Report on Current Employment Statistics - Federal Government

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Current Employment Statistics Report Form — Service Providing
U.S. Department of Labor



 START HERE  for Report Number             reptnum
    • What and who to count:  See reverse side of this form.
    • Same pay schedule for all employees?  Enter the information requested in Pay Group 1 below.
	Different pay schedules for some employees—for example, weekly pay for some and monthly for others?  Enter the information for one group in Pay Group 1 on this page and for the second group in Pay Group 2 on the next page.
	If this information is not correct, please tell the data specialist.
Your name:
			Title:  
	Phone:  										Ext: 								Fax: 
	E-mail:  
Attn: Payroll Manager											

Title:
     
Phone:        
Ext:      
Fax:        
E-mail:        

   THIS FORM REQUESTS INFORMATION FOR:   
Primary Name
address
city, state   zipcode
Location:  location
Industry:  naics      
UI:           /                               
          
     	 Your report #  reptnum2  
   For more information: 
   1-     	   Data Collection Center                 

ALL EMPLOYEES IN PAY GROUP 1
A.	Employees receive pay: 	(check one) ……		Each week			Every 2 weeks			Twice a month			Once a month
B.	Do employees receive commissions? ……		Yes		No
	(IF YES)		Employees receive commissions:  (check one)    Each week		  Every 2 weeks		  Twice a month		  Once a month
								If you checked one of the boxes above, report commissions in Column 4 for the most recent complete period available. 
								Less often than once a month. Enter 0 in Column 4 but include in Gross Monthly Earnings (Column 7) when paid.  
	(IF NO)		Enter 0 in Column 4.
C.  Report columns 1-6 for the pay period that includes the 12th of the month
Report columns 7-8 for the entire previous calendar month

1
2
3
4
5
6
7
8
Month
     
Employee Count
Women Employee Count
Payroll,
Excluding Commissions 
(Whole dollars)
Commissions Paid at Least Once a Month
(Whole dollars)
Hours, Including Overtime
(Whole hours)
Reason for Large Changes 
(D1-D2 below)
Gross Monthly Earnings, previous calendar month 
(All workers)
Reason
for Large Changes 
(D1-D3 below)
       	     
All Workers
     
     
$         
$         
     
        

      
$       

  
Nonsupervisory Workers
     

$         
$         
     



       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
   All Workers



$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




D.  Reason for Large Changes:  To explain changes of 25% or more, enter numbers from the list below in columns 6 and 8.  You may enter one or two numbers into each row.
D1.  Changes in Employment (Columns 6 and 8)
D2. Changes in Pay and Hours (Columns 6 and 8)
D3.	Changes in Gross Monthly 
			Earnings (Column 8 ONLY)
01
Seasonal increase
08
Strike
20
Wage rate decrease
40
Shorter scheduled workweek 
28
Stock options exercised and distributed
02
Seasonal decrease
12
Internal reorganization-decrease
21
Wage rate increase
41
Longer scheduled workweek
29
Severance pay distributed
03
More business/expansion
13
Internal reorganization-increase
25
Higher hourly earnings for
46
Workers on unpaid vacation
30
Change in number of pay periods
04
Less business/contraction
19
Employment returns to normal

piecework or incentive pay
50
Bad weather
31
Bonuses, executive pay, or profit
05
Short-term project starting
09
Temporary shutdown
26
Less overtime pay
55
Return to normal following 

distributions
06
Short-term project ending
86
Permanent shutdown
27
More overtime pay

bad weather
93
Quarterly or annual commissions paid
07
Layoff
37
Other reason 
32
More/fewer commissions paid
38
Other reason, pay or hours
95
Other reason
U.S. Department of Labor	      
Bureau of Labor Statistics Report on Current Employment Statistics	Service-Providing

This report is authorized by law 29 U.S.C. 2.  We request your cooperation to make the results of this survey comprehensive, accurate, and timely. 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.  Please note this report is mandatory in North Carolina, under Section 96-4(g) (l) of the North Carolina Employment Security Law; in Oregon, under the Oregon Revised Statute 657.660; in Washington, under the Revised Code of Washington sections 50.12.010, 50.12.070, and 50.12.180; and in South Carolina, under Section 41-29-120 of the Code of Laws of South Carolina (for firms employing more than twenty individuals).  Form Approved OMB No.  1220-0011.   We estimate that it will take an average of 11 minutes to complete this form each month including time to review instructions, search existing data sources, gather and maintain the necessary data, and complete and review this information.  If you have any comments regarding these estimates or any other aspects of this survey, send them to the Bureau of Labor Statistics, Division of Current Employment Statistics (1220-0011), 2 Massachusetts Avenue, NE, Washington, DC 20212.  You are not required to respond to the collection of information unless it displays a currently valid OMB control number.




