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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	790EbookCol
Author	quadir_t
Last Modified By	Writer
File Modified	2018-03-28
File Created	2026-07-14
Conversion State	complete

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U.S. Department of Labor
Bureau of Labor Statistics
Data Collection Center
dccaddress
dcccity, dccst dcczip
Phone: dccphone
July 14, 2026

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.

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

Your assistance in producing this important information about our nation’s economy is greatly appreciated.

Sincerely,
signature
dcccntct
Data Collection Center Manager

►Our records show the following information for your firm:

Contact: Attn: Payroll Manager2
Report Number: reptnum
primname
Location: location
address
UI Number:
city, state zipcode
Industry Code: naics
Tel: con_tel Ext: con_ext

Fax:
Email: email_addr

► Definitions for the Questions on the Next Page
Column 1 EMPLOYEE COUNT – All Employees
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
• Salaried officials of corporations
• Full-time and part-time employees
• Trainees
• Employees on active duty, if receiving pay from employer
• Employees on paid sick leave
• Employees on paid vacation
• Employees on other paid leave
• Outside contractors and their employees
• Pensioners
• Proprietors, owners, or partners of unincorporated firms
• Employees on active duty, if NOT receiving pay from employer
• Employees on leave without pay for entire pay period
• Employees on strike for entire pay period
• Unpaid family members

EMPLOYEE COUNT – Nonsupervisory Employees
Number of “All Employees” defined above who are not supervisory employees. “Nonsupervisory Employees” includes every employee EXCEPT those whose major responsibility is to supervise, plan, or direct the work of others.

Exclude:
• Department heads
• Executives
• Managers
• Officers
• Superintendents

Column 2 WOMEN EMPLOYEE COUNT
Number of “All Employees” as defined above who are women.

Column 3 PAYROLL, EXCLUDING COMMISSIONS

Total gross pay earned during the entire pay period that includes the 12th of the month. Report separately for “All Employees” and for “Nonsupervisory Employees”.
Column 3 (continued)
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
• Tips, if included on W-2s
• 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, PAID AT LEAST ONCE A MONTH
Report separately for “All Employees” and for “Nonsupervisory Employees.”
• Report for the most recent complete period for which commissions are available, which might be different from the pay period that includes the 12th of the month. 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 that includes the 12th of the month. Report separately for “All Employees” and “Nonsupervisory Employees”.
• Include overtime; stand-by or reporting time; and hours not worked, but for which employees received pay (holidays, vacations, sick leave, etc.).
• Report hours paid 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.

Report Number: reptnum2 Name of Firm: Primary Name2

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.

Employees receive pay:
Column 1
Column 2
Column 3
Column 4
Column 5
Pay Group 1 paygr1
Commissions Pay Group 1 paygrc1
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 Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon2 12th year2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon3 12th year3
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon4 12th year4
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon5 12th year5
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon6 12th year6
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon7 12th year7
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon8 12th year8
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon9 12th year9
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon10 12th year10
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon11 12th year11
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon12 12th year12
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

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/.

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. Per the Federal Cybersecurity Enhancement Act of 2015, Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data.
Please note this report is mandatory in Oregon, under the Oregon Revised Statute 657.660; 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 dcczip
Phone: dccphone2
July 14, 2026

Attn: Payroll Manager
Con_Firm2
Con_Address
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.

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

►Our records show the following information for your firm:

Contact: Attn: Payroll Manager4
Report Number: reptnum3
Primary Name3
Location: location
address
UI Number:
city, state zipcode
Industry Code: naics2
Tel: con_tel Ext: con_ext

Fax:
Email: email_addr

Exclude:
• Department heads
• Executives
• Managers
• Officers
• Superintendents

Column 2 WOMEN EMPLOYEE COUNT
Number of “All Employees” as defined above who are women.

Column 3 PAYROLL, EXCLUDING COMMISSIONS

Pay Group 2 paygr2

Report Number: reptnum4 Name of Firm: Primary Name2

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_Ref2.

Employees receive pay:
Column 1
Column 2
Column 3
Column 4
Column 5

Pay Group 2 paygr2_2
Commissions Group 2 paygrc2_2
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 Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon2_2 12th year2_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon3_2 12th year3_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon4_2 12th year4_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon5_2 12th year5_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon6_2 12th year6_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon7_2 12th year7_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon8_2 12th year8_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon9_2 12th year9_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon10_2 12th year10_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon11_2 12th year11_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

mon12_2 12th year12_2
All Employees

$
$

Nonsupervisory Employees

N/A. Data not collected.
$
$

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.

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.