Form BLS LMI-1A BLS LMI-1A Budget Information Form

Labor Market Information Cooperative Agreement

BLS LMI-1A

LMI Cooperative Agreement

OMB: 1220-0079

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BUREAU OF LABOR STATISTICS
BUDGET INFORMATION FORM

U.S. DEPARTMENT OF LABOR

See complete instructions in LMI Cooperative Agreement, Part II, Applications Instructions.

We estimate that it will take an average of 1 to 6 hours to complete this form including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the information. Your response is required to obtain or retain benefits under 29 USC 49L-1. If you have any comments on the estimates or the form, send them to BLS, Division of Financial
Management (1220-0079), 2 Massachusetts Avenue, NE, Room 4135, Washington, DC 20212-0001. You are not required to respond to the collection of information unless it displays a currently valid OMB
control number.

State Abbreviation:
Name of Submitting Official:
CA No.:
Title:
FY:
CA Duration:
Col. D
Col. A
Col. B
Col. C
Col. E
SECOND QUARTER
Line
FIRST QUARTER
THIRD QUARTER
Number Program and Cost Category Staff years
Dollars
Staff years
Dollars
Staff years
Dollars
Current Employment Statistics (CES)
1
Program Staff
2
AS & T Staff
3
Nonpersonal Services
0.00
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
4
Total Resources
Local Area Unemployment Statistics (LAUS)
5
Program Staff
6
AS & T Staff
7
Nonpersonal Services
0.00
$ 0.00
$ 0.00
0.00
$ 0.00
8
Total Resources
0.00
Occupational Employment Statistics (OES)
9
Program Staff
10
AS & T Staff
11
Nonpersonal Services
0.00
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
12
Total Resources
Quarterly Census of Employment and Wages (QCEW)
13
Program Staff
14
AS & T Staff
15
Nonpersonal Services
0.00
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
16
Total Resources
17

Total LMI Base Programs

BLS LMI-1A (Revised May 2018)

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

Page
Phone:
Date Completed:
Col. F
FOURTH QUARTER
Staff years
Dollars

OMB No. 1220-0079
Approval Expires
05-31-2021

of
Col. G
FISCAL YEAR TOTAL
Staff years
Dollars
0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00


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