Attn: Payroll Manager		                                                                            
Con_Firm			
Con_Address
Con_City, Con_State  Con_Zipcode


Need help with this form?  
Call 1-dccphone3
Your Report Number:   reptnum3


		Data Collection Center
            
              
               

Instructions for Completing this Form
Reference Period
	Complete this form monthly for the pay period checked in Box A that includes the 12th day of the month.  If you have a weekly or biweekly pay period and the 12th falls on a Saturday, report for the period ending on the 12th. If the 12th falls on a Sunday, report for the pay period starting on the 12th.
PAY GROUP
	See reverse side of this form.  If your business has more than two pay groups, call the help number shown above for assistance.
EMPLOYEE COUNT (Column 1) – ALL WORKERS
	Total number of persons in this pay group who worked or received pay for any part of the pay period that includes the 12th of the month.

Include:
Exclude:

	Executives and their staff
	Outside contractors and their employees

	Full-time and part-time workers
	Pensioners

	Salaried officials of corporations
	Proprietors, owners, or partners of

	Trainees
	unincorporated firms

	Workers on active duty, if 
	Workers on active duty, if not receiving  

	receiving pay from employer
	pay from employer

	Workers on paid sick leave
	Workers on leave without pay for entire

	Workers on paid vacation
	pay period

	Workers on other paid leave
	Workers on strike for entire pay period


	Unpaid family members
EMPLOYEE COUNT (Column 1) – Nonsupervisory workers 
	Number of "All Workers" defined above who are nonsupervisory workers.  "Nonsupervisory workers" includes every employee except those whose major responsibility is to supervise, plan, or direct the work of others.  




Exclude:


	Department heads


	Executives


	Managers


	Officers


	Superintendents





WOMEN WORKER COUNT  (Column 2)
Number of All Workers defined above who are women.  

Payroll, EXCLUDING COMMISSIONS  (Column 3)
	Total gross pay earned during the entire pay period.  Report separately for All Workers and for Nonsupervisory Workers.  

Report pay before employee deductions for:

	Taxes
	Bonds

	FICA (Social Security)
	Pensions 

	Health insurance
	Unemployment insurance

	Pay deferral plans such as 401K 
	Union dues


(Continued)
Payroll, EXCLUDING COMMISSIONS (Column 3)	(Continued)

Include:
Exclude:

	Wages and salaries
	Commissions

	Paid holidays, vacation, sick 
	leave, and other paid leave
	Annual pay for unused leave
	Awards or bonuses not paid each pay period

	Incentive pay
	Employer contributions to pay such as 401K

	Bonuses paid each pay period
	Pay advances, such as vacation pay 

	Overtime pay
	advances

    • Tips if included on W-2s
	Payments "in kind"

	Severance, if paid over multiple
	Retroactive or back pay

	pay periods
	Severance, if provided as one payment


	Travel or work-related reimbursements
Commissions (Column 4)
	Commissions paid during the period checked in Box B on the reverse side.  Report separately for All Workers and for Nonsupervisory Workers.
		Report for the most recent complete period for which commissions are available, which might be different from the pay period that includes the 12th.  Enter 0 if none paid for the period or pay group.
    • Exclude base pay, drawing accounts, or basic guarantees.
Hours, INCLUDING OVERTIME (Column 5) 
	Total number of hours for which employees received pay during the entire pay period.  Report separately for All Workers and Nonsupervisory Workers.
	Include overtime; stand-by or reporting time; and hours not worked, but for which workers received pay (holidays, vacations, sick leave, etc.).  
	Report hours for salaried and commission-only employees based on their standard work week. 	
    • Do not convert overtime or other premium hours to straight-time equivalent hours. 
REASON FOR LARGE CHANGES (Column 6)
	If employment, payroll, or hours changed by 25% or more, enter one or two numbers from D1 or D2 at the bottom of the reverse side of this form to explain the change.  Otherwise leave Column 6 blank.
Gross Monthly Earnings (Column 7)
Total gross wages paid during the entire previous calendar month, before deductions.  Report for All Workers.

