NCS 11-2P Earnings Form

U.S. Department of Labor EARNINGS FORM (Private Industry)

Bureau of Labor Statistics National Compensation Survey

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. Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate and timely.	Form Approved O.M.B. # 1220-0164 Expires 1/31/14
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 11-2P (September 2010)

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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