E-1 Worksheet 2019 Annual Survey of Public Employment & Paryoll March

Public Employment & Payroll Forms

e1_2019_blank

Public Employment & Payroll Forms

OMB: 0607-0452

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U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
Worksheet

E-1

2019 ANNUAL
SURVEY OF PUBLIC EMPLOYMENT & PAYROLL
March 2019 – State Agencies
OMB No. 0607-0452: Approval Expires 11/30/2018

(10-24-2018)

DUE DATE:

April 25, 2019
Need help or have
questions?

DO NOT use this worksheet to respond to the survey, it is intended to assist you
with gathering and preparing your data prior to reporting online.
Return to respond.census.gov/aspep when you are ready to report online.

• Visit
respond.census.gov/aspep
• Call
1-800-832-2839 weekdays,
8AM to 5PM ET

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WORKSHEET

Title 13, United States Code, Sections 161 and 182 authorizes the Census Bureau to conduct this collection and to request your voluntary
assistance. These data are subject to provisions of Title 13, United States Code, Section 9(b) exempting data that are customarily provided
in public records from rules of confidentiality.

We estimate this survey will take between 10 minutes to 15 hours to complete, with an average of 50 minutes, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information.

1 Is the addressee title/department and mailing address the same as shown in the address label?
Mark "X" only one box.
Yes – Go to 2

No – Enter correct information below

Addressee Title or Department

ATTN:
Street 1

Street 2

City

State

Zip Code

Please continue on the next page

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This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number is 0607-0452
and appears at the upper right of this page. Without this approval we could not conduct this survey.

Page 2

2

Does this agency currently have paid employees and/or paid officials? Mark "X" only one box.
Yes – go to 3

PART 1 – EMPLOYEES AND PAYROLL

3 For each applicable pay period that includes March 12, 2019, what were the TOTAL number of
employees and TOTAL gross payroll amounts for both full-time and part-time employees?

Payroll Codes
W = Weekly;

EXAMPLE

B = Bi-Weekly;

T = Twice a Month;

M = Monthly;

Q = Quarterly;

S = Semi-Annually;

A = Annually

If all full-time employees are paid bi-weekly, please provide the one bi-weekly payroll that includes March 12, 2019.
A. Full-time employees and gross payroll for the pay period that includes March 12, 2019

➥

Full-time
Number of
Payroll
Full-time Employees
Code

B

E
L
P

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

1 5 6

2 9 5

M
A
X
E

9 3 2

If some part-time employees are paid bi-weekly and some part-time employees are paid monthly; please provide the data for
the bi-weekly payroll that includes March 12, 2019 for the employees paid bi-weekly and the monthly data for the month of
March for the employees paid monthly.

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No – go to 5

B. Part-time employees and gross payroll for the pay period that includes March 12, 2019

E-1

B
M

1

$Bil.

Gross Payroll for Part-time Employees
Mil.
Thou.
Dol.

0 3

6 3

0 7 7

4 1

5 5

5 9 0

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➥

Part-time
Number of
Payroll
Part-time Employees
Code

Please continue on the next page

Page 3
PART 1 – EMPLOYEES AND PAYROLL – (Continued)
Include
Employees
• Current employees in paid leave status whether paid from the general, special, or Federal grant funds
• All elected or appointed officials paid any amount of pay or stipend (even small amounts of $25 per meeting or

Payroll
• Salaries, wages, fees or commissions, as well as overtime, premium, and night differential pay
• Bonuses and incentive payments that are paid at regular pay periods
• Amounts withheld for taxes, employee contributions to retirement systems, etc.
Exclude
Employees
• Employees on unpaid leave, unpaid officials, pensioners, and contractors and their employees
Payroll
• Lump sum payments and the value of living quarters and subsistence allowances furnished to employees
Do not report
• Cumulative salaries since the beginning of the calendar or fiscal year
• Payroll amounts from last fiscal year
• Employer costs of non-wage employee benefits such as workers’ compensation, FICA, health insurance, etc.

W = Weekly;

B = Bi-Weekly;

T = Twice a Month;

Payroll Codes
M = Monthly;
Q = Quarterly;

S = Semi-Annually;

A = Annually

A. Full-time employees and gross payroll for the pay period that includes March 12, 2019
Full-time
Number of
Payroll
Full-time Employees
Code

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time
Number of
Payroll
Part-time Employees
Code

E-1

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Please continue on the next page

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B. Part-time employees and gross payroll for the pay period that includes March 12, 2019

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$100 annually) or paid on salary basis; by fees or commissions; on a per meeting basis; or a flat sum quarterly,
semi-annually, or annually
• Temporary or seasonal employees working the number of hours that represent full-time employment should be
reported as full-time employees
• Temporary or seasonal employees working less than the regular, full-time workweek should be reported as
part-time employees

Page 4
PART 2 – REMARKS

4 Use this space for any explanations that may be essential in understanding the reported data.

Please continue on page 10

5 Who should be contacted to answer questions about data reported on this worksheet?
Name of contact person - Please print

Area code and phone number

Email Address - Please print

E-1

Title of contact person - Please print

Extension

Area code and fax number

Date worksheet was completed
(MM)
(DD)
(YYYY)

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PART 3 – CONTACT INFORMATION

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Include
• Any significant changes to employment or payroll occurring within the last year
• Groups of employees for which you were unable to supply information
• A note if the majority of the full-time employees work more than 40 hours per week


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File Modified2018-11-07
File Created2018-10-24

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