Include:
Exclude:

	Earnings from all pay distributed during the previous month, such as:
	Employer contributions to:
	-	401K or pension plans

	-	Payroll
	-	Medical insurance accounts

	-	Commissions
	-	Health insurance accounts

	-	Bonuses or awards
	Reimbursements for:

	-	Incentive pay
	-	Travel expenses

	-	Severance pay
	-	Work related expenses

	-	Stock options exercised 
	-	Tuition 
REASON FOR LARGE CHANGES, GROSS MONTHLY EARNINGS (Column 8)
	If Gross Monthly Earnings changed by 25% or more, enter one or two numbers from D1, D2, or D3 at the bottom of the reverse side of this form to explain the change. Otherwise leave Column 8 blank.   
Current Employment Statistics Report Form — Service Providing
U.S. Department of Labor


													Report Number               reptnum4

this page is for PAY GROUP 2
●	Use the other page (All Employees in Pay Group 1) if all employees are paid at the same time.
●	Use this page only if employees are paid on different schedules—for example, weekly for some and monthly for others.  Enter the information for one pay schedule on the previous page (Pay Group 1).  This page is for the second group. 
●	More than two pay groups?  Call the number “For More Information” at the right, or the Help number on the reverse side of this form.
  This form requests information for:  
Primary Name
address
city, state   zipcode
Location:  location
Industry:  naics      
UI:           /                                    
          
     	 Your report # reptnum5  
   For more information: 
   1-     	   Data Collection Center                     

ALL EMPLOYEES IN PAY GROUP 2
A.	Employees receive pay: 	(check one) ………		Each week			Every 2 weeks			Twice a month			Once a month
B.	Do employees receive commissions? ………		Yes			No
	(IF YES)		Employees receive commissions:  (check one)			Each week		  Every 2 weeks		  Twice a month		  Once a month
								If you checked one of the boxes above, report commissions in Column 4 for the most recent complete period available. 
								Less often than once a month. Enter 0 in Column 4 but include in Gross Monthly Earnings (Column 7) when paid.  
	(IF NO)		Enter 0 in Column 4.
C.  Report columns 1-6 for the pay period that includes the 12th of the month
Report columns 7-8 for the entire previous calendar month

1
2
3
4
5
6
7
8
Month
     
Employee Count
Women Employee Count
Payroll,
Excluding Commissions 
(Whole dollars)
Commissions Paid at Least Once a Month
(Whole dollars)
Hours, Including Overtime
(Whole hours)
Reason for Large Changes 
(D1-D2 below)
Gross Monthly Earnings, previous calendar month 
(All workers)
Reason
for Large Changes 
(D1-D3 below)
       	     
All Workers
     
     
$         
$         
     
        

      
$       

  
Nonsupervisory Workers
     

$         
$         
     



       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




       	     
   All Workers



$
$


      
$  

Nonsupervisory Workers


$
$




       	     
All Workers


$
$


      
$  

Nonsupervisory Workers


$
$




D.  Reason for Large Changes:  To explain changes of 25% or more, enter numbers from the list below in columns 6 and 8.  You may enter one or two numbers into each row.
D1.  Changes in Employment (Columns 6 and 8)
D2. Changes in Pay and Hours (Columns 6 and 8)
D3.	Changes in Gross Monthly 
			Earnings (Column 8 ONLY)
01
Seasonal increase
08
Strike
20
Wage rate decrease
40
Shorter scheduled workweek 
28
Stock options exercised and distributed
02
Seasonal decrease
12
Internal reorganization-decrease
21
Wage rate increase
41
Longer scheduled workweek
29
Severance pay distributed
03
More business/expansion
13
Internal reorganization-increase
25
Higher hourly earnings for
46
Workers on unpaid vacation
30
Change in number of pay periods
04
Less business/contraction
19
Employment returns to normal

piecework or incentive pay
50
Bad weather
31
Bonuses, executive pay, or profit
05
Short-term project starting
09
Temporary shutdown
26
Less overtime pay
55
Return to normal following 

distributions
06
Short-term project ending
86
Permanent shutdown
27
More overtime pay

bad weather
93
Quarterly or annual commissions paid
07
Layoff
37
Other reason 
32
More/fewer commissions paid
38
Other reason, pay or hours
95
Other reason
U.S. Department of Labor	      
Bureau of Labor Statistics Report on Current Employment Statistics	Service-Providing

This report is authorized by law 29 U.S.C. 2.  We request your cooperation to make the results of this survey comprehensive, accurate, and timely. 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.  Please note this report is mandatory in North Carolina, under Section 96-4(g) (l) of the North Carolina Employment Security Law; in Oregon, under the Oregon Revised Statute 657.660; in Washington, under the Revised Code of Washington sections 50.12.010, 50.12.070, and 50.12.180; and in South Carolina, under Section 41-29-120 of the Code of Laws of South Carolina (for firms employing more than twenty individuals).  Form Approved OMB No.  1220-0011.   We estimate that it will take an average of 11 minutes to complete this form each month including time to review instructions, search existing data sources, gather and maintain the necessary data, and complete and review this information.  If you have any comments regarding these estimates or any other aspects of this survey, send them to the Bureau of Labor Statistics, Division of Current Employment Statistics (1220-0011), 2 Massachusetts Avenue, NE, Washington, DC 20212.  You are not required to respond to the collection of information unless it displays a currently valid OMB control number.




