U.S. Department of Labor

Bureau of Labor Statistics

Data Collection Center

dccaddress

dcccity, dccst dcczip

Phone: dccphone Fax: faxphone

June 23, 2015

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– 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 sick leave Workers on paid vacation 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.

MP MF INT

► Information We Have For Your Firm:

Contact: Attn: Payroll Manager	Report Number: reptnum2
Primary Name	Location: location
address	UI Number:
city, state zipcode	Industry Code: naics
Tel: Ext: con_ext
Fax:	Email: email_addr

Your Report Number is: reptnum	Pay Group 1 paygr1

► 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 five questions.

Column 1	Column 2	Column 3	Column 4	Column 5
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)
Pay period that includes mon1 12th year1	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$

► 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	PAYROLL, EXCLUDING COMMISSIONS (Whole dollars)	COMMISSIONS, PAID AT LEAST ONCE A MONTH (Whole dollars)	HOURS, INCLUDING OVERTIME (Whole hours)
Pay period that includes mon2 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon3 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon4 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon5 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon6 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$

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 you make decisions about your operations.

On the first Friday of every month major media outlets 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 50.12.1#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.

U.S. Department of Labor

Bureau of Labor Statistics

Data Collection Center

dccaddress2

dcccity2, dccst2 dcczip2

Phone: dccphone2 Fax: faxphone2

June 23, 2015

Attn: Payroll Manager2

Con_Firm2

Con_Address2

Con_City2, Con_State2 Con_Zipcode2

Dear Payroll Manager:

Due to the presence of more than 1 payroll within your firm, we have created a form to account for the additional employment data —Second Pay Group.

The attached form is to track and submit employment data for your firm’s Second Pay Group. Pay Group 2 should represent those employees on an alternative pay schedule than presented on the previous form.

Please keep this form along with the form for Pay Group 1.

If you have any questions, please do not hesitate to contact your interviewer listed on the previous form.

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

Sincerely,

signature2

dcccntct2

Data Collection Center Manager

►Some Definitions for the Questions on the Next Page That May Be Helpful.

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 sick leave Workers on paid vacation 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.

MP MF INT

► Information We Have For Your Firm:

Contact: Attn: Payroll Manager	Report Number: reptnum3
Primary Name2	Location: location2
address2	UI Number: UI_Number2
city2, state2 zipcode2	Industry Code: naics2
Tel: con_tel2 Ext: con_ext2
Fax: con_fax2	Email: email_addr2

Your Report Number is: reptnum4	Pay Group 2 paygr2

Column 1	Column 2	Column 3	Column 4	Column 5
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)
Pay period that includes mon1_2 12th year1_2	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$

► 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	PAYROLL, EXCLUDING COMMISSIONS (Whole dollars)	COMMISSIONS, PAID AT LEAST ONCE A MONTH (Whole dollars)	HOURS, INCLUDING OVERTIME (Whole hours)
Pay period that includes mon2_2 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon3_2 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon4_2 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon5_2 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$
mon6_2 12th	All Workers	$	$
Construction Workers	Not applicable. Data not collected.	$	$

We will send you another form for reporting after mon6_footer_2 year6_footer_2.

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 you make decisions about your operations.

On the first Friday of every month major media outlets 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 50.12.1#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.