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790B Fax form - Multiple Pay Groups

ICR 201206-1220-004 · OMB 1220-0011 · Object 33494401.

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application/msword
790B Fax form - Multiple Pay Groups
borodkin_a
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2011-10-04
2026-09-24
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Bureau of Labor Statistics
U.S Department of Labor
Data Collection Center
dccaddress2
dcccity2, dccst2  dcczip
Phone: dccphone
Fax: faxphone


September 24, 2026

Attn: Payroll Manager
Con_Firm2
Con_Address2
Con_City2, Con_State2  Con_Zipcode2

Dear Payroll Manager:

Thank you for providing your employment, payroll and hours data to the Current Employment Statistics program.  Enclosed is your FAX Report Form.  Please fill out the form only for the pay period which includes the 12th of the month and fax it to the fax number provided by duedate2.
For each worksite with a pre-printed CES report number and worksite description, report all columns for All Workers and Construction Workers separately.  If the worksite maintains more than one pay frequency, report for the first pay group in Pay Group 1 and for the second in Pay Group 2.  If a worksite has more than 2 pay groups, please call the information number for more information.  Detailed definitions and instructions are provided below.
Your response to this report is kept confidential and is used to generate monthly estimates of employment levels and changes, average hourly earnings, and average weekly hours.  It also contributes to other statistics including state and local unemployment rates, productivity measures, and the gross domestic product (GDP).  Be sure to watch for the release of the national employment situation report on the first Friday of each month.  Your data are included in this important release.

If any of the information pre-printed on this form is incorrect, or if you have any questions, please contact us at dccphone2.


Sincerely,
signature
dcccntct2
Data Collection Center Manager



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).  
We estimate that it will take an average of 10 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. Form Approved OMB No. 1220-0111. 

►Our records show the following information for your firm:                                                     

    Con_Firm
Contact:  Attn: Payroll Manager2
    Con_Address
Tel:  con_tel	Ext:  con_ext
    Con_City, Con_State Con_Zipcode
Fax:  con_fax


Please fax report to: faxphone2

► Definitions for the Questions on the Next Page
Column 1  EMPLOYEE COUNT– 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 
    • Full-time and part-time workers
    • Salaried officials of corporations
    • Trainees 
    • Workers on active duty, if receiving pay from employer 
    • Workers on paid vacation 
    • Workers on paid sick leave 
    • Workers on other paid leave
    • Outside contractors and their employees
    • Pensioners
    • Proprietors, owners, or partners of unincorporated firms 
    • Workers on active duty, if not receiving  pay from employer 
    • Workers on leave without pay for entire pay period 
    • Workers on strike for entire pay period 
    • Unpaid family members
EMPLOYEE COUNT– construction workers 
	Number of "All Workers" defined above who are Construction Workers.  "Construction Workers" work at the site of construction, or in shops or yards at jobs ordinarily performed by members of the construction trade. Construction Workers include working supervisors or group leaders who may be “in charge” of some employees, but whose supervisory functions are only incidental to their regular work. 
Include:
Working in:
    • Craft workers
    • Laborers
    • Mechanics
    • Heavy equipment operators
    • Apprentices
    • Helpers
    • New construction
    • Alterations
    • Remodeling
    • Demolition
    • Maintenance
    • Repair

Exclude individuals working in:
    • Accounting
    • Clerical
    • Executives
    • Finance
    • Legal
    • Personnel
    • Professional
    • Purchasing
    • Technical
Column 2  WOMEN EMPLOYEE COUNT 
     Number of “All Workers” defined above who are women.
Column 3  PAYROLL, EXCLUDING COMMISSIONS
	Total gross pay earned during the entire pay period.  Report separately for All Workers and for Construction Workers.  
      Report pay before employee deductions for:
    • Taxes
    • FICA (Social Security)
    • Health insurance
    • Pay deferral plans such as 401K
    • Bonds
    • Pensions
    • Unemployment insurance
    • Union dues
     Include:
Exclude:
    •  Wages and salaries
    • Paid holidays, vacation,  sick leave, and other paid leave
    •  Incentive pay
    • Bonuses paid each pay period
    •  Overtime pay
    • Severance, if paid over multiple pay periods
    • Commissions
    • Annual pay for unused leave
    • Awards or bonuses not paid each pay period
    • Employer contributions to pay such as 401K
    • Pay advances, such as vacation pay advances
    • Payments "in kind"
    • Retroactive or back pay
    • Severance, if provided as one payment
    • Travel or work-related reimbursements
Column 4  Commissions 
	Report separately for “All Workers” and for “Construction 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.
Column 5  Hours, INCLUDING OVERTIME 
	Total number of hours for which employees received pay during the entire pay period.  Report separately for All Workers and Construction 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.



Each month report your payroll information for the pay period that includes the 12th of the month.  For questions 
refer to page 2 for the   Column    definitions or call the Help Desk at 1-800-827-2005.


Reference Month/Year:
mon1 year1
1
Employee
Count

2
Women
Employee
Count
3
Payroll, Excluding Commissions
4
Commissions

5
Total Hours, including overtime
Report #: reptnum	State:  STC 	Location: REGlocation 	UI: ReptUI
Pay Group 1
pay-type1
All Workers






Construction Workers





Pay Group 2
pay-type2
All Workers






Construction Workers





Report #: reptnum	State:  STC 	Location: REGlocation 	UI: ReptUI
Pay Group 1
pay-type1
All Workers






Construction Workers





Pay Group 2
pay-type2
All Workers






Construction Workers





Report #: reptnum	State:  STC 	Location: REGlocation 	UI: ReptUI
Pay Group 1
pay-type1
All Workers






Construction Workers





Pay Group 2
pay-type2
All Workers






Construction Workers





Report #: reptnum	State:  STC 	Location: REGlocation 	UI: ReptUI
Pay Group 1
pay-type1
All Workers






Construction Workers





Pay Group 2
pay-type2
All Workers






Construction Workers





Report #: reptnum	State:  STC 	Location: REGlocation 	UI: ReptUI
Pay Group 1
pay-type1
All Workers






Construction Workers





Pay Group 2
pay-type2
All Workers






Construction Workers





Report #: reptnum	State:  STC 	Location: REGlocation 	UI: ReptUI
Pay Group 1
pay-type1
All Workers






Construction Workers





Pay Group 2
pay-type2
All Workers






Construction Workers





Report #: reptnum	State:  STC 	Location: REGlocation 	UI: ReptUI
Pay Group 1
pay-type1
All Workers






Construction Workers





Pay Group 2
pay-type2
All Workers






Construction Workers