Attn: Payroll Manager		                                                                            
Con_Firm			
Con_Address
Con_City, Con_State  Con_Zipcode


Need help with this form?  
Call 1-dccphone5
Your Report Number:   reptnum6


	  Data Collection Center
           
             
              

Instructions for Completing this Form
Reference Period
	Complete this form monthly for the pay period checked in Box A that includes the 12th day of the month.  If you have a weekly or biweekly pay period and the 12th falls on a Saturday, report for the period ending on the 12th. If the 12th falls on a Sunday, report for the pay period starting on the 12th.
PAY GROUP
	See reverse side of this form.  If your business has more than two pay groups, call the help number shown above for assistance.
EMPLOYEE COUNT (Column 1) – ALL WORKERS
	Total number of persons in this pay group who worked or received pay for any part of the pay period that includes the 12th of the month.

Include:
Exclude:

	Executives and their staff
	Outside contractors and their employees

	Full-time and part-time workers
	Pensioners

	Salaried officials of corporations
	Proprietors, owners, or partners of

	Trainees
	unincorporated firms

	Workers on active duty, if 
	Workers on active duty, if not receiving  

	receiving pay from employer
	pay from employer

	Workers on paid sick leave
	Workers on leave without pay for entire

	Workers on paid vacation
	pay period

	Workers on other paid leave
	Workers on strike for entire pay period


	Unpaid family members
EMPLOYEE COUNT (Column 1) – nonsupervisory workers 
	Number of "All Workers" defined above who are nonsupervisory workers.  "Nonsupervisory workers" includes every employee except those whose major responsibility is to supervise, plan, or direct the work of others.  




Exclude:


	Department heads


	Executives


	Managers


	Officers


	Superintendents





WOMEN EMPLOYEE COUNT  (Column 2)
Number of “All Workers” defined above who are women.  


Payroll, EXCLUDING COMMISSIONS  (Column 3)
	Total gross pay earned during the entire pay period.  Report separately for All Workers and for Nonsupervisory Workers.  

Report pay before employee deductions for:

	Taxes
	Bonds

	FICA (Social Security)
	Pensions 

	Health insurance
	Unemployment insurance

	Pay deferral plans such as 401K 
	Union dues


(Continued)
Payroll, EXCLUDING COMMISSIONS (Column 3)	(Continued)

Include:
Exclude:

	Wages and salaries
	Commissions

	Paid holidays, vacation, sick 
	leave, and other paid leave
	Annual pay for unused leave
	Awards or bonuses not paid each pay period

	Incentive pay
	Employer contributions to pay such as 401K

	Bonuses paid each pay period
	Pay advances, such as vacation pay 

	Overtime pay
	advances

    • Tips if included on W-2s
	Payments "in kind"

	Severance, if paid over multiple
	Retroactive or back pay

	pay periods
	Severance, if provided as one payment


	Travel or work-related reimbursements
Commissions (Column 4)
	Commissions paid during the period checked in Box B on the reverse side.  Report separately for All Workers and for Nonsupervisory Workers.
		Report for the most recent complete period for which commissions are available, which might be different from the pay period that includes the 12th.  Enter 0 if none paid for the period or pay group.
    • Exclude base pay, drawing accounts, or basic guarantees.
Hours, INCLUDING OVERTIME (Column 5) 
	Total number of hours for which employees received pay during the entire pay period.  Report separately for All Workers and Nonsupervisory Workers.
	Include overtime; stand-by or reporting time; and hours not worked, but for which workers received pay (holidays, vacations, sick leave, etc.).  
	Report hours for salaried and commission-only employees based on their standard work week. 	
    • Do not convert overtime or other premium hours to straight-time equivalent hours. 
REASON FOR LARGE CHANGES (Column 6)
	If employment, payroll, or hours changed by 25% or more, enter one or two numbers from D1 or D2 at the bottom of the reverse side of this form to explain the change.  Otherwise leave Column 6 blank.
Gross Monthly Earnings (Column 7)
Total gross wages paid during the entire previous calendar month, before deductions.  Report for All Workers.

Include:
Exclude:

	Earnings from all pay distributed during the previous month, such as:
	Employer contributions to:
	-	401K or pension plans

	-	Payroll
	-	Medical insurance accounts

	-	Commissions
	-	Health insurance accounts

	-	Bonuses or awards
	Reimbursements for:

	-	Incentive pay
	-	Travel expenses

	-	Severance pay
	-	Work related expenses

	-	Stock options exercised 
	-	Tuition 
REASON FOR LARGE CHANGES, GROSS MONTHLY EARNINGS (Column 8)
      If Gross Monthly Earnings changed by 25% or more, enter one or two numbers from D1, D1, or D3 at the bottom of the reverse side of this form to explain the change. Otherwise leave Column 8 blank.