U.S. Department of Labor

Bureau of Labor Statistics

Data Collection Center

dccaddress

dcccity, dccst dcczip

Phone: dccphone Fax: faxphone

June 15, 2015

Attn: Payroll Manager

Con_Firm

Con_Address

Con_City, Con_State Con_Zipcode

Dear Payroll Manager:

Thank you for your willingness to continue participating in the CES survey. You can use this form for keeping a record of your monthly reports, if you wish.

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.

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

The 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 Manager2	Report Number: reptnum2
Primary Name	Location: location
address	UI Number:
city, state zipcode	Industry Code:
Tel: Ext: con_ext
Fax: con_fax	Email: email_addr

Report Number: reptnum	Name of Firm: Primary Name

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 Col_Def_Ref.

Column 1	Column 2	Column 3
EMPLOYEE COUNT	WOMEN EMPLOYEE COUNT	FACULTY MEMBERS
Pay period that includes mon1 12th year1
mon2 12th year2
mon3 12th year3
mon4 12th year4
mon5 12th year5
mon6 12th year6
mon7 12th year7
mon8 12th year8
mon9 12th year9
mon10 12th year10
mon11 12th year11
mon12 12th year12

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/.

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 50.12.1#0; in South Carolina, under Section 41-29-120 of the Code of Laws of South Carolina (for firms employing more than twenty individuals); and in Puerto Rico, under State Law 15, Sections 5, 6 and 15, amended and approved on April 14, 1931.

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.