U.S. Department of Labor

Bureau of Labor Statistics

Data Collection Center

dccaddress

dcccity, dccst dcczip

Phone: dccphone Fax: faxphone

September 29, 2014

Attn: Payroll Manager

Con_Firm

Con_Address

Con_City, Con_State Con_Zipcode

Dear Payroll Manager:

A data collection specialist from the Bureau of Labor Statistics (BLS) will soon telephone to ask your company’s help with determining the nation’s monthly counts of employment. The person whose name appears below will be the one who will be calling you. The focus of this call will be to gather information about your payroll that includes the 12th day of the month.

The Data Collection Specialist assigned to your business:	username
Telephone number:	userphone

The call is to explain the reasons for including your company in the production of the nation’s employment numbers and answer any questions you might have. We also want to:

Confirm your business address and location.

Confirm whether we have the correct state Unemployment Insurance account number (UI#) for your company.

Ask how frequently employees of your company are paid and whether you have more than one payroll

Your company was selected as a part of a scientific sample of businesses throughout the United States. The BLS 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 (Title 5 of Public Law 107-347), the information you provide to the BLS will not be disclosed in identifiable form without your informed consent.

Thank you in advance for your cooperation. Your assistance in producing this important information about our nation’s economy is greatly appreciated.

Sincerely,

signature

dcccntct

Data Collection Center Manager

► Some Definitions For the Questions On The Next Page That May Be Helpful.

Column 1 EMPLOYEE COUNT

Enter total number of persons who worked or received pay for any part of the pay period that includes the 12th of the month. Include employees who worked only during the school year but received pay for the whole year.

Include:	Exclude:
Counselors, librarians, and coaches Custodial and cafeteria workers Full-time or part-time workers Other non-teaching personnel Paid members of religious orders Students employed on your payroll Teachers, administrators, and trainees Workers on active duty, if receiving pay from employer Workers on paid sick or other leave Workers on paid vacation	Outside contractors and their employees Pensioners School trustees and school board members serving without pay Volunteers Workers on active duty, if not receiving pay from employer Workers on leave without pay for the entire pay period Workers on strike the entire pay period

Column 2 WOMEN EMPLOYEE COUNT

Enter the number of employees from Column 1 who are women.

Column 3 FACULTY MEMBERS

Enter the number of employees from Column 1 who are regular members of the faculty of this institution or school system. Regular members of the faculty are considered to be professional or “certified” employees who have a contractual arrangement (written or otherwise) for one or more years. Faculty Members include principals, teachers, superintendents, administrators, librarians, counselors, and other professional personnel.

MP MF INT

► Information We Have For Your Firm:

Contact: Attn: Payroll Manager	Report Number:
Primary Name	Location: location
address	UI Number:
city, state zipcode	Industry Code:
Tel: Ext: con_ext
Fax: con_fax	Email: email_addr

Your Report Number is: reptnum

► When your payroll is reported for the pay period that includes the date of mon1_expl 12th we will only ask for answers to these three questions.

Column 1	Column 2	Column 3
Month	EMPLOYEE COUNT	WOMEN EMPLOYEE COUNT	FACULTY MEMBERS
Pay period that includes mon1 12th year1

► Each following month, we will call for the pay period that includes the 12th of each month. You can keep a record of what’s reported each month below:

Month	EMPLOYEE COUNT	WOMEN EMPLOYEE COUNT	FACULTY MEMBERS
Pay period that includes mon2 12th year2
mon3 12th year3
mon4 12th year4
mon5 12th year5
mon6 12th year6

We will send you another form for reporting after mon6_footer year6_footer.

Please keep this form to use when the Data Collection Specialist calls you to complete the survey. Thank You!

Thank you for your help! The Bureau of Labor Statistics (BLS) will use the information you provide in determining the nation’s job count as part of the Current Employment Statistics (CES) program.

The CES is the nation’s monthly indicator of employment trends. This monthly report of the nation’s employment is depended on by the Federal Reserve, government agencies, banks, and others to assess the nation’s economy and to help make decisions about their operations.

On the first Friday of every month major newspapers across the country publish the nation’s job count. BLS is responsible for compiling these statistics from information gathered from thousands of firms like yours. This statistic, along with other leading economic indicators produced by BLS provides businesses with information critical in planning for growth and success.

You can find data from the Current Employment Statistics program, along with information from other BLS programs, on our web site, http://www.bls.gov/.

If you have any questions about reporting or the CES program, please contact the Data Collection Specialist listed on page 1 of this form.

Our Frequently Asked Questions page is located at

http://www.bls.gov/respondents/ces/home.htm.

Your assistance in maintaining the quality of our nation’s economic data is greatly appreciated.

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(i) 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. 1220-0011.