
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Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
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|
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Bureau of Labor Statistics 2 Massachusetts Avenue, NE, Room 4840 Washington, DC 20212
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U.S. Department of Labor
O.M.B. No. 1220−XXXX Expires Month, Day Year
Please complete and return this form within 30 days. If you need help completing this form, send an email to ___@bls.gov, or call tollfree#. 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
______________________________________________
W
2
Please provide contact information for the person or persons who completed this form.
Primary contact’s name: _____________________________________
Title:_________________________________
Phone: (______)________ - ___________ __
email:________________________________
Business website:______________________
Secondary contact’s name: ____________________________________
Title:________________________________
Phone: (______)________ - _____________
email:_______________________________
H
3
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 January 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 January 12, 2010 |
|
D
4
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
Construction
or maintenance of:
-
Power plants generating energy from renewable sources, such as
wind,
hydro,
biomass, geothermal, solar, and ocean
Installation
of parts for use in a renewable source-fueled power plant, such
as
solar cells or wind turbines
Energy
efficiency.
Products
and services that: reduce
energy consumption improve
energy efficiency
Installation
or maintenance of: EnergyStar
certified products, such as dishwashers and washing machines Products
eligible for use in LEED or Green Globe certified projects,
such as windows, floorings, and tiles
SmartGrid
meters, sensors, and automatic electric transmission devices Construction
of ISO 21930:2007-compliant projects Construction
of LEED certified buildings Construction
of Green Globes/ANSI/GBI certified commercial buildings Construction
of EnergyStar buildings Weatherization
and retrofitting projects
Pollution
mitigation and greenhouse gas reduction.
Products
and services that: reduce
or eliminate pollution or greenhouse gases
Construction
or maintenance of:
-
Power plants generating energy from waste sources, such as
landfill gas or municipal solid waste
Installation
or maintenance of: ANSI
environmental certified products, such as NSF/ANSI 140 and 332
certified goods (carpeting and floor coverings) Products
on the USDA Biopreferred product list, such as carpets and
fluid-filled transformers Products
listed with the EPA Environmentally preferable purchasing
program, such as pipes and roofing materials Scrubbers
and other pollution control mechanisms in power plants and
other factories
Recycling
and reuse. Products
and services that: collect,
reuse, remanufacture, or recycle compost
waste materials
Construction
or maintenance of: Recycling
or composting facilities
Collecting
and recycling or composting contruction material scrap or waste.
Deconstructing
existing structures for the purpose of recycling or reusing
construction materials
Natural
resources conservation.
Products
and services that: reduce
the environmental impact of agricultural production improve
natural resources conservation
Installation
or maintenance of WaterSense-certified products, such as toilets
and showerheads Construction
or maintenance of stormwater management structures and systems
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
any
are checked yes, please go to Question 5.
If
all
are checked NO,
please stop
here and return the survey. Thank you.
W
5
Start
of Fiscal Year
End
of Fiscal Year
MM
DD
YYYY
MM
DD
YYYY
Please provide us with your worksite’s 2010 fiscal year.
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
N
o
Go to Question 8
Y
es
Go to Question 7
(
7
E
%
stimate
the percent of sales revenue for
%
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
%
P
For internal use only: NAICS
23 GGS
Identifier
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | viegas_r |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |